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According to Bion, two parts (the psychotic and the nonpsychotic) of the personality become differentiated when there occurs 'a minute splitting of all that part of the personality that is concerned with awareness of internal and
external reality, and the expulsion of these fragments so that they enter into or engulf their objects'. Bion believes real treatment of the psychotic rests on the use of this principle, and on the role of projective identification in the psychotic part of the personality as a substitute for regression in the neurotic part.