Salman Akhtar, MD, is professor of psychiatry at Jefferson Medical College and training and supervising analyst at the Psychoanalytic Center of Philadelphia, PA.

• PART ONE Laying the Groundwork, Chapter 1 The Seed of Madness PART TWO Theory, Clinical Illustrations, and Techniques Chapter 2 On the Origins of the Body Ego and its Implications for Psychotic Vulnerability Chapter 3 Humiliation and Dignity: Reflections on Ego Integrity Chapter 4 The Intersubjective Constitution of the Sense of Disappearing in Schizophrenia: A Phenomenological Description of a Healthy Sibling's Intuitions Chapter 5 A Room within a Room: Clinical Observations of a "Mad" Core Chapter 6 A Crocodile in a Pouch Chapter 7 The Verbal Squiggle Game in Treating the Seriously Disturbed Patient Chapter 8 PART THREE Summarizing Reflections Constitution, Environment, and Fantasy in the Organization of the Psychotic Core.