Psychotic adolescents suffer from identity disorders, with the possible presence of delusions regarding paternity or sexual identity, or withdrawal from reality apparently without delusions. Psychotic identificatory pretending regarding the father can be abundant and may be related to unpredictable distorted introjections of the father. The psychotic symptoms of fragmentation and annihilation may also be defenses against anxiety. The case of Javier Fernando is presented. Through his psychotherapeutic treatment this patient was able to recognize and make an alliance with his monster, which is a deformed introjection. In such cases, the therapist must also concurrently enter into an alliance with the monster.
Psychotic adolescent; identity; delusions; identification