Psychic equivalence is a primitive mind-state which precedes in infancy the capacity for mentalization, that is, for reflection upon both inner and outer worlds.
[2] Psychic equivalence is thus a form of concrete understanding of the world, self-convinced, that blocks all curiosity about alternative mind-views.
[3] Psychic equivalence reappears in later life in the course of dreams, delusions, and traumatic flashbacks.
[4] It involves a temporary loss of awareness of the difference between external reality and the contents of the mind:[5] thus in post traumatic stress disorder the individual is convinced (perhaps years later) they are actually back in the situation of the original trauma, a complete loss of perspective.
[6] Where a defensive false self has been built up since infancy to defend against the anxieties of psychic equivalence, subsequent collapse of the narcissistic structure can lead to the re-emergence of the terrifying impingement by reality of psychic equivalence.