Houssier, Florian <br/><br/>
Transference Dynamics, Family, and Institution 

 -  2012.<br/>							 
<br/><br/> 16 
<br/><br/> 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.