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.
Table of Contents
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
Antonio Perez-Sanchez is a psychiatrist and psychoanalyst. He is a training and supervisor analyst of the Spanish Psychoanalytical Society and was its president (2008 to 2012). He is currently chair of the IPA Sponsoring Committee for the Portuguese Study Group NNP, and a member of the European team of the IPA Encyclopedic Dictionary. He has written papers on anxiety, envy, psychic truth, forgiveness and temporality, apart from other technical articles about psychotherapy and psychoanalysis. He is the author of five books, written in Spanish, about psychotherapy and ending analysis. One of them has been translated into English (Interview and Indicator in Psychoanalysis and Psychotherapy, London, Karnac Books, 2012) and Italian (2014).