The book is a psychoanalytic understanding of psychosis as a particular organisation of the personality, based on 'psychotic personality' (Bion) and 'pathological organisations' (Steiner). The theoretical development is traced through Freud, Klein and Bion, along with contemporary Kleinian authors. An important role is granted to psychic pain as the cornerstone of psychopathology, and particularly to the psychotic patient's difficulties in dealing with it. Bion's distinction between "feeling psychic pain and suffering it" is considered an indicator when evaluating the patient's ability to cope with psychoanalytic treatment. The author's experience with a schizophrenic patient is related in detail, offering a view of the patient and her relationship with the analyst from various different angles, and showing how the psychoanalytic method can be used to treat psychosis.
THEORETICAL (AND CLINICAL) ASPECTS
Psychic pain, the psychotic part of the personality, and pathological organization
Communication and the psychotic part of the personality
Psychotic organization of the personality:
psychopathological dynamics and foundations
Consequences of the dynamics of the Psychotic Organization of the Personality
Symbolization in the Psychotic Organization of the Personality
Delusional Thought, mental Emptiness, and other clinical manifestations
Technical Aspects of Psychoanalysis in Patients with Psychotic Organization of the Personality
CLINICAL (AND THEORY)
The psychoanalytic method in a schizophrenic patient: beginning and analytical process (I). Psychic pain and transferential vertex
Vicissitudes of the psychoanalytical process (II):
Emergence from psychotic organization.
General discussion and conclusions
The aim is to focus on the scientific production of significant authors whose works are outstanding contributions to the development of the psychoanalytic field and to set out relevant ideas and themes, generated during the history of psychoanalysis, that deserve to be discussed by present psychoanalysts.