Paternal filiation

Psychotic functioning is correlative to a denial of kinship and of the primal scene, giving rise to the organization of a fantasy of self-engendering. Analytical work assumes in particular that defense mechanisms like denial and ego-splitting can be overcome. The emergence of the repressed is demonstrated by the elaboration and acceptance of paternal kinship. Ten years of psychoanalytic treatment of a psychotic patient provides keys to the issues of the analytic process in these cures, and their possible conclusion. No one challenges the existence of an analytic process anymore, in the analysis of psychotic patients. However, the structural reorganization of the Ego as a function of topical, dynamic, and economic change is a question.