The Schizoid Disorder of the Self: “The Self-in-Exile”

Based on the work of Harry Guntrip, Ronald Fairbairn, Ralph Klein, James Masterson,
Lawrence Hedges, Candace Orcutt, and Loray Daws

10-week Virtual Live Course with Loray Daws, PhD
10/8/26 – 12/17/26 (Thursdays, 8:40pm – 9:55pm EDT/EST)
[No class on November 26, 2026, for Thanksgiving Holiday.]

Tuition: $450/ course (can be paid in 2 installments)
Registration: $25/ course (waived for ORI candidates in training)

Continuing Education: 14.5 CE Hours for APA, NYS Psychologists, NYS Social Workers

COURSE DESCRIPTION:

Schizoid organization refers to a way of organizing the self in which withdrawal, emotional distance, self-sufficiency, and reliance on an internal world serve important protective functions. The individual may long for connection, while at the same time experience closeness, dependency, or emotional involvement as potentially intrusive, engulfing, disappointing, or unsafe. The resulting tension between attachment and withdrawal lies at the center of what Harry Guntrip and later theorists described as the schizoid dilemma and schizoid compromise. Fairbairn similarly emphasized the need to regulate interpersonal distance, the mobilization of self-reliant and self-preservative defenses, and the tension between attachment and distancing.

The phrase “The Self-in-Exile” is drawn from James F. Masterson and Ralph Klein’s formulation of the schizoid disorder of the self. Their formulation emphasizes the developmental, intrapsychic, and relational organization underlying schizoid functioning.

This course explores the schizoid personality not as a personality “type” but as a disorder of the self organized around survival. Integrating Harry Guntrip’s classical object relations theory with Ralph Klein’s developmental, self, and object relations approach and Loray Daws’ contemporary Independent Tradition psychoanalytic perspective, participants will learn to recognize, understand, and work therapeutically with schizoid patients whose central struggle concerns the preservation of being and the possibility of relatedness, rather than being understood primarily through conflicts around instinct or aggression.

Beginning with Guntrip’s understanding of the schizoid dilemma, withdrawal, regression, and the regressed ego, the course examines how early relational deprivation and failures of emotional responsiveness may contribute to the development of a self that seeks safety through retreat from external relationships. Guntrip described schizoid withdrawal and regression as attempts to preserve the ego and find safety when relationship itself has become experienced as threatening.

The course then follows the development of these ideas through Fairbairn, Masterson, Klein, Hedges, Orcutt, and Daws. Participants will examine the internal object world of the schizoid patient; the relationship between attachment and withdrawal; the hidden or withdrawn self; self-sufficiency and dependency; and clinical presentations involving silence, numbness, intellectualization, dissociation, pseudo-relatedness, and retreat from the therapeutic relationship. Loray Daws’ contemporary work further develops Guntrip’s emphasis on the regressed self and the importance of safety, patience, and the therapeutic relationship in working with the schizoid dilemma.

Clinical attention will be given to the particular challenges of working with patients for whom the wish for relationship may coexist with a powerful need to protect the self from closeness. Rather than prematurely confronting withdrawal, treatment requires careful attention to the patient’s experience of safety, dependency, emotional availability, and interpersonal distance. Through readings, clinical discussion, and experiential exercises, participants will explore therapeutic approaches to withdrawal, psychic deadness, silence, dissociation, hidden dependency, and fears of engulfment and abandonment.

The course concludes by considering what meaningful change may look like for the schizoid patient: an increased capacity for affect, grief, dependency, intimacy, imagination, spontaneity, creativity, and a greater sense of aliveness.

Format: Ten weekly sessions (1 hour 15 min each) with readings, clinical discussion, and experiential exercises.

Who will benefit from this course: Psychologists, psychiatrists, psychoanalysts, psychotherapists, social workers, as well as other mental health professionals and advanced trainees.

OVERALL LEARNING OUTCOMES:

By the end of the course, participants will be able to:

Differentiate schizoid organization from avoidant, narcissistic, depressive, and autistic presentations.

Formulate schizoid pathology from both classical object relations and contemporary Independent psychoanalytic perspectives.

Identify developmental trauma and disorder of the self as central organizing principles in schizoid personality development.

Apply the therapeutic relationship to foster safety, vitality, and the capacity for healthy dependence and relatedness rather than prematurely challenging withdrawal.

Integrate Loray Daws’ contemporary extension of Guntrip’s work with the contributions of Fairbairn, Winnicott, Ferenczi, Bion, Hedges, Orcutt, and Eigen in formulating schizoid states organized around survival, psychic deadness, withdrawal, and the restoration of being.

SYLLABUS:

Week 1:

The Schizoid Personality as a Survival Organization (Part 1)

Learning Objectives

Participants will understand:

  • Guntrip’s conception of the schizoid compromise
  • The retreat from external relationships

Core Topics to be Explored

Harry Guntrip

  • The schizoid dilemma
  • Withdrawal versus attachment
  • Fear of engulfment and abandonment
  • Regression in the service of survival
  • Ego weakness

Essential Readings

  • Guntrip, H. (1968). Schizoid phenomena, object relations and the self. International Universities Press. Chapters 1–3, 6.

Week 2:

The Schizoid Personality as a Survival Organization (Part 2)

Learning Objectives

Participants will understand:

  • The hidden self versus the compliant self
  • Schizoid adaptations as creative survival rather than pathology

Core Topics to be Explored

Harry Guntrip and Ronald Fairbairn

  • Endopsychic situation of Fairbairn and Guntrip
  • Clinical case material from Guntrip and Fairbairn
  • Lawrence E. Hedges, Loray Daws and Candace Orcutt on the Organizing Experience

Essential Readings

  • Guntrip, H. (1968). Schizoid phenomena, object relations and the self. International Universities Press. Chapters 1–3, 6.
  • Hedges, L. E. (2013). Relational interventions: Treating borderline, bipolar, schizophrenic, psychotic, and characterological personality organization. International Psychotherapy Institute E-Books. Part 1 and Part 2.

Week 3:

Development of the Schizoid Self (Part 1)

Learning Objectives

Discuss developmental origins.

Topics

Guntrip

  • Failure of early mothering
  • Emotional starvation
  • Internal bad objects
  • Splitting of the ego

Clinical Discussion

When does withdrawal become annihilation anxiety according to Guntrip?

Clinical cases and intervention strategies according to Guntrip.

Essential Reading

  • Guntrip, H. (1968). Schizoid phenomena, object relations and the self. International Universities Press. Chapters 1–3, 6.

Week 4:

Development of the Schizoid Self (Part 2)

Learning Objectives

Discuss developmental origins.

Topics

Ralph Klein, Candace Orcutt, and James Masterson

  • Developmental trauma
  • Catastrophic loneliness
  • Primary emotional deprivation
  • Disaster anxiety
  • Basic rhythm (Eigen’s influence)

Clinical Discussion

Clinical cases based on the Masterson Model.

Essential Readings

  • Masterson, J. F., & Klein, R. (1995). Disorders of the self: New therapeutic horizons — The Masterson approach. Brunner/Mazel. Chapters 1–3.
  • Masterson, J. F. (2000). The personality disorders: A new look at the developmental self and object relations approach: Theory, diagnosis, and treatment. Zeig, Tucker & Theisen.
  • Masterson, J. F., & Lieberman, A. R. (2004). A therapist’s guide to the personality disorders: The Masterson approach — A handbook and workbook. Zeig, Tucker & Theisen.

Week 5:

Internal Object Relations and the Disorders of Self (Part 1)

Learning Objectives

Discuss the schizoid internal world according to Guntrip and Fairbairn.

Topics

Guntrip

  • Internal saboteur
  • Internal persecutors
  • Libidinal ego
  • Anti-libidinal ego

Additional Integrations

  • Fairbairn’s endopsychic structure and Guntrip’s additions in clinical material

Clinical Exercise

Mapping a patient’s internal object system in clinical practice.

Essential Readings

  • Daws, L. (2026). Harry Guntrip: A contemporary introduction. Routledge. Chapter 6.
  • Masterson, J. F., & Klein, R. (1995). Disorders of the self: New therapeutic horizons — The Masterson approach. Brunner/Mazel. Chapter 4.

Week 6:

Internal Object Relations and the Disorder of Self as Seen in the Treatment of Guntrip (Part 2)

Learning Objectives

Discuss the schizoid internal world of Harry Guntrip through Fairbairn and Winnicott.

Topics

The Masterson Method

  • The split object relationship units
  • Exploring the Master/Slave unit
  • Exploring Sadistic Object and Self-in-Exile unit
  • Exploring Orcutt’s dissociative model

Clinical Exercise

Exploring the clinical interventions of James Masterson and Candace Orcutt.

Essential Readings

  • Daws, L. (2026). Harry Guntrip: A contemporary introduction. Routledge. Chapters 4–5.
  • Masterson, J. F., & Klein, R. (1995). Disorders of the self: New therapeutic horizons — The Masterson approach. Brunner/Mazel.

Week 7:

Clinical Technique in Treating the Schizoid (Part 1)

Learning Objectives

Discuss the development of the treatment approach as seen in James Masterson and Harry Guntrip.

Topics to be Explored

Guntrip

  • Therapeutic regression
  • Reliability
  • Patience
  • Emotional availability
  • Interpretation timing

Masterson, Klein, Orcutt, and Daws

  • Holding psychic collapse
  • Surviving deadness
  • Working with silence
  • Countertransference as diagnostic instrument
  • Hope before interpretation

Essential Readings

  • Daws, L. (2026). Harry Guntrip: A contemporary introduction. Routledge. Chapters 7–8.
  • Guntrip, H. (1968). Schizoid phenomena, object relations and the self. International Universities Press. Chapters 10–12.
  • Masterson, J. F., & Klein, R. (1995). Disorders of the self: New therapeutic horizons — The Masterson approach. Brunner/Mazel. Chapters 5–9.

Week 8:

Clinical Technique (Part 2)

Learning Objectives

Discuss the development of the treatment approach as seen in James Masterson, Harry Guntrip, and Lawrence Hedges.

Topics to be Explored

Therapeutic Skills

Working with therapeutic difficulties:

  • Silence
  • Numbness
  • Intellectualization
  • Dissociation
  • Pseudo-relatedness
  • Hidden dependency

Therapist meets a patient who says: “I don’t feel anything.”

Explore multiple interventions based on the work of Harry Guntrip via Lawrence Hedges, Candace Orcutt, and Loray Daws.

Essential Readings

  • Daws, L. (2026). Harry Guntrip: A contemporary introduction. Routledge. Chapters 7–8.
  • Guntrip, H. (1968). Schizoid phenomena, object relations and the self. International Universities Press. Chapters 10–12.
  • Masterson, J. F., & Klein, R. (1995). Disorders of the self: New therapeutic horizons — The Masterson approach. Brunner/Mazel. Chapters 5–9.
  • Hedges, L. E. (1994). Working the organizing experience: Transforming psychotic, schizoid and autistic states. Listening Perspectives Press.

Week 9:

Transformation of the Schizoid Self (Part 1)

Learning Objectives

Recognize and discuss genuine change within the Organizing Experience.

Topics

From Harry Guntrip and his treatment

  • Emergence of true dependence
  • Integration of ego
  • Capacity for intimacy
  • Living relationships

Clinical Signs of Recovery

  • Increased affect tolerance
  • Genuine grief
  • Authentic dependency
  • Ability to receive care
  • Capacity to dream
  • Restoration of imagination
  • Increased spontaneity
  • Sense of aliveness

Essential Readings

  • Daws, L. (2027). “I had to go”: A schizoid’s orphogenic account of psychic survival and being strangled into life. In L. Daws & K. Cohen (Eds.), The rhythm of faith in the work of Michael Eigen. Routledge.
  • Orcutt, C. (2018). Schizoid fantasy: Refuge or transitional location? Clinical Social Work Journal, 46(1), 42–47. https://doi.org/10.1007/s10615-017-0629-2

Week 10:

Transformation of the Schizoid Self (Part 2)

Learning Objectives

Recognize and discuss genuine change.

Topics

From Lawrence Hedges, Candace Orcutt, Michael Eigen, and Loray Daws

  • From survival to living
  • Basic rhythm restored
  • Faith in being
  • Rediscovery of vitality
  • Symbol formation
  • Creativity

Essential Readings

  • Eigen, M. (2004). The sensitive self. Wesleyan University Press.
  • Borgogno, F. (2013). On the patient’s becoming an individual: The importance of the analyst’s personal response to a deprived schizoid patient and her dreams. In The girl who committed hara-kiri and other clinical and historical essays (pp. 3–37). Karnac Books.
  • Borgogno, F. (2004). On the patient’s becoming an individual: The importance of the analyst’s personal response to a deprived patient and her dreams. Psychoanalytic Dialogues, 14(4), 475–502. https://doi.org/10.1080/10481880409353119
  • Orcutt, C. (2018). Schizoid fantasy: Refuge or transitional location? Clinical Social Work Journal, 46(1), 42–47. https://doi.org/10.1007/s10615-017-0629-2

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INSTRUCTOR’S BIO:

Loray Daws, PhD, Reg. Psych., is a Registered Clinical Psychologist with the Health Professions Council of South Africa and the College of Psychologists of British Columbia, Canada. Based on Vancouver Island, he works in full-time private practice as a psychoanalyst. He serves as a senior faculty member at the International Masterson Institute for Psychoanalytic Psychotherapy in New York, and as a teaching faculty member and board member at ORI, and as assistant editor and faculty member at the Existential Psychoanalytic Institute and Society (EPIS). Dr. Daws also serves as assistant editor of the Canadian Global Journal of Health Sciences, and as evaluator and international advisory board member of the International Journal of Psychotherapy (IJP). He has published widely in the areas of psychoanalysis, daseinsanalysis, psychoanalytic psychotherapy, disorders of the self, psychosomatic difficulties, mental health ethics, and the Rorschach, with articles and book chapters appearing in journals including the International Journal of Psychotherapy, Issues in Psychoanalytic Psychology, South African Rorschach Journal, and Clinical Counselling and Contemporary Psychotherapy. Dr. Daws supervises and teaches internationally, with students and supervisees in South Africa, Canada, the United States, Australia, and Turkey. He is the author and editor of eight books on psychoanalysis and existential analysis; his ninth, Harry Guntrip: A Contemporary Introduction, is forthcoming in April 2026.

CONTINUING EDUCATION:

Object Relations Institute for Psychotherapy & Psychoanalysis
2026 ORIPP In Search of Feeling Real – The British and American Independent Traditions Explored – Loray Daws, PhD
April 9, 2026 – June 11, 2026
Online

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Object Relations Institute for Psychotherapy & Psychoanalysis. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Amedco Joint Accreditation #4008163.

Professions in scope for this activity are listed below.

Psychologists

This course is co-sponsored by Amedco and Object Relations Institute for Psychotherapy & Psychoanalysis.  Amedco is approved by the American Psychological Association to sponsor continuing education for psychologists.  Amedco maintains responsibility for this program and its content.  14.50 hours.

The following state boards accept courses from APA providers for Psychologists/Counselors: AK, AR, AZ, CA, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, IO, KS, MA (LEP ONLY), ME, MO, NC, ND, NH, NE, NJ, NM, NV, OK*, OR, PA, RI, SC, SD, TN, TX, UT, VA, WI, WY
The following state boards accept courses approved by any other state for Psychologists/Counselors: CO, MD
MI:
No CE requirements.
*OK: Accepts APA credit for live, in-person activities but not for ethics and/or online courses.
The following state boards accept courses from APA providers for MFTs:
AK, AR, AZ, CA, CO, CT, DE, FL, GA, IA, ID, IN, KS, MD, ME, MO, NE, NC, NH, NJ, NM, NV, OK*, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WDC, WI, WY
AL MFTs: Credits authorized by NBCC or any other state licensing agency will be accepted.
MA MFTs: Participants can self-submit courses not approved by the MAMFT board for review.
The following state boards accept courses from APA providers for Addictions Professionals: AK, AR, CO, CT, DC, DE, GA, IA, IN, KS, LA, MD, MO, MT, NC, ND, NE, NJ, NM, NY (held outside NY ONLY), OK*, OR, SC, UT, WA, WI, WY
The following state boards accept courses from APA providers for Social Workers:
AK, AR, AZ, CA, CO, DE, FL, GA, ID, IN, KY, ME, MN, MO, NE, NH, NM, OR, PA, VT, WI, WY

New York Board for Social Workers (NY SW)

Amedco SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #0115. 14.50 hours.

New York Board for Psychology (NY PSY)

Amedco is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0031. 14.50 hours.

To receive CE certificates for the actual hours attended – please request them at the time of registration or any time prior to beginning of the conference. CE certificate fee: $25 (in addition to the registration fees). No fees charged for PD (Professional Development) certificates from ORI.

REGISTRATION AND FEES:

Tuition: $450/10-week course/trimester (can be paid in 2 installments)
Registration fee: $25/course (waived for ORI’s candidates in training)

Please Note: If CEs are requested — there is an additional fee of $25.

Request weekly installments by writing to

SPECIAL SCHOLARSHIPS are available for undergraduate and graduate students, as well as for retired or disabled practitioners, or need-based or/and those who live outside of the USA.
To apply for your scholarship, please go to the registration form below.

CANCELLATION POLICY:
Full refund until the 1st session.
75% refund before the 2nd session.
50% refund before the 3rd session.
No refund from the day of the third session, but 50% of the full paid tuition will be applied to any further ORI events.

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