Salomon Resnik
Psychological and pharmacological medication in psychoanalysis, with particular reference to psychosis 49 Summary: In the author's practice as a psychoanalyst of neurotic and psychotic patients he became gradually more aware of the fact that any element that appears in the transference field-work, including the name or the colour of any medication can acquire a particular meaning. This medication-object becomes part of the inner world of the patient and of the dynamics of the transference. The psychotic patient is especially sensitive to what the author calls pre-symbolic equations: an archaic phenomenon in which the patient confuses or equates different meanings according to similarities (phonetic, gestural, etc.). This occurs often in deluded patients who give their own idiosyncratic meaning to different experiences or names. The reality principle in psychotic patients then needs to confront two opposing worlds or different ways of naming reality. |