Transference Dynamics, Family, and Institution

Houssier, Florian

Transference Dynamics, Family, and Institution - 2012.


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What the psychoanalyst says when treating a psychotic patient can be experienced as bearing with it a menacing otherness, opening up the way for a travail of mental vagrancy, or even of suffering; there is the inherent risk of the patient being told what they cannot bear to hear. On the basis of psychotherapy in treating a psychotic adult patient in a day hospital, the article explores three differentiated but related registers of that patient’s problems: the transferential dynamic, the family environment and the healing institution. Reference to the works of W. Bion allows concepts of confusion and projective identification to be illustrated.

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