Autor artykułu podkreśla wagę długofalowości kontaktu terapeutycznego w procesie rozpoczęcia zdrowienia pacjentów z rozpoznaniem schiozofrenii. Uwrażliwia przy tym na istotność rozwiązań organizacyjnych w ich leczeniu umożliwiających różnorodne modalności oddziaływań: farmakologicznych, psychoterapeutycznych, jak i edukacyjno-społecznych zależnie od fazy terapii, jak i istotnych potrzeb i możliwości pacjentów.

This paper takes up the subject of the place and role of individual psychotherapy of people diagnosed with schizophrenia in the Polish system of psychiatric care. It describes various therapeutic contexts in which such psychotherapy can take place: inpatient ward, outpatient ward, ambulatory care, community care team. It also touches upon the issue of psychotherapy in contact with a chronically ill patient who participates in his rehabilitation at the occupational therapy workshops or at a day care center. It discusses various needs of patients at specific stages of illness: acute psychosis, post-psychotic depression, symptomatic remission and a possible response to these needs offered by psychiatric treatment. The paper emphasizes the importance of long-term therapeutic contact for the recovery process, which includes the patient’s self-knowledge and awareness of the capability to influence their own life, gained during psychotherapy. The central idea of this paper is the connection of psychotherapy and organizational solutions which would enable its broadest and most effective usage in daily practice. An important element is a reflection concerning the relationships between psychotherapy of people suffering from schizophrenia and usually concurrently administered pharmacotherapy .