The improvement of therapeutic effects by psychopharmaca is more pronounced as to the intensity than to the duration of the illness. In many cases one can see long intervals with “diluted” psychotic symptoms and more prominent extrapsychotic conflicts. These states require a meticulous coordination of pharmacotherapeutic, psychotherapeutic and social therapeutic efforts. The sociotherapeutic activity has to be oriented to the dynamic potency or the dynamic insufficiency of the patient. It can therefore only be fixed individually and not generally. It is useful to deprive all depressive patients of responsibility;maniacs can hold on to their responsibilities as long as possible; other psychotics have to get a different structure of their dominant feelings.

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1968
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