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Presenting some of the author’s ideas on the possibility of psychotherapeutic care for patients suffering from psychotic disorders, this reflective text draws on the recent book from Lausanne edited by Philippe Conus and Dag Söderström, entitled Approche psychothérapique des psychoses. The author’s other readings—in the journal Information Psychiatrique and all those texts essential to any “honest” psychiatrist—have raised a central question that guides her personal practice (as well as her various writing, teaching, research, and publishing activities): “What psychotherapeutic tools can help ‘schizophrenic’ patients?” The psychotherapeutic approach, considered an essential background to current practices, is no longer synonymous with “institutional psychotherapy” as understood in French hospitals. Rather it is always motivated by the desire to create links between patients and therapists. The experience and understanding by subject-patients of what connects them to others allows them to (re) construct their personal history, which has become confused and “fragmented” by the psychotic experience. The direct help of the psychotherapists, who are living witnesses to this structuring creation, draws on a corpus of reflections and practices coming from psychoanalysis and phenomenology. Long, laborious, subject to many risks or attacks, this (re)building remains possible and effective, along with other more immediate, more operative aids, thanks to the support offered to both therapists and patients by exchanges generating hope and trust.