There is a major omission in the well-thought-out review by Falloon and Liberman (1983) of the evidence for interactions between drugs and psychosocial treatments for schizophrenic patients.The Michigan State Psychotherapy Research Project (Karon and VandenBos 1972, 1975, 1981) found that medication, when added to psychodynamic psychotherapy, made behavioral control (both self-control and compliance with the wishes of others) and initial discharge from the hospital easier to attain, although it slowed the rate at which thought disorder (as measured by the Drasgow-Feldman Visual-Verbal Test, Porteus Mazes, and full-scale Wechsler Adult Intelligence Scale, as well as clinical impression) improved with such psychotherapy.Given the current concern with the negative side effects of prolonged continuous medication and interest in alternative ways of using medication, it is instructive to review the difference in the way inexperienced therapists (residents in Psychiatry and graduate students in Psychology, both of whom had expressed an interest in learning such psychotherapy and an interest in working with their supervisors), on the one hand, and the experienced therapist, on the other, used adjunctive medication and to note the longer term consequences of this difference.The inexperienced therapists, using adjunctive medication, tended to maintain the levels of medication. The experienced therapist using adjunctive medication (a psychiatrist, who, like the experienced nonmedication psychotherapist, had over 10 years of experience in the psychodynamic psychotherapy of schizophrenic patients, as well as the psychodynamic psychotherapy of