Every clinician knows that the human relationship with the person diagnosed with a psychotic disorder and particularly schizophrenia is the cornerstone of effective therapy and the foundation for recovery. This was one of the major tenets of an earlier generation of psychotherapeutic effort in schizophrenia and related psychoses but had drifted out of focus during the 1980s with the rise of an excessively narrowbiological psychiatry and the decline of the traditional psychoanalytic approach. The lack of a blueprint or body of knowledge and skills for working with psychotic patients meant that many of their most salient needs were ignored. Fortunately this situation is changing for the better
