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De quoi la psychose est-elle le nom ? Une psychanalyse à l'envers ? : Témoignages cliniques et présentations de malades de Jacques Lacan

Abstract : The first section gives a brief overview of psychiatric and psychoanalytical approaches to psychosis. In the second section, we set out the structural theory of psychosis according to Jacques Lacan. This theory revolves around the core concept of Name-of-the-Father (Nom-du-Père) and its foreclosure. We consider the consequences of the failure of the father metaphor and the theoretical continuation of Lacan’s second classicism with the introduction of the “real father” and the development of the concept of foreclosure by other authors. The question of clinical practice and it evidence is dealt with in the third section. We draw on Guy Le Gaufey’s criticism of clinical vignettes to introduce what could be considered as active clinical practice, that is a practice involving the practitioner in case evidence writing. We point to the specific nature of transference in the clinical context, which implies “transference to the psychotic” and the inclusion of clinician’s evidence in case writing, contrary to conventional clinical vignettes. To illustrate our point in favour of in vivo clinical practice, we refer to the presentation of patients by Jacques Lacan at the Hospital Saint-Anne in 1975-1976, and to two clinical vignettes where the therapists show their engagement in the cure of psychotic patients.
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Daniel Blondet. De quoi la psychose est-elle le nom ? Une psychanalyse à l'envers ? : Témoignages cliniques et présentations de malades de Jacques Lacan. Psychologie. Normandie Université, 2018. Français. ⟨NNT : 2018NORMR080⟩. ⟨tel-01985189⟩

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