Current developments in the process-reactive classification of schizophrenia are examined in the light of diagnosis, paranoid-nonparanoid status, premorbid adjustment, demographic factors, and outcome. Recent studies are reviewed as suggestive of a present focus, and theoretical possibilities are explored. Recommendations are made to include a broader, more complex view of the process-reactive conception, methodological improvements, further theoretical development, and increased research into a variety of promising areas utilizing this framework and facilitating its useful growth as an approach to understanding the totality of schizophrenia.