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It is the subject of his first major work, his doctoral dissertation.<ref>{{1932}}</ref>  In this work, [[Lacan]] discusses a [[psychotic]] [[woman]] whom he calls "[[Aimée]]", whom he diagnoses as suffering from "[[paranoia|self-punishment paranoia]]" (''[[paranoïa d'autopunition]]'') - a new [[structure|clinical structure]] proposed by [[Lacan]] himself.

[[Lacan]] returns to the [[subject]] of [[paranoia]] in his [[seminar]] of 1955-6, [[Seminar III|The Psychoses]] which he devotes to a sustained commentary on the [[Schreber]] [[case]].   [[Lacan]] finds [[Freud]]'s [[theory]] about the [[homosexual]] roots of [[paranoia]] inadequate and proposes instead his own [[theory]] of [[foreclosure]] the specific [[mechanism]] of [[psychosis]].