chapter  17
A psychoanalytic framework for psychotic experiences: David Garfield and Gabriela Iagaru
Pages 14

Psychoanalysis had long held that psychotherapy with psychotic patients was not possible due to the patient's inability to form a transference (Freud, 1915/1981b). Over the last one hundred years, psychiatry and psychoanalysis has come to ®nd that psychotic patients do indeed `transfer' their unconscious feelings on their therapists (Bychowski, 1952). In addition, new kinds of transferences, called `selfobject' transferences (Kohut, 1971) have been discovered that are part of the movement of self-psychology in psychoanalysis. Here, psychotic symptoms are seen as breakdown products of a self that has gone through a process of disintegration. The goal then is to strengthen the patient in such a way that he or she can re-integrate. By attending to the core element of subjectivity, namely the patient's affective life, this reintegration process in the psychoanalysis of psychosis can take place.