Bion and Psychosis: A Long Road to Clinical Discovery

Author(s) : Franco De Masi

Part of The Routledge Wilfred R. Bion Studies series - more in this series

Bion and Psychosis: A Long Road to Clinical Discovery

Book Details

  • Publisher : Routledge
  • Published : August 2026
  • Cover : Paperback
  • Pages : 106
  • Category :
    Forthcoming
  • Category 2 :
    Psychoanalysis
  • Catalogue No : 98583
  • ISBN 13 : 9781041285786
  • ISBN 10 : 1041285787

Also by Franco De Masi

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This comprehensive work systematically describes Wilfred Bion’s work on psychosis and critically develops his contribution in order to arrive at an appropriate and modern understanding of the disorder.

The book provides deep insights into the psychoanalytic treatment of psychotic patients through comprehensive analysis of key concepts including the alpha function, the failure to dream, and psychic retreat. It bridges theoretical understanding with clinical application, examining how psychotic minds function as sensory organs rather than thinking apparatus, and offers practical guidance for therapeutic work with severely impacted patients. The text critically evaluates both the achievements and limitations of Kleinian approaches while presenting fresh perspectives on childhood withdrawal and delusional structure formation.

Bion and Psychosis is essential reading for psychoanalysts, psychiatrists, clinical psychologists, and mental health professionals working with psychotic patients. It serves as an invaluable resource for trainees, postgraduate students and researchers in psychoanalysis, particularly those studying Kleinian theory, Bion's work, or severe mental disorders.

Table of Contents


1. Antecedents
2. Early Bion
3. Bion’s Second Phase
4. A Theory of Thinking
5. Hallucination
6. Further Developments
7. Dream and Delusion
8. A Multi-Handed Development
9. A Consideration on the Present
10. My Vision
11. Psychosis and Destructiveness
12. Convergences and Divergences

About the Author(s)

Franco De Masi is a Training and Supervising Analyst of the Italian Psychoanalytical Society and former President of Centro Milanese di Psicoanalisi and Secretary of the Training Milanese Institute. He is a medical doctor and a psychiatrist who worked for twenty years in psychiatric hospitals. Now he lives and works as a full time psychoanalyst in Milan. Currently his main interests are focused on the theoretical and technical psychoanalytical issues related to severely ill patients. He has published several papers in The International Journal of Psychoanalysis and in the Rivista Italiana di Psicoanalisi. He is author and editor of numerous books including Making Death Thinkable.

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