ABSTRACT

The therapeutic aim in psychosis is to help the patient to be able to establish links and bear their consequences. The interest in psychoanalysis to treat psychotic patients began with S. Freud himself, and has continued through the present, with fluctuations in enthusiasm or pessimism with respect to therapeutic success. Other aspects to also consider for indicating analysis are, one, the need for conducting an assessment of the patient's whole personality and not just the pathological aspect, no matter how severe it is. However, in the case of psychotic patients, given the serious difficulties they pose in accepting the analytical setting, it is relatively easy to conclude that a certain flexibility should be offered, either at the outset, or at the patient's request. From the point of view of a psychotic patient, the idea of being inside or outside a space is fundamental.