ABSTRACT

During his training as an analyst the author's second control case turned out to be a latent schizophrenic and his supervisor thought that an acute schizophrenic breakdown might occur if he continued the psycho-analytic approach. In this chapter the author provides a brief picture of the difficulties which confronted him at that time and which at first left him completely helpless. He examines the question of the connexion between the understanding of the psychopathology and its relation to the technique of analysing schizophrenics and shall make use of Mildred's analysis. The study of projective identification and its relation to ego-splitting has helped one to a better understanding of certain typical schizophrenic difficulties of thought and language. The author then uses the material from the analysis of an acute schizophrenic patient and examines the strong positive and negative impulses related to the transference psychosis and the response to transference interpretations.