Schizophrenia
The Double Bind Theory was first articulated in relationship to schizophrenia, but Bateson and his colleagues hypothesized that schizophrenic thinking was not necessarily an inborn mental disorder but a learned confusion in thinking. Many people have forgotten that Bateson and his colleagues were working in the Veteran's Administration Hospital (1949–1962) with World War II veterans. As soldiers they'd been able to function well in combat, but the effects of life-threatening stress had affected them. At that time, 18 years before Post-Traumatic Stress Disorder was officially recognized, the veterans had been saddled with the catch-all diagnosis of schizophrenia. Bateson didn't challenge the diagnosis but he did maintain that the seeming nonsense the patients said at times did make sense within context—and he gives numerous examples in section III--Pathology in Relationship (in Steps to an Ecology of Mind). For example, a patient misses an appointment, and when Bateson finds him later the patient says 'the judge disapproves'; Bateson responds, "You need a defense lawyer" see following (pp. 195–6) Bateson also surmised that people habitually caught in double binds in childhood would have greater problems—that in the case of the schizophrenic, the double bind is presented continually and habitually within the family context from infancy on. By the time the child is old enough to have identified the double bind situation, it has already been internalized, and the child is unable to confront it. The solution then is to create an escape from the conflicting logical demands of the double bind, in the world of the delusional system. (see in Towards a Theory of Schizophrenia-Illustrations from Clinical Data).
One solution to a double bind is to place the problem in a larger context, a state Bateson identified as Learning III, a step up from Learning II (which requires only learned responses to reward/consequence situations). In Learning III, the double bind is contextualized and understood as an impossible no-win scenario so that ways around it can be found.
Bateson's double bind theory was never followed up by research into whether family systems imposing systematic double binds might be a cause of schizophrenia. This complex theory has been only partly tested, and there are gaps in the current psychological and experimental evidence required to establish causation. The current understanding of schizophrenia takes into account a complex interaction of genetic, neurological as well as emotional stressors, including family interaction and it has been argued that if the double bind theory overturns findings suggesting a genetic basis for schizophrenia then more comprehensive psychological and experimental studies are needed, with different family types and across various family contexts.
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