In this volume a number of British psychoanalysts introduce us to psychoanlaytic definitions of intra-psychic and subjective meaning in patients suffering psychotic conditions. Irrespective of the particular type of psychotic illness under consideration of the context or treatment, each paper illustrates how the psychoanalytic clinician searches to establish meaning from events which are highly complex and often overwhelmingly confusing.Contributors:’Psychosis and violence’ Leslie Sohn; ‘Sorrow, Vulnerability and Madness’, Michael Conran; ‘How Can You Keep Your Hair On?’, Michael Sinason; ‘The Delusions of the Non-Remitting Schizophrenias – Parallels with Childhood Phantasies’, Thomas Freeman; ‘Managing Psychotic Patients in a Day Hospital Setting’, Richard Lucas; ‘Desctructive Narcissism’ and ‘The Singing Detective’, David Bell.