Institutet för lacaniansk
teori och praktik


About ILTP
– and Ego-structuring psychotherapy



The Institute of Lacanian Theory and Practice, ILTP, is a Swedish non-profit association of psychotherapists developing and implementing Lacanian psychoanalytic theory and ego-structuring psychotherapy.

One implementation is the cognitive development of the personality through ego-structuring psychotherapy for schizophrenia and other psychoses, borderline personality disorders and stuck crises.

ILTP arranges conferences for its members twice a year in order to exchange experiences and develop the psychotherapeutic method. The association also arranges public conferences.

ILTP publishes writings about theory, method and research, most of which are available online at:

ILTP organizes training and supervision in ego-structuring psychotherapy and in ego-structuring interpersonal approach.

ILTP's members are employed in public healthcare or as private psychotherapists. They founded this non-profit association to deepen the understanding of theory and practice in psychotherapy with the most mentally disturbed fellow beings.

ILTP has a parallel association in Denmark – Dansk Forening for Jegstrukturerende Psykoterapi – where youth-psychiatry has also effectively used psychotherapeutic findings.


Don´t hesitate to contact us, should there be any further information you need, if there are questions you want to ask or if you would like to convey your point of view.

Gunny Bertilsson - chairman


Ego-structuring psychotherapy

One application of the Lacanian theory is a specific cognitive psychotherapy with psychotics and borderline personalities. The strategy is to use the client's narcissism to promote a structuring of the deficient ego.

Ego-structuring psychotherapy brings, according to the theory of Jacques Lacan, the Name of the Father into effect, so that the psychotic person becomes linguistically structured and develops his/her view of the world, and he/she becomes a historically identified person leading a fulfilling life.

The Greek myth of Ariadne with the red thread can be used as an analogy for the therapeutic setting. The psychotherapist uses a non-polarizing way of talking, in order to frame a dialogue and to avoid contradictions with the client. By holding the main thread the psychotherapist takes an active part in the therapeutic process, as the client develops his/her linguistic structure and pleads his/her own cause.


The narcissistic phase



In this phase the aim is to establish a stable working-alliance.

The working phase


In this phase the aim is to create coherence and links with the outer world. The strategy is to anchor the client's ego in his/her own life history, which should systematically map all details to be visible. The result should be a narrative, where the client has a confirmed place in the history of generations.

The concluding phase


The aim in this phase is to anchor the client's identity in his/her own history and to let the client reach complete autonomy by means of the structuring function of language. The termination of the mutual work should be done without risking the result obtained.





The ego-structuring psychotherapeutic method can be applied to:

The ego-structuring, non-polarizing approach should be used broadly in schools, health-care, social and criminal welfare and psychiatry.

The efficacy of the ego-structuring psychotherapeutic method, its process and its practice has been documented in one doctoral thesis, several research reports and a number of evaluations.







Institutet för lacaniansk
teori och praktik    ©2023-02-21