Abstract
Introduction: The clinic with psychosis produces puzzles that present themselves in the context of Psychosocial Care and institutions. This narrative review study aimed to produce theoretical and critical considerations about the specifics to the clinic of psychosis from the contributions of psychoanalysis. Literature review: In Freud, we used: “Case Schereber” (1911/1996), “Introduction to narcissism” (1914/1996), “The libido theory and narcissism” (1916-1917 / 1996), “Neurosis and Psychosis ”and“ The Loss of Reality in Neurosis and Psychosis ”, both from (1924/1996). In Lacan, we used: “Seminar - Book 3“ The Psychoses ”(1955-6 / 1998) and“ From a preliminary question to every possible treatment in psychosis ”(1958/1998). In addition, articles by scholars of Freud and Lacan were used. The discussion was presented through the following topics: Theory of narcissism in psychosis; Body manifestations in psychosis clinic; Psychotic triggering and stabilization; The issue of transference in psychosis; and Institutional impasses in the clinic of psychosis. Final Considerations: Changes in the language process imply the very characteristic manifestations of this clinic, such as body events, hallucinations and delusions. Nevertheless, Lacan in his teaching proposes the possibility of thinking about the transference management in the clinic of psychosis through the secretariat.