This book explores the effects of the psychotic patient's suffering on carers and the culture of psychiatric services, and makes a powerful argument for considering care in the psychiatric services as a whole system.

R.D. Hinshelwood is currently Professor of Psychoanalysis at the Centre for Psychoanalytic Studies, University of Essex. Previously he was Consultant Psychotherapist working in mental health services, including the role of Clinical Director of The Cassel Hospital. He is a Member of the British Psychoanalytical Society, and a Fellow of the Royal College of Psychiatrists.

Martindale, Foreowrd. Introduction. Essay One: Helping to Help: Address to Practical Carers. Essay Two: How Can it be Thought: Psychoanalytic Theories of Schizophrenia. Essay Three: Suffering the Mad: Countertransference in the Institutional Culture. Epilogue: Being Psychotic, Being a Person. References.