The author proposes a change in the point of view in looking at a psychotic patient. A change that foresees the necessity to think of the patient as a person that has within himself a healthy dimension, called by the author healthy virtuality. Badaracco underline the importance of this view in a measure in which hope is created in the patient , the hope to be understood . In fact the way of looking regards what one sees in the others. Often the family of a psychotic patient thinks that he has became mad and it is not possible to cure him. The idea that exists a healthy virtuality in the patient makes us think that the mental illness and the mental health is thought of in a different way. In this article the author suggests to abandon the concept of an internal object and to substitute it with the intra-psychic presence. These presences are real and true subjects that are inside us. According to the author the condition of illness and of health regarding what we call the presence of others inside us and in particular, with the interdependence, at the same time, that the Self has maintained , in each one of us, with these others both in the external and internal world.