ABSTRACT
Some patients in people's clinical practice present more developed mental organizations, whereas others display more primitive ones. In projective transformations and transformations in hallucinosis, the psychotic phenomena prevail, whereas in autistic transformations, autistic phenomena predominate. This chapter aims to reflect on how to establish contact with and contain psychotic and autistic phenomena, while under this primitive pressure. Clinical vignettes of two patients, Nina and Luiza, are presented, illustrating psychotic phenomena and autistic phenomena respectively. Autistic transformations belong to a separate universe, an autistic area, organized by specific laws, different from those of neurosis and psychosis. Doubtless, the analyst would have the alternative, even under the strong impact of the patient's communication, to create a space in his mind, to contain the situation, and with his capacity of reverie and alpha function, think about it, give it a meaning and offer it to the patient.
