title: Psychic skin: psychotic defences, borderline process and delusions.
abstract: In this paper, I apply the concept of psychic skin to analytic work with people suffering from personality disorders and psychoses. When psychoses emerge, the defensive skin which protects the ego is breached and violent unconscious forces rip through the personality. Some of the patients diagnosed as schizophrenic with whom I work have identified with archetypal characters such as Christ, Satan, John Lennon and the Queen. I attempt to show how the adoption of these inflated personas can serve as secondary psychic skins. Such delusional identifications can provide a protective shield to hide the denuded self and prevent intrusion from the external world. Through clinical example, I try to demonstrate how these archetypal 'second skins' can preserve life until internal and external conditions make it possible for the self to emerge. I contrast such psychotic identifications with 'thin-skinned' and 'thick-skinned' narcissism as well as 'defences of the self' in borderline states where the psychic skin may be damaged but does not disintegrate. I also look at the ways in which Jung's own personal experience was different from this and how he managed to avert psychotic breakdown.
authors.forename: Martin
authors.initials: M
authors.lastname: Schmidt
mesh_terms: D003702:Delusions / Q000523:psychology* / Q000628:therapy; D006801:Humans; D007062:Identification, Psychological; D009289:Narcissism; D010554:Personality Disorders / Q000523:psychology* / Q000628:therapy; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy; D011618:Psychotic Disorders / Q000523:psychology* / Q000628:therapy; D012752:Shame