chapter  23
10 Pages

The "Unreasonable" Patient and the Psychotic Transference

THE "UNREASONABLE" PATIENT is a familiar example of a borderline personality disorder, although within that category there are many possible variations. Their common denominator is the psychotic aspect, which intrudes into the analytic setting. From a therapeutic perspective, this represents a reasonable consequence of the unfolding of the transference as primitive parts of the self are projected onto the imago of the analyst. Nevertheless, this progression in the context of the transference regression may cause serious difficulties for the therapist as he finds himself facing what appears to be an unreasonable patient.