Discussion on: From Emotional Flattening and Plain Schizophrenia to Fantastic Pseudology

The presence of a psychiatric case study brings to our attention the serious pathology, which in this case originates in the heavy repeated abuse at an early age by the patient's parents.

We can ask ourselves a number of questions regarding Elena, but what seems to be worth mentioning is the very difficult problem of separating a case with a clearly psychotic potential of decompensation, which also requires psychiatric intervention, from a serious border case that may enter therapy without suspicion of the decompensation risk.

The presentation suggests that the development of self sense or maybe the development level of a conscious Self, separated with defined limits, can be an important criterion to understand what chances has Elena or any other patient not to enter in psychological death, not decompensate herself through suicide.

I think that often psychotherapists, who are not psychiatrists, are in danger of ignoring the risk of serious decompensation and of colluding with the patient in an omnipotent saving fantasy, ignoring the psychiatric support and evaluation. I often thought that a more prolonged clinical practice in the psychiatric hospital can protect us from this type of dangerous collusion. At