ABSTRACT

Sigmund Freud noted quite early a very striking split in his own use of language, that his theories rang of the laboratory and his data read like short stories. Dreams borrow the forms of the external world and suffuse them with the meaning of the internal world. With practice, learn to read this dream-language in ourselves and our patients with some fluency, even at times with virtuosity. A medical student had noticed recently a sharp deterioration in his capacity for clinical observation and thought during the course of an analytical break. The chapter focuses on the psychopathology of insight and judgement has set out to demonstrate one type of disturbance which can be seen to arise from the operation of the unconscious infantile phantasy of projective identification with the internal objects, especially the mother's breast and head, experienced as the font of knowledge and wisdom.