The Schreber case revisited: schizophrenia as a disorder of self-regulation and of interactional regulation.

The Schreber case has been used by generations of psychoanalysts and psychiatrists to exemplify many features of the psychoanalytic conception of psychosis. It has generally been considered the origin of a great debate in psychoanalysis as to whether schizophrenia is a disorder of nature or of nurture. I seek in this contribution to proffer a newer theory of psychopathology, one which is based upon the conception of primary and secondary disorders of attachment (bonding) and which presents itself clinically as disorders of self-regulation and of interactional regulation. I attempt to explicate this theory in the Schreber case by demonstrating that his symptoms revealed: (a) failures of normal mental state regulations, (b) the emergence of symptoms which then secondarily and pathologically restore regulation in a pathological manner, and finally (c) his/her very symptoms seem to regulate a state in the family system and/or in the system of the culture at large.