This book explores the author's pioneering work with severely disturbed patients, to show what it means to work and think as a psychoanalyst about transference and the internal world of a psychotic patient, with all the difficulties involved in continuing to treat and engage with even severely ill patients. As the author suggests, to be a psychoanalyst is to think about transference, the patient's internal world and projective identifications onto the therapist and onto persons in the external world. In particular, the author examines patients who express their mental state through fantasies...

This book is based on various cases whose common factor is how the psychoanalytic setting is created: the internalization and realization inside the patient`s mind: with the feeling of fixed hours and the transferential relation with the psychoanalyst. Referring to the great masters of psychoanalysis,the authorguides us step by step thr