Book Cover -- Title -- Copyright -- Contents -- Acknowledgements -- PART ONE Introduction -- 1 A psychoanalytic approach to the treatment of psychosis -- Beginnings -- The Influence of Melanie Klein -- Theoretical developments -- Notes -- PART TWO The analyst's contribution to successful and unsuccessful treatment -- 2 Some therapeutic and anti-therapeutic factors in the functioning of the analyst -- Anti-therapeutic factors in the analyst -- The analyst's attitude and role -- Vague or badly timed interpretations -- Rigidity and inflexibility -- Summary -- Note -- 3 Breakdown of communication between patient and analyst -- First seminar: session A -- First seminar: Session B -- Third seminar: session C -- Discussion -- Note -- PART THREE The influence of narcissism on the analyst's task -- 4 The narcissistic omnipotent character structure: a case of chronic hypochondriasis -- Adam's history -- Working through oral envy by analysing the transference -- Working through the envious devaluation of admired objects -- Narcissistic omnipotent object relations and a negative therapeutic reaction -- Summary -- Notes -- 5 Narcissistic patients with negative therapeutic reactions -- Peter -- Michael -- Discussion -- Notes -- 6 Destructive narcissism and the death instinct -- The death instinct -- Robert -- Jill -- Claude -- Richard -- Notes -- 7 The problem of impasse in psychoanalytic treatment -- Caroline -- Pauline -- Diagnosing impasse -- Eric -- Notes -- PART FOUR The influence of projective identification on the analyst's task -- 8 Projective identification in clinical practice -- Projective identification and containment -- Recognizing projective identification -- Technical considerations -- John -- Sidney -- Notes -- 9 Projective identification and the problem of containment in a borderline psychotic patient -- The first two years -- Notes.

10 Further difficulties in containing projective identification -- Discussion in the seminar -- Further material -- 11 Projective identification and the psychotic transference in schizophrenia -- Iris -- Sarah -- The Erotic Transference -- Note -- 12 Projective identification and counter-transference difficulties in the course of an analysis with ... -- PART FIVE Conclusion -- 13 Afterthought: changing theories and changing techniques in psychoanalysis -- Envy -- Destructive Narcissism -- Confusion, collusion, and the role of history -- The analyst's flexibility -- Transference and delusion formation -- Confusional states -- Thin- and thick-skinned narcissistic patients -- Maternal projections before and after birth -- Notes -- APPENDIX -- Transference manifestations of psychotic patients as seen by analysts who have tried to treat psycho ... -- Brief summary of analyst's transference experiences with psychotic patients -- Summary -- References -- Name index -- Index of case histories -- Subject index -- ALSO IN THIS SERIES.