Before the 1950s, why did some therapists believe that psychotherapy is unsuccessful in treating schizophrenia?

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Before the 1950s, some therapists believed psychotherapy was unsuccessful in treating schizophrenia because they thought individuals with schizophrenia were too detached from reality to establish a trusting and therapeutic relationship with a therapist. This belief stemmed from the observation that the symptoms of schizophrenia, such as delusions and hallucinations, made it difficult for patients to engage meaningfully in therapy sessions.

Before the 1950s, Why Did Some Therapists Believe That Psychotherapy