Aleksandra Novakovic is a group analyst and psychoanalyst and is a member of the London Institute of Group Analysis and the British Psychoanalytic Association. She was Joint Head of the Inpatient & Community Psychology Service, Barnet, Enfield & Haringey Mental Health Trust. She worked with patients with severe and complex mental health problems and facilitated staff groups for inpatient and community mental health staff teams. She is currently working in the Complex Care Services, St Ann's Hospital, and is a Visiting Clinical Lecturer at the Tavistock Centre for Couple Relationships.

2 Reflections on "meaning" and "meaninglessness" in post-Kleinian thought Margot Waddell 11

3 Rigidity and stability in a psychotic patient: some thoughts about obstacles to facing reality in psychotherapy Margaret Rustin 28

4 Forms of "folie-à-deux" in the couple relationship James Fisher 45

5 Psychotic and depressive processes in couple functioning Francis Grier 71

6 The Frozen Man: further reflections on glacial times Salomon Resnik 89

7 Psychotic processes: a group perspective Aleksandra Novakovic 108

8 Psychotic processes in large groups Caroline Garland 132

9 A community meeting on an acute psychiatric ward: observation and commentaries 147

Commentary I David Kennard 152

Commentary II Julian Lousada 156

Commentary III Mary Morgan 162

Commentary IV Wilhelm Skogstad 167

10 Asylum and society Elizabeth Bott Spillius 171

11 Schizophrenia, meaninglessness, and professional stress R. D. Hinshelwood 194

12 Brilliant stupidity: madness in organizational life- a perspective from organizational consultancy Tim Dartington 208

13 The dynamics of containment David Bell 226