Mr. A's creative adventure: reflections on drives and psychic conflict

The author discusses psychic conflict in the context of Freudian drive theory and its relationship to primal fantasies and repression. Freud's metaphor of the "Mystic Writing Pad" is reviewed, with particular attention to psychotic perception, especially the lack of ability to differentiate between self and object. Psychoanalytic psychodrama is proposed as an effective treatment modality in such cases, and an illustrative clinical example is presented.