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≪Delusion, a story full of “silence and rage” created by the ego so that it has an origin and something to think about≫.
Amongst all Freud's clinical cases, the case of President Schreber is perhaps the least read both by psychoanalysts and even more so by psychiatrists. Although it was the first text that psychoanalysis devoted to psychosis, today it would seem to be more a historical curiosity than material for work and reflection.1 It is certainly not a demanding paper, examining only a few aspects of psychotic functioning while neglecting others, leaving a number of questions for the future. Freud himself was aware of this. As soon as he had finished it, he said to Jung that ≪the piece is formally imperfect, fleetingly improvised. I had neither time nor strength to do more. Still, there are a few good things in it, and it contains the boldest thrust at + + + psychiatry since your Dem Pr.≫ (letter to Jung, 18 December 1910). This last comment must undoubtedly have played its part in the indifference of the majority of psychiatrists for the Schreber case, together with the unresolved issue of its diagnostic placement.2 In this work, the psychic mechanisms of psychosis are explored for the first time, in particular the constructing/reconstructing efforts made by paranoid delusion and the consequent possibility of interpreting it as the text of a dream. This introduces an entirely different stance towards the psychotic patient. Among the hypotheses put forward is the idea that unconscious homosexuality plays