TY - BOOK AU - Kapsambelis,Vassilis TI - Repetition, transference, and substitution in the institutional treatment of severe psychoses PY - 2017///. N1 - 95 N2 - Inspired by his work with deeply disturbed chronically psychotic patients, the author demonstrates a double repetition: that of patients and of their caregivers (repetition in care, its rules and rituals, sustained by a certain “psychoanalysm”). From a specific clinical situation, the author shows how these two repetitions are characterized by the fact that they act out and respond in a transferential mode (as well as counter-transferential) specific to serious psychosis: a “transference resistance” that makes more of a substitution than a transference. Repetition in care thus seems like the main way to counter what is most deadly in these patients’ everyday life, by erotizing it and risking a sadomasochistic relationship UR - https://shs.cairn.info/journal-cliniques-2017-2-page-54?lang=en&redirect-ssocas=7080 ER -