{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:55:29Z","timestamp":1777427729451,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2001,2,1]],"date-time":"2001-02-01T00:00:00Z","timestamp":980985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Am Psychoanal Assoc"],"published-print":{"date-parts":[[2001,2]]},"abstract":"<jats:p>The psychological world of The English Patient is explored to deepen the understanding of schizoid states. The protagonist, Alm\u00e1sy, is a remote desert explorer whose triangular sadomasochistic affair with the married Katharine destroys them all. His damaged skin is understood as a symbolic representation of his psychological condition. For the schizoid, love consumes and leads to obliteration of the self, represented by the loss of identifying features, and to traumatic permeability (i.e., the loss of boundaries between self and other, and between the ego and repressed desires). Other schizoid themes are the animation of the inanimate, as in the depiction of the desert as a woman; hidden or buried identities; the digital and destructive experience of emotion represented by the conundrum of the bomb defuser; the sense that everything good is imaginary and might suddenly explode; and the moral unevenness of the characters. Alm\u00e1sy collaborates with the Nazis so he can retrieve Katharine's three-year-old corpse, with which he has necrophilic contact in a cave. Fantasies of the lost object buried within the self, of being buried alive, and of being skinned alive are related to the schizoid condition. Hyperpermeability is proposed as a core schizoid state, underlying schizoid withdrawal.<\/jats:p>","DOI":"10.1177\/00030651010490010601","type":"journal-article","created":{"date-parts":[[2008,4,29]],"date-time":"2008-04-29T13:58:32Z","timestamp":1209477512000},"page":"279-309","source":"Crossref","is-referenced-by-count":11,"title":["Diagnosing the English Patient: Schizoid Fantasies of Being Skinless and of Being Buried Alive"],"prefix":"10.1177","volume":"49","author":[{"given":"Norman","family":"Doidge","sequence":"first","affiliation":[{"name":"Canadian Psychoanalytic Society, Toronto Branch, , Long-term Psychotherapy, University of Toronto, Department of Psychiatry, Columbia University Center for Psychoanalytic Training and Research"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2001,2,1]]},"reference":[{"key":"atypb1","first-page":"125","volume":"1","author":"Abraham, N.","year":"1972","journal-title":"& transl. N.T. 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London : Routledge & Kegan Paul, 1952 , pp. 3\u201427."},{"key":"atypb9","volume-title":"Psychoanalytic Studies of the Personality","year":"1952"},{"key":"atypb10","volume-title":"Right-brained Children in a Left-brained World","author":"Freed, J.","year":"1997"},{"key":"atypb11","volume":"4","author":"Freud, S.","year":"1900","journal-title":"Standard Edition"},{"key":"atypb12","first-page":"1","volume":"13","year":"1913","journal-title":"Standard Edition"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1515\/9781400866908"},{"key":"atypb14","volume-title":"Psychodynamic Psychiatry in Clinical Practice: The DSM-IV","author":"Gabbard, G.","year":"1994"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1080\/00797308.1994.11823073"},{"key":"atypb16","doi-asserted-by":"crossref","unstructured":"Green, A. (1972). The dead mother. In On Private Madness. 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New York: Guilford Press, pp. 135\u2014154."},{"key":"atypb19","first-page":"607","volume":"72","author":"Hopper, E.","year":"1991","journal-title":"International Journal of Psycho-Analysis"},{"key":"atypb20","first-page":"D5","volume":"25","author":"Hurka, T.","year":"1997","journal-title":"The Globe and Mail, Toronto, Jan"},{"key":"atypb21","volume-title":"On the Nightmare","author":"Jones, E.","year":"1951"},{"key":"atypb22","volume-title":"Severe Personality Disorders: Psychotherapeutic Strategies","author":"Kernberg, O.","year":"1984"},{"key":"atypb23","volume-title":"Damned to Fame: The Life of Samuel Beckett","author":"Knowlson, J.","year":"1996"},{"key":"atypb24","first-page":"52","author":"Marchand, P.","year":"1997","journal-title":"Saturday Night Magazine"},{"key":"atypb25","volume-title":"The English Patient: A Screenplay","author":"Minghella, A.","year":"1996"},{"key":"atypb26","volume-title":"The English Patient","author":"Ondaatje, M.","year":"1992"},{"key":"atypb27","unstructured":"\u2014\u2014\u2014 (1996a). 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