Abstract
We are aware that the subject is born and develops in relation to others, both in case of an healthy functioning and in mental illness. From this perspective, the role of the therapist is not limited to his technical work, but also to his taking into account the needs of the patient and to succeeding, starting from this, to promote a new healthy mental development. Various factors of the personality of the therapist come to the fore when working with severe patients, such as the adequate transparency, the Multifamily psychoanalytic approach in this type of pathology in the context of co-therapy, an atmosphere of security, trust and closeness, with a constant objectivity that allows the psychic autonomy of the patient. These factors are essential to carry out a positive treatment.

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