This is a scholarly study in which the author explores a difficult subject matter that has been a tabooed topic in psychoanalysis. She undertakes a serious study of the underlying arguments as to why psychoanalysts have seldom been able to live in harmony with each other. In a very lucid and systematic manner, the author examines how a discipline, in this case psychoanalysis, can be manipulated to its detriment. She explains the disquieting processes that take place, which impede the development of psychoanalysis. These influences insidiously infiltrate the organisational ranks as a kind of arguing which should ostensibly enrich psychoanalysis but instead deprives it of its creativity. For a discipline to prosper, it is necessary to have the freedom to air doubts, ask questions, raise hypotheses, and contrast discoveries by sharing them with others, debating different positions to reflect on the discussions, and to change one's views if necessary.
Manuela Utrilla Robles has a doctorate in medicine and psychiatry from the Universities of Geneva and Madrid, having been a Professor at both universities. She has taught at the Institute of Social Studies in Geneva and was Director of the Day Hospital for autistic children in Geneva, as well as Head of the Neuropsychiatric Centre in Brussels and the Medical Service-Pedagogique in Geneva. She has been editor of the journal of the Madrid Psychoanalytical Association, European Representative of the Board of the International Psychoanalytical Association, Representative of the European Psychoanalytical Federation in the Federation of Psychoanalytic Societies of Latin America (FEPAL) and President of the Madrid Psychoanalytical Association.