Abstract: The initial field of psychoanalysis involved neither psychosis nor group therapy, despite both being implicated in the definition of identity. Henry is a schizophrenic patient who participated in two therapeutic groups: collective psychodrama and staff-patients group. Henry expresses his complex delirium in the setting where he meets the staff, demonstrating a better grip on reality when participating in the psychodrama group. At one point, he is the target of an ironic remark in the second group, but wants to stop attending the first (psychodrama). His different ways of functioning in the two groups could be considered a form of fluctuation between the paranoid-schizoid and depressive positions, both described by Melanie Klein. The patient’s refusal to continue psychodrama shows his difficulty to adopt the depressive position. But the exercise of the paranoid-schizoid position - which evokes both Bion’s ‘imaginary twin’ and De M’Uzan’s ‘paraphrenic twin’ - seems necessary for the patient positive evolution. Although Henry is not treated using the classical psychoanalytical cure, his evolution can be understood in the terms of Freud’s theory.
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