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The authors explore the paradoxical nature of consolation for some psychotic patients who are losing autonomy in the denial of their difficulties and often demand ‘false consolations’. Based on the institutional treatment of a psychotic patient, they demonstrate the benefit of mobilising her ‘true’ suffering and capacities, and the importance of the treatment setting and ‘eloquent actions’ for containing and understanding her acting out and transitions to the act. The patient can thus begin to embark on the process of primal mourning as it was defined by Racamier. This opens the way towards her autonomy and personal creativity, a possible source of consolation.