ABSTRACT

The contact with a psychotic patient is an emotional experience, presenting some precise features that differentiate it from the experience of contact of a more usual kind; the analyst does not meet a personality, but a hastily organized improvisation of a personality, or perhaps of a mood. It is an improvisation of fragments; if the impression is predominantly of friendliness, there will nevertheless be easily discernible fragments of hostility embedded in the conglomerate that has been assembled to do service, for the occasion, as a personality. If the impression is predominantly of depression, the mosaic of fragments will reveal incongruous bits of a smile without context other than a kind of contiguity with surrounding fragments; tears without depth, jocosity without friendliness, bits of hate—all these and many more fragmentary emotions or ideas jostle each other to present a labile façade.