Current Position and Future Prospects

Many writers have treated schizophrenia in terms of the most extreme contrast with any other form of human thinking and behavior. While it is an isolable phenomenon, so much emphasis on the differences from the normal—rather like the fearful physical segregation of psychotics — does not help in understanding the problems. In our approach we assume that schizophrenia involves general principles which are important in all communication and therefore many in-formative similarities can be found in "normal" communication situations.

We have -been particularly interested in various sorts of communication which involve both emotional significance and the necessity of discriminating between orders of message. Such situations include play, humor, ritual, poetry, and fiction. Play, especially among animals, we have studied at some length.84 It is a situation which strikingly illustrates the occurrence of metamessages whose correct discrimination is vital to the cooperation of the individuals involved; for ex-ample, false discrimination could easily lead to combat. Rather closely related to play is humor, a continuing subject of our - research. It involves sudden shifts in Logical Types as well as discrimination of those shifts. Ritual is a field in which unusually real or literal ascriptions of Logical Type are made and defended as vigorously as the schizophrenic defends the "reality" of his delusions. Poetry exemplifies the communicative power of metaphor—even very unusual metaphor—when labeled as such by various signs, as contrasted to the obscurity of unlabeled schizophrenic metaphor. The entire field of fictional communication, defined as the narration or depiction of a series of events with more or less of a label of actuality, is most relevant to the investigation of schizophrenia. We are not so much concerned with the content interpretation of fiction—although analysis of oral and destructive themes is illuminating to the student of schizophrenia—as with the formal problems involved in simultaneous existence of multiple levels of message in the fictional presentation of

83 D. D. Jackson, "An Episode of Sleepwalking," Journal of the American Psychoanalytic Association, 1954, 2: 503— 508; also Jackson, "Some Factors . . . ," Psycho-analytic Quarterly, 1954, 23: 566—581.

84 Bateson, " A Theory of Play ..." op. cit.

"reality." The drama is especially interesting in this respect, with both performers and spectators responding to messages about both the actual and the theatrical reality.

We are giving extensive attention to hypnosis. A great array of phenomena that occur as schizophrenic symptoms—hallucinations, delusions, alterations of personality, amnesias, and so on—can be produced temporarily in normal subjects with hypnosis. These need not be directly suggested as specific phenomena, but can be the "spontaneous" result of an arranged communication sequence. For example, Erickson85 will produce a hallucination by first inducing catalepsy in a subject's hand and then saying, "There is no conceivable way in which your hand can move, yet when I give the signal, it must move." That is, he tells the subject his hand will remain in place, yet it will move, and in no way the subject can consciously conceive. When Erickson gives the signal, the subject hallucinates the hand moved, or hallucinates himself in a different place and therefore the hand was moved. This use of hallucination to resolve a problem posed by contradictory commands which cannot be discussed seems to us to illustrate the solution of a double bind situation via a shift in Logical Types. Hypnotic responses to direct suggestions or statements also commonly involve shifts in type, as in accepting the words "Here's a glass of water" or "You feel tired" as external or internal reality, or in literal response to metaphorical statements, much like schizophrenics. We hope that further study of hypnotic induction, phenomena, and waking will, in this controllable situation, help sharpen our view of the essential communicational sequences which produce phenomena like those of schizophrenia.

Another Erickson experiment seems to isolate a double bind communicational sequence without the specific use of hypnosis. Erickson arranged a seminar so as to have a young chain smoker sit next to him and to be without cigarettes; other participants were briefed on what to do. All was ordered so that Erickson repeatedly turned to offer the young man a cigarette, but was always interrupted by a question from someone so that he turned away, "inadvertently" withdrawing the cigarettes from the young man's reach. Later another participant asked this young man if he had received the cigarette from Dr. Erickson. He re-plied, "What cigarette?", showed clearly that he had forgot-ten the whole sequence, and even refused a cigarette offered by another member, saying that he was too interested in the seminar discussion to smoke. This young man seems to us to be in an experimental situation paralleling the schizophrenic's double bind situation with mother: an important relationship, contradictory messages (here of giving and taking away), and comment blocked—because there was a seminar going on, and anyway it was all "inadvertent." And note the similar outcome: amnesia for the double bind sequence and reversal from "He doesn't give" to "I don't want."

Although we have been led into these collateral areas, our main field of observation has been schizophrenia itself. All of us have worked directly with schizophrenic patients and much of this case material has been recorded on tape for detailed study. In addition, we are recording interviews held jointly with patients and their families, and we are taking sound motion pictures of mothers and disturbed, presumably pre-schizophrenic, children. Our hope is that these operations

85 M. H. Erickson, Personal communication, 1955.

will provide a clearly evident record of the continuing, repetitive double binding which we hypothesize goes on steadily from infantile beginnings in the family situation of individuals who become schizophrenic. This basic family situation, and the overtly communicational characteristics of schizophrenia, have been the major focus of this paper. However, we expect our concepts and some of these data will also be useful in future work on other problems of schizophrenia, such as the variety of other symptoms, the character of the "adjusted state" before schizophrenia becomes manifest, and the nature and circumstances of the psychotic break.

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