Deliri, costruzioni e verità, Adolfo Pazzagli

Delusions and narrations have very different communicative characteristics; delusion, when reported, places itself outside of a shared communication, of an interactive field; it is an absolute, saturated truth, that can only be believed or refuted but not modified. On the basis of clinical observations, there is the possibility that psychoanalytic tratment might be able to at least partly transform delusion into an account narrated in an interactive situation. Insofar as this becomes possible, it acquires a beginning, a development and an end; it is modified through repetition, assuming a character, therefore, of temporality and of co-presence of reality and fantasy. All this differs from delusion in which, according to Freud, there is a nucleus of historic truth that, however, emerges almost unchanged from a past that tends to re-present itself with the atemporal characteristics of the primary process, it is therefore situated outside reality and the relation between this and fantasies.