ABSTRACT
The impact with pathological forms considered outside the theoretical/clinical field, particularly the psychoses, has engaged psychoanalysis in many areas—theoretical, technical, and institutional. Historically speaking, surmounting the wall mentioned by S. Freud in the quotation thus led to a significant invasion of psychoanalytic thinking in psychiatric institutions, both public and private. The institutional context is increasingly considered indispensable in dealing with pathologies that need extensive spaces, personnel, and treatment tools, which form a complex field with specific organizers that themselves must be continuously regulated. Relations between psychoanalysis and the psychiatric institutions, initially very strained, gradually improved as numerous interesting experiences were reported in Europe, the United States, and South America, most of which differed widely in their methodology and organizational approach. The first organizational model to be analysed lays emphasis on the dual therapeutic relationship, with some technical changes specific to psychoses, situated in a highly protected institutional context.
