Parental contact

Students attend periodic family sessions with their program manager or individual therapist. When there was a residential program, the dorm counselors regularly contacted parents and updated them on their child's progress, and students were able to call home at least once a week and can write as often as they wish. When students gained the appropriate privileges and have demonstrated safe behaviors they could have home visits, typically starting every other weekend and progressing to every weekend during transition phases.

Students who were not able to go home due to distance or behavior were allowed to visit their parents at the school or in the local community. Contact with friends may have been restricted, although appropriate letter writing was usually encouraged.^[4]

Student life

The dining room of the Orthogenic School

Residential students lived either in communal dorms of up to seven students per room, in transition rooms, or in a transitional living center. During the school week, students attended academic classes during the day and had the option of attending a variety of extra curricular activities in the early evening. Many high school and older middle school students attended departmentalized classes for most of the day. Younger students and students who cannot transition between classes received individualized and small group instruction in self-contained classrooms.

During their stay in the residential program, students gradually attained higher levels of privileges, freedoms, and responsibilities, however a formal level system was not used. Behavioral plans, goals, and treatment modalities are utilized on an individualized basis. Students attended one or two 45-minute individual therapy sessions per week and one 60 minute group therapy session per week. A variety of group therapy modalities are utilized such as social skills, process, anger management, transition planning, and depression and anxiety groups.

On March 29, 2021, the school announced the closing of the residential, original school at the end of the Spring term of 2021. Some students were allowed to remain longer as placements elsewhere were finalized. Many transitioned into the day school.

A day school program was established subsequent to the original residential program. In this, students can attend the school, in addition to receiving group and individual therapy services, but still live at home. The availability and usefulness of this program are decided on a case-by-case basis. The closing of the residential school coincides with the plan to expand the day school.^[4]

Theory

The well-known and controversial psychoanalytic theorist Bruno Bettelheim served as director of the Orthogenic School during the mid-20th century (1944 to 1973). During the time he spent there the school became relatively well known for treating children with autism, a field in which Bettelheim studied.

Bettelheim's method of treating students was unusual for its time. Unlike most hospitals and asylums that functioned much like a medical facility, Bettelheim believed that treatment for mental illnesses should be fundamentally different from treating physical ailments. Doors at the Orthogenic School were always unlocked, and students could theoretically leave whenever they wanted to. Safety screens on windows were placed on the outside of the window rather than the inside, a bold move for a treatment center at the time. Before arriving at the school a student would have several visits to decide if they wanted to stay. Bettelheim wanted to ensure that a student wanted to attend the school, and would not take children who didn't want to go.

Counselors also resided with the students in bedrooms adjacent to their respective dormitories to give round-the-clock support. The counselors, like the students, also attended regular individual and group therapy sessions to allow them to analyze their own methods and thought to improve. This is a practice which continues to this day.

Bettelheim also believed that the Orthogenic School should feel like a home to the students. Furniture in the dormitories was usually antique and very expensive. Students in the dining rooms dined on imported china with metal silverware and glass cups, which was unusual for a treatment center. During the three renovations to the building which Bettelheim supervised, a number of art pieces were commissioned for the school by Bettelheim, including a mural by Jordi Bonet.^[5]

Practice

Sources vary as to whether Bettelheim's degree was in art history or philosophy (aesthetics); it was not in psychology.^[6][7][8][9] Ralph Tyler, who first brought Bettelheim to the University of Chicago, stated in 1990 that he assumed Bettelheim had two PhDs, one in art history and the other in psychology, and in some of his writings Bettelheim himself implied that he written a dissertation on the philosophy of education.^[10] A 1995 article in the UK's The Independent stated that Bettelheim "despite claims to the contrary, possessed no psychology qualifications of any sort."^[11] A 1997 article in the Chicago Tribune stated, "But when the directorship of the Orthogenic School became available, he evidently gambled that because of the war no one would be able to check on his credentials. . . when his transcript was posthumously examined, it showed that he had taken but three introductory courses in the field."^[6]

What Bettelheim learned of standard psychoanalytic practice, he seemed to have learned as a client.^[6][9][12] Bettelheim's first wife Gina took care of Patsy, a troubled American child, who lived in the Bettelheim home in Vienna for seven years. Bettelheim later claimed he had taken care of Patsy and that she was on the autism spectrum. There is disagreement among sources regarding whether or not Patsy was on the spectrum.^{[8][12][13][14]}

Later directors and some counselors at the Orthogenic School see Bettelheim merely as using corporal punishment even though he stated that such was counterproductive, while many but not all residential students report seeing rage and out-of-control violence on Bettelheim's part.^{[10][15][16][17][18][19][20][21]}

Richard Pollak's 1997 biography of Bettelheim states that two separate women reported that Bettelheim fondled their breasts and those of other female students at the school while he was ostensibly apologizing to each for beating her.^[14][22]

A 1990 Chicago Tribune article reported: "Of the 19 alumni of the Orthogenic School interviewed for this story, some are still bitterly angry at Bettelheim, 20 or 30 years after leaving the institution. Others say their stays did them good, and they express gratitude for having had the opportunity to be at the school. All agree that Bettelheim frequently struck his young and vulnerable patients. What is equally significant is that none of Bettelheim's successors at the Orthogenic School now contradicts these reports."^[10]

This same article reported abusive treatment, such as:^[10]
• That Bettelheim pulled an adolescent girl out of a shower and hit and berated her in front of dormitory mates.
• That he summoned another teenage girl from a toilet stall for a thrashing,
• That he did not allow a male student to take asthma medication, on the theory that asthma was psychologically caused
• Ronald Angres wrote in a Commentary magazine essay, "I lived for years in terror of his beatings, in terror of his footsteps in the dorms-in abject, animal terror."^[17]