'This paper is in two parts. The first examines the relationship between creativity and madness as it manifests itself in the work of Freud and Lacan and culminates in Lacan’s theorising of the operation of suppléance, a proxy device that prevents subjective dissolution and provides a key to understanding the hidden order of artmaking. The second problematises suppléance by testing it against Ehrenzweig’s theory of creativity. The aim of the paper is to identify schemata that link madness and creativity using a psychoanalytic frame in order to question theory in ways that may be helpful for artists, and more specifically creative writers. It does so by focusing on Lacan’s conceptualisation of the real as ambiguous and ‘extimate’, two ideas also present in the work of Freud and Ehrenzweig. The ambiguity and ambivalence at stake here are retrieved from the unconscious as the ‘equivocation’ between the real and the imaginary (Lacan 2005a: 102; emphasis added). This equivocation is precisely what must be negotiated, I suggest, when madness beckons and a threat to the ego looms, unless some creative solution is found which enables the knotting of the real, the imaginary and the symbolic. As an art, writing may be that which knots together the ex-sistence of the real, the consistence of the imaginary and the hole introduced by the symbolic, while also showing how these can each be transformed according to the way in which suppléance works at each level.' (Publication abstract)