Die mitgebrachte Hilfe

Based on three case reports psychotic transfer manifestations will be examined mainly with respect to their concrete quality. In the first case presented the main theme is a situative overpresence of concrete external reality. For the most recent consultation the female patient appeared accompanied by a large dog and in this way initially created an oppressive scenario. During the course of the consultation this could be linked to the internal (emergency) situation of the patient and in this way the Dobermann could be transformed to "Charly". In the second case the concretism impressed as a totally dominating modus vivendi. The patient switched off broad areas of her emotionality and exclusively recognized concrete tangible objects and facts as the only valid reality. During the course of the treatment the misrepresentation of a useful object could be recognized as the center of this concrete world, an object from which the expectation was that it (half-heartedly) predominantly removed concrete deficiencies and therefore from which no emotional help can be expected. It will be presented how the (mental) development of the patient was additionally influenced by the schizophrenia of her father: she developed this concretization as a central ego function in order to be able to suppress an increasingly louder madness. In the third case example psychotic clefts and concinnities will be described which appear to damage the verbal thought process in an omnipotent fashion. A detailed examination shows, however, that these mad syntheses, comparable with the astrophysical dark matter, provide stabilizing functions of gravity.[PUBLICATION ABSTRACT]