We propose to illustrate the issue of psychotic crisis recently brought to the clinic by a migrant from the countryside, with his social and cultural differences. In this analysis the psychotic experience is related to the place that the migrant from the countryside occupies in the space of large cities, where the feeling of strangeness experienced by the subject bears the marks of the space occupied by this displaced migrant. The exposure is illustrated by elements of the clinic, which demonstrate a duplication of the subject when he is taken by the other of psychosis and by his resolute deployment through the acceptance and therapeutic monitoring. Aspects of the traditional care model are pointed out to oppose the experience analyzed here, in which the importance of welcoming subject with his differences is valued, both in terms of his social and cultural background as of his psychotic condition. We claim that the spaces of action, language and meaning (plastic, creative and expressive activities; possibility of talking and listening; establishing relations between symptoms and subjective experiences) favor the recovery of the subjective position and the rescue of identity references, facilitating the redefinition of the history and drama of the subject.
migrant; difference; psychosis; therapeutic spaces