ABSTRACT
The consequences derived from a particular dynamic of the Psychotic Organisation of the Personality are merely alternative forms of making up for the limited mental container in order to manage the inevitable psychic pain of contact with reality. All symbolisation involves a painful element through the mourning implicit to the process of abandoning the object for the symbol that represents it. Capacity for symbolisation will be limited, to the extent that there is diminished tolerance to pain. To move to action is necessary in any non-psychotic organisation of the personality in order to cope with reality and transform it, but it includes a prior phase mediated by thought that anticipates and prefigures the action. Based on the concept of E. Bick's "second skin", David Rosenfeld describes the primitive body image encountered in psychotic patients. This idea originates in primitive object relations with a bodily foundation; all psychic activity is based primarily on a biological function.
