ABSTRACT
This chapter presents case studies of patients with psychosis and discusses the impact of the negative introject. Patients with psychosis have anosognosia, or “lack of insight,” meaning they are blind to their illness. Bipolar patients swing from the extremes of an exuberant state into the depths of depression, in which they feel paralyzed and unable to do anything. In the case of schizoaffective disorder, which is a psychotic disorder like schizophrenia but with an emotional, affective component, the negative introject is an interfering, powerful, unconscious force that causes the person to lose contact with reality by supplying hallucinations and delusions. The patient simply cannot identify this force nor try to diminish it with all the techniques a person who is not psychotic may use.
