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| Acknowledgements | vii |
| Part One: Introduction | 2 |
| 1. A Psychoanalytic Approach to the Treatment of Psychosis | 3 |
| Part Two: The Analyst's Contribution to Successful and Unsuccessful Treatment | |
| 2. Some Therapeutic and Anti-Therapeutic Factors in the Functioning of the Analyst | 31 |
| 3. Breakdown of Communication between Patient and Analyst | 45 |
| Part Three: The Influence of Narcissism on the Analyst's Task | |
| 4. The Narcissistic Omnipotent Character Structure: A Case Of Chronic Hypochondriasis | 65 |
| 5. Narcissistic Patients with Negative Therapeutic Reactions | 85 |
| 6. Destructive Narcissism and the Death Instinct | 105 |
| 7. The Problem of Impasse in Psychoanalytic Treatment | 133 |
| Part Four: The Influence of Projective Identification on the Analyst's Task | |
| 8. Projective Identification in Clinical Practice | 157 |
| 9. Projective Identification and the Problem of Containment in a Borderline Psychotic Patient | 191 |
| 10. Further Difficulties in Containing Projective Identification | 209 |
| 11. Projective Identification and the Psychotic Transference in Schizophrenia | 220 |
| Appendix: On the Treatment of Psychotic States by Psychoanalysis - An Historical Approach |
| 281 |
| References | 312 |