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{{TopToppp}}psychose]]|-|| [[German]]: ''[[Psychose{{Bottom}}
[[Psychosis]] is a nosological [[category]] distinct from [[neurosis]] and [[perversion]]. It is brought [[about]] by the [[foreclosure]] of a primordial [[signifier]], the [[Name-of-the-Father]].
# A [[particular]] relation to reality
# A special relation of the subject to his [[speech]];
# A particular structure of the subject
-->
==Sigmund Freud==
It is [[true]] that Freud had found that the [[discourse]] of the psychotic and the apparently bizarre and meaningless phenomena of psychosis could be deciphered and [[understood]], just as [[dreams]] can. Freud's [[analysis]] of the psychotic [[Schreber]]'s memoirs thus broke with contemporary approaches to psychosis, which regarded psychotics as beyond the limits of [[understanding]] (Freud, 1951).
However, as Lacan points out, the fact that the psychotic's discourse is just as interpretable as that of the neurotic leaves the two disorders at the same level and fails to account for the major differences between [[them]], thus the [[distinction]] between the two remains to be explained. It is around this issue of the different mechanisms in psychosis and neurosis that Lacan's major contribution to the study of psychosis revolves.
Freud claims that in both neurosis and psychosis there is a [[withdrawal]] of investment, or [[object]]-[[cathexis]], from [[objects]] in the [[world]]. In the [[psychoanalysiscase]]of neurosis the object-cathexis is retained, howeverbut is invested in fantasized objects in the neurotic's [[internal]] world. In the case of psychosis the withdrawn cathexis is invested in the ego at the expense of all object-[[cathexes]], "even in [[fantasy]]. This turning of [[libido]] upon the ego accounts for [[symptoms]] such as [[hypochondria]] and megalomania. The delusional [[system]], the most striking feature of psychosis, arises in a second [[stage]]" is . Freud characterizes the [[construction]] of a delusional system as an attempt at recovery in which the psychotic re-establishes a new, often used to describe very intense, relation with the people and things in the world by way of a ''severe'' form of '''mental illness'', while "'''delusional [[neurosisformation]]'''" is used to describe ''less severe'' forms.
==Jacques Lacan==
===History===
[[Lacan]] discussed [[psychosis]] throughout his [[Jacques Lacan:Bibliography|work]]. His interest in [[psychosis]] predates his interest in [[psychoanalysis]]. [[Jacques Lacan]] studied [[psychosis]] for his doctoral research about a [[woman]] he calls "[[Aimee]]."<ref>{{1932}}</ref> Indeed it was his doctoral research, which concerned a [[psychotic]] [[woman]] whom [[Lacan]] calls [[Aimée]] that first led [[Lacan]] to [[psychoanalytic theory]].<ref>{{1932}}</ref> It is common to compare [[Lacan]]'s tortured and at [[times]] almost incomprehensible style of [[writing]] and speaking to the discourse of [[psychotic]] [[patient]]s. [[Lacan]]'s discussions of [[psychosis]] are among the most significant and original aspects of his [[work]]. [[Lacan]]'s most detailed [[discussion]] of [[psychosis]] appears in his [[seminar]] of 1955-6, entitled simply ''[[Seminar III|The Psychoses]]''. It is here that he expounds what come to be the main tenets of the [[Lacan]]ian approach to [[madness]].
===Clinical Structure===[[FreudPsychosis]] developed a distinction between is defined as one of the three [[clinical structure]]s, one of which is defined by the operation of [[foreclosure]]. In this operation, the [[Name-of-the-Father]] is not integrated in the [[symbolic order|symbolic universe]] of the [[psychotic]] (it is "'''[[neurosisforeclosed]]'''" and "), with the result that a [[hole]] is [[left]] in the [[symbolic order]]. To [[speak]] of a [[lack|hole]] in the [[psychosissymbolic order]]" which is basic not to say that the [[psychotic]] does not have an [[psychoanalysisunconscious]]; on the contrary, according to which in [[psychosis]] "the unconscious is [[psychosispresent]]but not functioning." denotes <ref>{{S3}} p. 208</ref> The [[psychotic]] [[structure]] thus results from a ''serious'' type certain malfunction of '''mental illness''' and "'''the [[neurosisOedipus complex]]'''" , a ''less serious'' type [[lack]] in the [[paternal function]]; more specifically, in [[psychosis]] the [[paternal function]] is reduced to the [[image]] of '''mental illness'''the [[father]] (the [[symbolic]] is reduced to the [[imaginary]]).
===The Psychotic Relation to Reality===
In his articles on [[psychosis]] [[Freud]] noted the [[psychotic]]'s altered relation to [[reality]]. The 'imaginary [[external]] world' of a psychosis attempts to put itself in [[place]] of the 'external world'. (In Lacanian [[terms]], there are altered relations between [[the Imaginary]] and Real Orders, in parallel with an alteration in [[the Symbolic]] Order).
In studying [[psychosis]] Lacan stated, following [[Freud]], that "the problem lies not in the reality that is lost, but in that which takes its place."<ref>{{E}} p. 188-9</ref> Lacan emphasized the 'rent' or [[gap]] that appears in the relation of the psychotic subject to the world, and the nature of the 'patch' which the psychotic subject applies over this gap.<!-- =====Ego=Psychotic Phenomena====--><!-- In [[Lacan]]ian [[Freudpsychoanalysis]] it is important to distinguish between [[psychosis]], which is a [[clinical structure]], and [[psychotic]] phenomena such as [[delusions]] and [[hallucinations]]. Two [[conditions]] are required for psychotic phenomena to emerge: the [[subject]] must have a [[psychotic]] [[structure]], and the [[Name-of-the-Father]] must be "called into symbolic opposition to the subject."<ref>{{E}} p. 217</ref> In the [[absence]] of the first condition, no confrontation with the paternal signifier will ever lead to psychotic phenomena; a [[neurotic]] can never "become psychotic."<ref>{{S3}} p. 15</ref> In the [[absence]] of the second condition, the [[psychotic]] [[structure]] will remain [[latent]] argues . It is thus conceivable that a [[subject]] may have a [[psychotic]] [[structure]] and yet never develop [[delusions]] or [[experience]] [[hallucination]]s. When both '''conditions are fulfilled, the [[psychosis]] is "triggered off," the latent [[psychosis]] becomes [[manifest]] in [[neurosishallucination]]''' s and /or [[delusions]]. --><!-- ==[[Borromean Knot]]== --><!-- In the 1970s [[Lacan]] reformulates his approach to [[psychosis]] originate around the [[notion]] of the [[borromean knot]]. The three rings in a conflict between the [[egoknot]] [[represent]] the three [[orders]]: the [[real]], the [[symbolic]] and other agencies of the [[psycheimaginary]]. While in [[neurosis]] these three rings are linked together in a particular way, in [[psychosis]] they become disentangled. This [[psychotic]] disassociation may sometimes however be avoided by a [[sinthome|symptomaatic formation]] which [[acts]] as a fourth ring holding the [[other]]three together.-->
<!-- =====Jacques Lacan=Language Disorders====--><!-- The [[language]] phenomena most notable in [[psychosis]] are ''disorders'' of [[language]], and [[Lacan]] argues that the [[presence]] of such disorders is a necessary condition for a diagnosis of [[psychosis]].<ref>{{S3}} p. 92</ref> Among the psychotic language disorders which Lacan draws attention to are holophrases and the extensive use of neologisms (which may be completely new [[words]] coined by the psychotic, or already existing words which the psychotic redefines).<ref>{{Ec}} p. 167</ref> In [[{{Y}}|1956]], [[Lacan]] attributes these [[language]] disorders to the [[psychotic]]'s [[lack]] of a sufficient [[number]] of ''[[points de capiton]]''. --><!-- The lack of sufficient ''[[points de capiton]]'' means that the psychotic experience is characterized by a constant [[slippage]] of the [[signified]] under the signifier, which is a disaster for [[signification]]; there is a continual "cascade of reshapings of the signifier fromw hich the increasing disaster of the imaginary proceeds, until the level is reached at which signifier and signified are stablized in the delusional [[metaphor]]."<ref>{{E}} p. 217</ref> [[Another]] way of describing this is as "a [[relationship]] between the subject and the signifier in its most [[formal]] [[dimension]], in its dimension as a pure signifier."<ref>{{S3}} p. 250</ref> This relationship of the subject to the signifier in its purely formal aspect constitutes "the nucleus of psychosis."<ref>{{S3}} p.250</ref> "If the neurotic inhabits language, the psychotic is inhabited, possessed, by language."<ref>{{S3}} p. 250</ref> -->
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