

– 19 –
Ordinary Psychosis and Melancholia
Natalie Wülfing
Great Britain
No other clinical picture resembles more the features of subjectivity that have entered our common discourse as “ordinary” – like sadness, depression, lethargy, defeatism, etc. – than melancholia. In La Psychose Ordinaire, (La Convention d’Antibes, Seuil 2005), one of the contributions turns around this question. Melancholia resembles ‘normality’, and if we are speaking about what discreet signs in Ordinary Psychosis we can illuminate, the discreetest, most difficult to differentiate, of signs must be those of melancholia.
Let us bring out the central idea that Jacques-Alain Miller (in Psychoanalytical Notebooks 26, Ordinary Psychosis Revisited), has singled out from amongst Lacan’s classic teaching, and relate it to the question of the clinical picture of melancholia. The idea of “a disturbance that occurred at the inmost juncture of the subject’s sense of life” (Ecrits, p.466 [fr 558]), in a way, circumscribes the melancholic’s position, in a structure stripped to a minimum. What is a disturbance of the sense of life? It is the absence of something vital, but the status of this something vital is the important psychoanalytic contribution as such – for it is not an organic vitality, the vitality of the organism, but the feeling of being alive that the Name of the Father instils in the subject. In the absence of this function, the signifier returns in the real – however in melancholia, it is not the signifier, but jouissance – what is rejected in language – that returns in the real. The foreclosure of the Name of the Father lays bare the relationship to the Thing. (Laurent, Ornicar 47) It is the being of the subject itself, as object, that turns against itself. This marks its specificity and difference to the paranoid or schizophrenic clinic.
What is this jouissance that returns in the real? Eric Laurent refers to mania when he says “The manic disorder can be grasped like a return in the real of the mortification that language imposes on the living.” It means that in melancholia and in mania as its counterpart, what is not mortified in the Other, mortifies the subject. It returns in the real as a jouissance linked to the being of waste. Lacan says it in a development prior to any formula: “That [the meIancholic’s suicide] occurs so often at the window, is not by chance. It marks a recourse to a structure that is none other than a fantasy.” (Sem X, p.336 [3.7.’63]) This recourse to a fantasy is not the neurotic fantasy, but the structure of being in the place of object a. It is not the object of the cause of desire, but the object of exclusion, the Thing, that the melancholic is always in danger of being identified with. It marks “…[the] sudden moment at which the subject is brought into relation with what he is as a.” (Sem X, p, 110 [16.1.’63])
In today’s world, where the object is at the zenith of the social, what is rejected from language is precisely returned into commerce, technology and addictive circuits that surround us. It thus functions as a great generalisation, this object a at the zenith. Does it mean that melancholia, and the precision of the other psychiatric clinics of psychosis, are all disappearing into this generalisation?
If it is possible, what are the discreet signs of melancholia, that it is to isolate, to distinguish them from other clinics of psychosis? There is always of course the self-reproach, that Freud already singled out. “The self-tormenting in melancholia, which is without doubt enjoyable, signifies [ ] a satisfaction of trends of sadism and hate, which relate to an object, and which have been turned round upon the subject’s own self.” (Mourning and Melancholia, 1917)
The turning on itself is shown, by Freud, to be a consequence of the loss of ego: “Thus the shadow of the object fell upon the ego, and the latter could henceforth be judged by a special agency, as though it were an object, the forsaken object. In this way an object-loss was transformed into an ego-loss and the conflict between the ego and the loved person into a cleavage between the critical activity of the ego and the ego as altered by identification.” (ibid)
The self reproach can also appear in more discreet forms though, such as a heightened sensitivity to the perceived criticism of others. This sensitivity is sometimes part of a more perplexed relationship to language, when the words of the other become difficult to assimilate and leave a residue in which a whole day or several days are spent going over what was said and what it might mean. Here the idea of language as parasitic, as jouissance itself, refers us to the late Lacan. (Seminar XXIII, The Sinthome) The parasite of language in the speaking being may play itself out at the level of persecution (question of the Other), of fragmentation (question of the body) or of a radical rejection (question of being), to evoke the three ‘externalities’ that Jacques-Alain Miller separated to distinguish between different psychotic substructures. (OP Revisited, PN 26)
It seems to me that mourning has disappeared from the melancholic clinical picture. What is left is the radical impossibility of shifting the certainty that everything is in vain. Nothing to be gained from the Other. Freud (somehow cruelly) in fact thought that the melancholic had an uncharacteristic access to the truth, in his self reproaches, which separated him from ordinary human beings who did not have such lucidity. It would cast him as a non-dupe. Thankfully, with Lacan, we think that the non-dupe errs…
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A Report
on the
Clinical Study
Days 9
Must
Do It! New
Forms of
Demand in
Subjective
Experience
March
18-20, 2016,
participants
of the
Freudian Field
traveled from
such places
diverse and
distant as Los
Angeles,
Maryland,
Massachusetts,
Missouri,
Connecticut, Omaha,
Columbia,
Dallas,
Atlanta,
Philadelphia,
Miami, Buenos
Aires, London,
Canada, Marseille,
Paris and
Ghent to New
York City for
the Clinical
Study Days,
which took
place at
the National
Psychological
Association
for
Psychoanalysis
(NPAP). This
being the 9th
Clinical Study
Days organized
under the
auspices of
the Lacanian
Compass, the
Study Days
took as its
theme Must Do
It!: New Forms
of Demand in
Subjective
Experience in
an effort to
map out new
forms of
demand and the
Super-ego in
the 21st
century.
Under
this
imperative,
three lectures
given by two
guest
speakers,
Marie-Hélène
Brousse and
Pierre-Gilles
Guéguen,
served as a
conceptual and
theoretical
reference
throughout the
weekend.
Furthermore,
these
references
were
set in
relation
to the
clinical
practice of
psychoanalysis
in the 21st
century as
articulated by
twelve case
constructions
presented by
twelve
clinicians,
each with a
discussant.
Anything Goes
The
first lecture
of the
weekend, “Anything
Goes: The
Imperative of
Jouissance in
a Society of
Permissiveness,”
was given by
Marie-Hélène
Brousse at
Fordham
College at
Lincoln Center
on the evening
of March 18.th
To commence,
Brousse
foregrounded
the discussion
by citing two
essential
axioms: There
is no sexual
rapport (Il
n’y a pas de
relation
sexuel),
derived from
Lacan’s late
teaching; and
There is
something of
the One (Y a
de l’Un),
emphasized by
Jacques-Alain
Miller’s note
published on
the back cover
of Seminar
XIX. The first
would act to
orient “The
Imperative of
Jouissance in
a Society of
Permissiveness”
and the second
“The Rise of
the Ego in the
Era of the
One-all-alone.”
As for the
references,
Brousse cited
three, serving
not only for
the talk, but
for the
weekend:
Jacques
Lacan’s “Note
on the Father”
delivered at
the Congress
of
L’École de la
Cause
freudienne
(Strasbourg,
1968), “A
Fantasy:
Conference of
Jacques-Alain
Miller in
Comandatuba” (IV
Congress of
the WAP: 2004),
and Lacan’s
formulation of
the
Capitalist’s
Discourse.
Taken
together,
these
references set
forth the
coordinates of
the father’s
disappearance,
the father as
a process of
naming linked
to hierarchy,
and
furthermore,
locate what in
the evolution
of the
Master’s
Discourse, at
the moment of
the vanishing
of the father,
has taken the
place of the S1
as
agent. Indeed,
in the era of
Anything Goes,
it is none
other than the
object a, with
the
consequence,
as Miller
names it, of
the Master’s
Discourse
today taking
the form of
the Analyst’s
Discourse.
The first consequence Brousse identified in
relation to
the father’s
disappearance,
as afore
defined, is
the rise of
the imperative
on one hand
and
permissiveness
on the other,
“it may be a
paradox, but
its not a
contradiction.”
Turning to the
linguists,
imperative can
be defined
alternatively
as order,
command,
demand,
generally not
an
interdiction,
and
definitively
as an act of
language. In
this way, on
the side of
imperative,
Brousse
situated:
Super-ego,
Command,
Voice, and on
the out-side
of the side of
the
imperative:
Demand
(SàD),
and Will. On
the side of
prohibition,
we find:
Ego-ideal, the
law,
statements,
and on the
out-side of
the side of
prohibition:
Desire as
signified of
the law. Thus,
citing Lacan
in Kant avec
Sade (1963),
Brousse
identified the
necessary
distinction
between will
as not
necessarily
unconscious
and desire as
always
unconscious,
emphasizing
two different
modes of
eroticization,
two different
modes of
jouissance.
Will is linked
to a position
of enunciation
in the
particular and
the object of
voice, while
eroticization
in desire is
linked to the
subversion of
barriers and
has to do with
the universal.
Relying on
Miller’s
reference,
Brousse
states:
“Kant’s moral
law is the
attempt to
universalize
the imperative
of the
Super-Ego.”
Nowadays,
it is the
imperative
that is far
more present
in everyday
discourse than
the law, and
so Brousse
asked: “What
changes on the
clinical
side?” In
response, she
cited two key
indications.
First,
permissiveness,
i.e. the
weakening of
the laws, is
the condition
of the rise of
the Super-ego,
“not only are
they not
contradictory,
they are
complementary.”
Second, a new
form of
symptom is
taking more
and more
importance in
psychopathology
today and that
is addiction.
Addiction is
the new form
of the symptom
in the era of
the rise of
the Super-ego
and is
determined far
more by the
object
although it
maintains
something of
the signifier
and the image.
It has the
weight of the
real. With
addiction,
there is no
dependency:
not dependent
on sex, not
dependent on
love, but only
on the object.
The imperative
saves you from
dependency
making you
into a slave
of the object,
but free from
all else.
The Freudian Super-ego and the
Lacanian
Super-ego
The
second lecture
of the
weekend, “The
Freudian
Superego and
the Lacanian
Superego,” was
given by
Pierre-Gilles
Guéguen at
NPAP on the
morning of
March 19th.
Guéguen
commenced by
commenting on
Freud’s
“The Ego and
the Id,” the
text which
introduced the
second
topography.
Guéguen,
following a
comment of
James
Strachey,
highlighted
that
Freud wrote
this text
under the
pressure of
redefining the
psychoanalytic
meaning of the
unconscious.
Is it only the
repressed or
does it
coincide with
the drive?
Guéguen
emphasized
that there is
a hesitance in
Freud to
disarticulate
the Ego-ideal
from the
Super-ego,
which we see
Freud
construct
along two
dimensions.
With the
first, the
Super-ego is
understood as
a part of the
ego that
permits or
rejects the
drives; thus
triggering
moral
censorship and
unconscious
guilt. Second,
Guéguen
underlined the
dimension of
the Freudian
Super-ego’s
entanglement
with the law
of the father
and the
Oedipus
Complex. The
first
identification
which is an
identification
with the
father, has
two forms,
that of the
idealized
father and
that of the
father who
prohibits and
enforces the
law of incest.
In early
Lacan, as
early as
Seminar I,
Guéguen noted
that we
already find
references to
the Super-ego
as imperative,
“which is so
severe that it
is an insane
law that goes
as far as
having a
disregard for
itself,” and
as “a
ferocious and
obscene
figure.” It
refers to a
father that
says ‘No!’ up
to a point of
a masochistic
jouissance.
Given that,
Guéguen
inquired ‘what
is the right
position of
the analyst in
the
treatment?’
Guéguen
stressed that
interpretation
is more
compatible
with the
position of
the analyst as
the Ego-ideal
rather than as
the Super-ego.
This is why it
is important
to radically
distinguish
the Ego-ideal
from the
Super-ego. The
Ego-ideal
includes a
large part of
the imaginary
which is not
to be
disregarded,
taking into
account what
Jacques-Alain
Miller calls,
“the equality
of the
consistencies.”
The Super-ego
pertains to
the symbolic
register only
and leads to a
mortification
of the libido,
commanding the
subject to
sacrifice
jouissance,
which we
translate
today as the
concept of
division. The
divided
subject does
not work in
its own
interests, but
rather works
against
itself. We see
this division
already in
Freud through
the
conceptualization
of Eros and
Thanatos.
Freud was the
first to
declare that
there are
always
symptomatic
remainders in
analysis.
Lacan proposed
to turn the
impasse at the
end of
treatment into
a solution,
relying on an
identification
to the
symptom, once
its most
florid
manifestations
have been
reduced. We
call this
reduction le
sinthome. As
Guéguen noted,
“the problem
that the
Super-ego
raises for the
analyst is to
measure how
the drive may
be civilized,
promote a
social bond,
and to prevent
the process of
segregation…
Psychoanalysis
above all
constitutes an
experience of
Ethics.” From
‘Must not do
it!’ to ‘Must
do it!’ both
commandments
can have the
same effect of
conveying
death. It is
not enough to
acknowledge
that the
authority of
the father has
declined and
that the
globalization
of the world,
in particular
the advance of
digital
technology,
has produced a
liquid
society. As
Lacan
emphasized,
“The
unconscious is
political. The
unconscious is
transindividual”
(1967). Miller
returned to
this reference
twice in his
course of “The
Divine
Details”
(1989) and
“The
Experience of
the Real in
Psychoanalysis”
(1999).
In
the last
section of
Guéguen’s
talk, Freud
the dualist vs
Lacan the
monist,
Guéguen relied
upon Miller’s
reference
published
under the
title
“Lacanian
Biology,”
where the
latter he
demonstrates
that Lacan
discarded the
dualist
conception of
the drive and
took a strong
stand for a
monist
conception of
the libido. In
Lacan’s
teaching, the
death drive
disappears as
a concept with
the ascendancy
of the axiom
of the absence
of the sexual
relation. Two
other monist
categories
will be
developed in
Lacan’s
post-structuralist
period
¾ one being
the discourse
in Seminar
XVII and the
other being le
sinthome,
substituting
the binary
fantasy-symptom
in the classic
period of
Lacan. These
conceptual
innovations
prevent
psychoanalysis
from becoming
fossilized and
admit the ways
in which the
relationship
between
psychoanalysis
and society
has changed.
As Guéguen
elaborated,
“jouissance is
not imposed on
us by an
internal
sexual drive
as much as it
is by the
unending
solicitations
of the market,
advertising,
business, and
all the
attempts to
persuade us to
augment and
modify our
bodies.” Words
and images
enter our
bodies
producing all
kinds of
affects and
there is a new
relationship
between the
signifier and
the body. In
its former
conception,
purely
formalist, the
signifier
elevates some
bodily part to
the level of
the signifier
and there is
some
jouissance
that is
elevated to
the status of
the symbol.
But Miller
suggests that,
“the other
question
raised by the
late Lacan is
the reverse of
this operation
of
symbolization,
it is the
operation of
corporealization.”
It concerns
the way
signifiers and
knowledge
enter the body
and produce
jouissance.
This is why
Miller moves
to discuss
porn in his
introduction
to the 10th
Congress. From
Seminar XX on,
Lacan will
call affect
the bodily
affect of the
signifier,
which
designate
affects of
jouissance.
Affect is
something that
disturbs the
function of
the living
body.
The Rise of the Ego in the Era
of the
One-all-alone
The
third lecture
of the
weekend, “The
Rise of the
Ego in the Era
of the
One-all-alone,”
was given by
Marie-Hélène
Brousse at
NPAP on the
morning of
March 20th.
Proceeding
from the
rising concern
with identity
politics in
contemporary
American
discourse,
Brousse
differentiated
between
identity
(gender, race,
etc.) and the
psychoanalytic
concept of
identification
of which there
are three
modes: the
unary trait
(trait unaire;
einziger zug),
the hysterical
one, and the
identification
with the
symptom. Both
identity and
identification
have to do
with a common
point, even if
they are not
the same, and
touch
immediately on
the question
of the
semblant,
although for
centuries we
have been
thinking that
nature gave us
our
identities.
The dimension
of the
imaginary, and
the power of
the image, is
something
which is Real.
When Lacan
introduced the
mirror stage,
his reference
for the image
is that it is
Real. There is
the Real
included in
the dimension
of the
Imaginary,
just as the
Real is
included in
the Symbolic.
The Real is
also to be
treated at the
level of the
Real of the
Real.
The
axiom There is
something of
the One (Y a
de l’Un)
developed by
Miller in his
presentation
of Seminar XIX
is precisely
not that there
is One, the
logic of the
paternal
exception. The
relationship
of this kind
of One (Y a de
l’Un) doesn’t
have to do
with the
symbolic
function but
with the body.
In this way,
Brousse,
relying on
Lacan’s
reference on
pg. 126 of
Seminar XIX
published in
French, says:
There is
something of
the One (Y a
de l’Un) is in
relation to
the body of
each subject.
Firstly, this
definition of
the One has to
do with the
body image
that makes One
out of the
fragmented
body, and
secondly,
emphasizes the
importance of
belief going
back to the
Cartesian
cogito. Lacan
emphasizes
that it is
because you
have a body
that you can
have a belief
that you are
One, when as
far as the
subject is
concerned, the
main point is
how does it
divide itself.
There is
something of
the One (Y a
de l’Un) is
precisely a
belief as
there is no
such thing as
immediate
identity.
Thirdly, if it
is a belief in
relation with
the One
operated by
the power of
the image,
this belief
lacks, for
example, in
the experience
of psychosis.
This One
related to the
body image
needs to be
believed in
order to exist
and function.
In order to
get the
feeling that
you are, “I
am,” you have
to necessarily
believe what
the mirror
stage provides
you, which is
two-dimensional.
It’s because
you believe
that you are
One that you
think you have
a being. “I
am” is a
consequence of
that belief.
Brousse
then proceeded
to construct
the
relationship
from the One
to the body,
and from the
body to the
ego. There is
something of
the One (Y a
de l’Un)
implies that
instead of
referring
yourself to
what can give
you two, the
feeling of
being, which
is a master
signifier; you
refer yourself
to a mirror
image added to
a belief. The
formula of “I
am” either has
to do with the
master
signifier, as
in identity
politics, or
it has to do
with the
object a left
by the
experience of
jouissance and
the encounter
of a signifier
which gives
you your name
of jouissance.
The third one
is the ego,
the Joyce
solution, the
reference for
which is
Seminar XXIII,
a solution
which Lacan
universalizes
as a new
definition of
the symptom,
which makes of
the ego a
symptom.
Indeed, the
ego can be a
symptomatic
solution under
certain
conditions.
The Cartesian
cogito which
held as a
metaphysical
and
epistemological
theory from
the 17th
century up to
present, only
functions now
by the
necessity of
saying, “I
think I am”
all the time.
In a society
where the big
Other is less
powerful
because of the
Analyst’s
discourse and
the
Capitalist’s
discourse,
what is going
to be used in
order to
sustain
identity is
the ego, as
the imaginary
consequence of
the mirror
stage. The
rise of the
ego in the era
of the
One-all-alone
is linked to
the rise of
the imperative
against the
signifier
without
signified. In
psychoanalysis,
Miller
emphasizes the
importance of
the
unconscious as
Real, but in
the
contemporary
Master’s
discourse, as
Brousse
contended, the
unconscious is
being more and
more pushed to
the imaginary
side. As a
consequence of
the fall of
the One of the
exception and
the rise of
the
One-all-alone,
we can see the
importance of
the ego in
everyday
pathology. So, with
the rise of
the ego in
contemporary
society, the
concurrent
question that
Brousse posed
– and on which
the lecture
and conference
ended – was as
follows: what
happens to
narcissism at
the end of
analysis?
Clinical Discussion
Twelve
case
constructions
presented by
twelve
clinicians,
each with a
discussant,
offered
diverse
conditions of
treatment,
location, age,
and clinical
structure.
Common themes
emerging
throughout the
weekend
included the
paradox of the
unchanged
nature of the
fantasy,
divorced from
time, and the
proliferation
of symptoms
and Super-ego
imperatives in
the 21st
century as
witnessed in
the
contemporary
clinic.
Participants
were surprised
to find 19th
and 20th
century
fathers,
mothers, and
subjects
veiled under
the discourse
produced by
the
capitalism,
science, and
its
corresponding
gadgets and
applications:
i.e. the
iPhone,
Tinder, and
the like.
However, no
less
surprising,
participants
found a
proliferation
of 21st
century
subjects,
indexed by
cases of
ordinary
psychosis
which were
marked by an
inability to
distinguish
and prove
neurotic
structures.
This was
supplemented
by cases of
hysterical and
obsessional
neurosis
dressed in new
guises. In all
cases,
discrete signs
of structure
and the lack
thereof led to
pertinent
questions and
considerations
regarding the
direction of
the treatment
related to
each subject’s
singularity.
In other
words, “so now
you have the
structure, but
what do you
do?” From a
certain
democratization
of the
analyst’s
position, to
the assumption
of the
position of
the Ego-ideal
as a necessary
maneuver to
avoid falling
into the
position of
the Super-ego,
each clinician
ably exposed
the knowledge
of their acts,
constructions,
and
interpretations.
Accordingly,
each clinician
and discussant
engaged in a
fine
construction
of the
handling,
doing, and
making of a
subject’s cure
for which each
is credited as
a practitioner
and
transmitter of
essential
psychoanalytic
findings that
will continue
to be pursued
and refined at
the next
Clinical Study
Days, the 10th,
that will take
place in
Miami.
Case Presentations
“Superintendent”:
Cyrus Saint
Amand
Poliakoff-Discussant:
Liliana
Kruszel;
“I am the
Dictator, the
Destroyer of
My Life”:
Pamela King
– Discussant:
Alicia Arenas;
“A Brilliant
Brain – I
Should (Must)
Shine”:
Francine
Danniau –
Discussant:
Jeff Erbe;
“Mental
Anorexia in
the Elderly:
A demand for
love”: Ellie
Ragland
– Discussant:
Nancy
Gillespie;
“Claustration”:
Jared Russell –
Discussant:
Pamela King;
“Feel Good! An
imperative to
excitement”:
Elizabeth
Rogers
– Discussant:
Maria Cristina
Aguirre;
“Performance
Demands in the
University: Is
the
Transferential
Relationship
Still
Possible?”:
Gary Marshall
– Discussant:
Pierre-Gilles
Guéguen;
“Little
Leo: From must
have, to may
be”:
An Bulkens
– Discussant:
Karina
Tenenbaum;
“Aunty Needle
Heel”:
Josefina
Ayerza-Discussant:
Fabio Azeredo;
“I’m Gonna Get
Them! (Quos
ego-!)”:
Michele
Julien-Discussant:
Tom Svolos;
“The father’s
demand”:
Stephanie
Swales-
Discussant:
Gary Marshall;
“To make a
stop”: John
Burton Wallace
V- Discussant:
Alicia Arenas.
John
Burton Wallace
V
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inscription: https://amp-nls.org/page/fr/42/sinscrire-nls-messager
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“an Seisiún” Irish Social Event of the NLS / Soirée Irlandaise de la NLS


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– 18 –
The “Borderline” Issue
Alan Rowan
Great Britain
The idea that psychosis could be ordinary, lucid, latent or normal and thus more or less compatible with everyday life was not such a strange idea to many early pioneers of psychiatry. For example, Eugene Bleuler spoke of latent schizophrenia as, “the most frequent form” adding “these people hardly ever come for treatment”. However if they do, one may discover Bleuler states, “concealed catatonic or paranoid symptoms” behind what in everyday life may pass as minor oddness, unusual moodiness or some discreet exaggerated behaviour or trait. Moreover he noted how a subject might be well aware that others do not share some of his beliefs and thus engage in what Bleuler termed “double book-keeping” by simply concealing – despite a sense of inner conviction -such thoughts from others, including of course their psychiatrist or therapist.
For reasons that are no doubt complex but certainly entail the need, as Foucault notes, to clearly segregate, socially discipline and treat “madness”, rationality and social capacity were soon seen as incompatible with psychosis, in stark contrast to De Clerambault’s idea that, in some instances at least, the psychotic can be a master of rational deduction. However, if subjective disturbances were in this way to be subject to psychiatric classification it was not possible to do away with forms of suffering that exceeded a neat categorisation of such disturbances into (florid) psychosis and neurosis. Thus the concept of the “borderline” emerged, first with Stern, and then more definitively with Kernberg whereby, thereafter, it became incorporated into psychiatric diagnosis as the “axis two” disorders of personality. Indeed the question of how to understand and treat so-called borderline disorders remains an on-going major theme within contemporary psychiatry (Bateman& Fonagy), even as the diagnosis itself is considered incoherent by many, given the extremely high levels of both internal and external comorbidity for all axis two disorders (Zimmerman & Mattia).
This wider context thus represents one potential way to situate our work programme on ordinary psychosis alongside the fact that for Lacan there exists a “differential clinic” – meaning that the treatment of repression/neurosis and psychosis necessitates a radical difference in approach. Up to this point Lacanian analysts saw the majority of “borderline patients” as having a psychotic structure and thus already had a theory grounded way to approach treatment – in contrast to IPA analysts – like Kernberg or Bateman, who struggled with pragmatic adaptations (e.g. avoid regression, genetic interpretations etc.) to so-called classical modes of interpretation. Today as we focus on this clinic of “discreet signs”, where language treats jouissance, we are thus confronted, as Laurent puts it, with the fact that: “What had been established … as a radical distinction between madness as a result of foreclosure and that which is not affected by foreclosure was now being displaced. Between neurosis and psychosis, which hitherto stood apart like two distinct continents, there emerged a passage of generalisation”. What is foregrounded here is not just that the first paternal metaphor of Lacan is one solution among others in terms of how the subject “knots” the Real, Symbolic and Imaginary but that there is no once and for all adequate solution that would do away with the problems of jouissance in life – with the fact that the “body event” always invariably exceeds its symbolic envelope. It is why today the end of analysis focuses not on some final interpretation but on the subject’s relation to his or her sinthome, on the isolation and reduction of the subject’s “jouissance program” to a question of S1’s.
At the same time, as Miller notes, this “excluded third” of ordinary psychosis is to be placed on the side of psychosis and thus differentiated from the “very definite structure” of neurosis – in Freudian terms the presence of an ego, superego and repressed unconscious. When this structure exists problems of jouissance are handled via this structure and in a way that allows the subject to remain, one could say, a character in their story – if inevitably one that will have its tragic dimension. It means that there is a binary difference between those subjects where object a, as cause of desire, is governed by a fantasy construction which ties jouissance to the Other and where this tie is absent.
In florid psychosis the subject proceeds by way of an often massive delusional work something that in ordinary psychosis is avoided. Typical indications from the so-called “borderline clinic” – paralyzing levels of dread or anxiety, a lack of mutuality, the urgency of impulses, the fear of annihilation with its arousal of aggression towards self or others etc. all suggest difficulties that exceed the category of neurosis. However, it is only via a clinic of “discreet signs” that go beyond phenomenological descriptions that we may feel confident in making a diagnosis. This points to a dimensions of our current work program which has potentially significant contemporary relevance to both psychiatry and the mental health field in general, with, it should be said, interesting links to the (largely forgotten) history of both.
Bateman, A. & Fonagy, P. (2004). Psychotherapy for Borderline Personality Disorders: mentalization-based treatment. Oxford University Press.
Bleuler, E. (1911). Dementia Praecox or the Group of Schizophrenias. International Universities Press, 1950.
De Clerambault, (1942). Oeuvres Psychiatrique. Universitaires de France.
Foucault, M. (1971). Madness and Civilization. Tavistock Press
Kernberg, O. (1967). Borderline Personality Organisation. Journal of the American Psychoanalytic Association, 15: 641-685.
Laurent, E. (2014). Lost in Cognition: Psychoanalysis and the Cognitive Sciences. Karnac Books, p. 4.
Miller, J-A. (2013). Ordinary Psychosis Revisited. Psychoanalytic Notebooks, Issue 26
Stern, A. (1938). Psychoanalytic investigation and therapy in borderline group of neuroses. Psychoanalytic Quarterly. 7: 467-489
Zimmerman, M.& Mattia, J. J. (1999). Axis 1 diagnostic comorbidity and borderline personality disorder. Comprehensive Psychiatry. 40: 245-252
Students (- 26 years old): 90 euro
Party/Dinner on Saturday evening: 50 euro
Congress Time: Saturday 9am – 6pm / Sunday 9am – 3pm.
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« En fin de compte, nous nous sommes mis sous le signe d’une sorte de clinique du capiton généralisé »[1].
« On parle de déclenchements quand il y a un contraste marqué entre l’avant et l’après. Ce n’est pas toujours le cas. Il y a là matière à construire une opposition style chêne et roseau. Quand il y a forclusion, et que le sujet élabore un pseudo-Nom-du-Père et un pseudo phallus de telle sorte que le cas se présente comme normal, le moment où ça craque, ça craque vraiment, on a le gouffre et tout le tremblement, etc. Disons que lorsque le symptôme est du modèle chêne, quand la tempête arrive le déclenchement est patent. Lorsque la structure tient plutôt sous l’aspect roseau, que le sujet a élaboré un symptôme en glissade, à la dérive, le cas ne prête pas à un franc déclenchement […] les psychoses ordinaires sont principalement de type roseau »[2].
« à partir du moment où les normes se diversifient, on est évidemment à l’époque de la psychose ordinaire. Ce qui est cohérent avec l’époque de l’Autre qui n’existe pas, c’est la psychose ordinaire »[3].
Jacques-Alain Miller
La psychose ordinaire, « c’est la psychose à l’époque de la démocratie […] Quand nous disons « psychose ordinaire », nous ne nous attachons plus seulement aux grandes exceptions qui ont constitué la clinique du regard et la première clinique psychanalytique »[4].
Eric Laurent
Extraits par Sophie Marret-Maleval
[1] La psychose ordinaire, la convention d’Antibes, in Paris Seuil, Agalma, col. Le Paon, collection dirigée par Jacques-Alain Miller, 1998, p. 275.
[2] Ibid., p. 276.
[3] Ibid., p. 260.
[4] Ibid., p. 259.
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