Purpose: The purpose of this early, small scale research paper is to demonstrate that schizophrenia and schizoaffective disorder, as defined in the DSM and illustrated geometrically in the PPCC model described herein, may be successfully treated with psychoanalytic psychotherapy in patients who respond well, and are accessible to therapy.

Results: In this small-scale observational Study a psychoanalytic concept, a patient’s Representational World as described herein, is used to elucidate the cause of her dysphoria which then, if she is also exposed to cognitive confusion, makes her more susceptible to schizophrenia or schizoaffective disorder. Rare psychoanalytic data obtained from a schizoaffective patient was obtained and gave rise to a model, the PPCC model, which perfectly supports the excellent therapeutic work with schizophrenic patients of a Psychiatry-trained Psychoanalyst. Validation of the model confirms the rationale and success of this clinician’s psychoanalytic psychotherapeutic treatment of his responsive and therapeutically accessible schizophrenic patients.

Conclusion: Successful and validated treatment of accessible schizophrenic and schizoaffective patients by psychoanalytic psychotherapy has been thereby demonstrated on a small scale.