ABSTRACT

In my papers, ‘Differentiation of the Psychotic from the Non-Psychotic Personalities’ [1957] and ‘Attacks on Linking’ [1959], I was concerned with the effect on the patient’s capacity for communication with himself and others of the minutely destructive fragmentation—originally described by Melanie Klein (Notes on Some Schizoid Mechanisms)—which the schizoid inflicts on these methods of communications as a part of his destructive attacks on all links. At the moment I am not concerned with the destructive attacks nor yet with the attempt, implicit in the psycho-analysis of such a patient, at reparation of the destruction and synthesis of the fragments—except in so far as it might be possible to deduce from these experiences some tentative hypotheses to illuminate the normal process of development. The elements with which we shall be concerned are hallucinations associated with intense deprivation (whether caused by the blockading effect of the patient’s own envy or for any other reason, e.g. destruction of all links, murderous superego, predominance of death instincts), dreams, speech and its disorders (e.g. stammer), painting and drawing, and reports of difficulty with musical execution.