ABSTRACT

In fact, like Dorian Gray, patient could certainly be said to have attempted to get rid of a very dangerous, disturbing part of himself in the act of his offences, and with it the knowledge of his own murderousness. One of the distinctive features of working with forensic patients is the factual, historical event of the index offence, the offence that precipitated their current admission to a secure hospital. In normal usage, projective identification takes place when an unwanted part of the personality is projected into the object, and the object is then experienced in part-object form as if it were the projected content. By creating a rigid structure which stops creative thought both in patient's mind and between people in the sessions, he creates a kind of murder zone which destroys anything that might allow him to move on and progress.