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Shengold, L. (1988). Quasi-Delusions: A Brief Communication. Int. J. Psycho-Anal., 69:471-473.

(1988). International Journal of Psycho-Analysis, 69:471-473

Quasi-Delusions: A Brief Communication

Leonard Shengold

Every normal person, in fact, is only normal on the
average. His ego approximates to that of the psychotic in some part or other and to a greater or
lesser extent … (Freud, 1937p. 235).

Quasi-delusions are one instance of psychotic-like manifestations in the 'normal'. This brief communication illustrates one instance of this one instance.

PATIENT M

This rather masochistic young woman, in analysis for several years, was in mid-pregnancy. On this day she had arrived in the waiting room just as I opened the door to my office. She strode in past me with an unusual air of determination and proceeded to the couch:

I am really pissed. (silence) I have to go to the obstetrician after this session. Again I've forgotten to bring a fasting urine. I've forgotten it the past three times. I knew I would forget it. I don't want to talk about this. I'm going to change the subject. I was angry because I wanted to go to the bathroom before the session. But your door was open, there you were, and I was embarrassed. It doesn't really matter though—unless someone steps on my bladder.

(Analyst: the 'change of subject' sounds more like a continuation.)

I want to keep away from why I keep forgetting the urine sample. I am furious at his nurse. I know that test itself isn't important—I had a blood sugar done recently. She keeps talking about albumen. I always will forget. I guess I'm so angry because she gave me this short narrow medical bottle to bring a sample in.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

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