Ego Impairment and Ego Adaptation in Schizophrenia

Recent clinical theory and evidence from research converge in describing schizophrenia as a pattern of cognitive defect. In this article the defect was described as an impairment in those psychological processes that integrate and organize mental functioning into a holistic pattern at a given moment, give it continuity over time, and inter-relate the unified complex to external phenomena. Psychological test material (the Rorschachs of two people) was examined to elicit cognitive or perceptual patterns in contradistinction to analyses of conflicts, defenses, or interpersonal vectors. This structural emphasis brings into perspective the fluctuation of mental organization in schizophrenics and relates the fluctuation to degree of impairment, degree of strain imposed by the environment, and capacity for adaptive compensation.