ABSTRACT

The difficulties in the analytic therapy of psychotic patients are not due to the individual limits, which can emerge during the professional meetings, but depend mostly on the inherent incompatibility between the psychotic state and traditional analytic thinking. It is well known that the psychoanalyst who tries to treat analytically psychotic patients is subjected to many painful failures. At the 41st Congress of the International Psychoanalytical Association in Santiago, Chile, Garcia Badaracco drew attention to this difficulty by noting that very few cases of recovery from psychosis are reported in the analytic literature. The damaged functioning of emotive unconscious produces monsters, that is delusions and hallucinations. This process does not work in a mechanical or direct way: in the patient’s psychic retreat, delusional imagination becomes a psychopathological structure that dominates and colonizes step by step his mind until its complete invasion.