A lecture given by Gaetano Benedetti (1920-2013) on May 23, 1963, in Milan at a training course on "Psychotherapy of schizophrenic psychoses", organized by the "Milan Group for the Advancement of Psychotherapy" (that later took the name of Psicoterapia e Scienze Umane), is reprinted. Regarding the psychodynamics of paranoid schizophrenia, Benedetti discusses paranoid defenses in the following four aspects: concretization of psychic conflicts; denigration of others; dissociation of repressed impulses and their visualization in projected form; autism as a form of ego withdrawal; delusional expansion of the ego. Regarding the psychotherapeutic approach, the following three aspects are discussed: the primary relationship; patient-therapist realtionship; social work. At the end of the paper there is the transcription of the discussion held at the time among the participants (a total of 29 interventions).
Keywords: Psychodynamics of paranoid schizophrenia, psychotherapy of paranoid schizophrenia, psychoanalysis, defense mechanisms, psychodynamic therapy