[Psychosomatic disorder, psychosis and object relations]

This paper presents a case who successively suffered from regional ileitis followed by a reactive psychosis. The author looks at the object relations of a patient afflicted by a narcissistic defect. The fundamental narcissistic disorder models the object relations of the somatic patient and of the psychotic patient. Less differentiation is found in the object representation of the psychotic patient. A comparison is suggested for the two modes of relating to objects.