ABSTRACT
This chapter presents a case study of a patient, who considered the possibility of psychological help, even though they did not agree on whether the immediate indication should be psychoanalytic psychotherapy or psychoanalysis itself. The patient had been confined to a psychiatric hospital for five months because of a psychotic episode characterised by delusional persecutory ideas, high anxiety, and a state of certain confusion, according to the psychiatrist in charge. During the first months after she left the psychiatric hospital, the patient accepted the conditions of treatment: she came on time, lay down on the couch, and associated. So, the patient waited for psychiatrist to encourage her to achieve success in the external reality, and for psychiatrist to take complete charge of her psychic life. Her severe pain arises from not accepting the reality that the analytical relationship, which she loves and appreciates, is neither more nor less than a relationship of professional help.
