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Phobia

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A [[phobia]] is usually defined in [[psychiatry]] as an extreme '''[[fear]]''' of a [[particular]] [[object]] (such as an [[animal]]) or a particular [[situation]] (such as leaving the home).
Those who suffer from a phobia (phobie) A phobia is usually defined [[experience]] [[Anxiety]] if they [[encounter]] the phobic object or are placed in psychiatry the feared situation, and develop 'avoidance strategies' so as an extremeto prevent this from happening.
fear of a particular object (such as an animal) or a particular situation (such asThese avoidance strategies may become so elaborate that the [[subject]]'s [[life]] is severely restricted.
leaving the home). Those who suffer from a phobia experience [[Anxiety]] if they---
encounter [[Freud]]'s most important contribution to the phobic object or are placed in the feared situation, and developstudy of phobias concerned a young boy whom he dubbed Little [[Hans]].
'avoidance strategies' so as Shortly before his fifth birthday, Hans developed a violent fear of horses and became unwilling to prevent this from happeninggo outdoors lest he encounter one in the street. These avoidance
strategies may become so elaborate that In his [[case]] study of Hans, Freud distinguished between the subject's life is severely restrictedinitial onset of anxiety (which was not attached to any object) and the ensuing fear which was focused specifically on horses; only the latter constituted the phobia proper.
Freud's most important contribution to argued that the study anxiety was the transformation of phobias concerned a[[sexual]] excitement generated in Hans by his [[relationship]] with his [[mother]], and that the horses represented his [[father]] who Hans feared would punish him.<ref>{{SF}} 1909b</ref>
young boy whom he dubbed Little Hans. Shortly before his fifth birthday, Hans---
developed [[Lacan]], in his [[seminar]] of 1956-7, offers a violent fear detailed [[reading]] of horses the case of [[Little Hans]], and became unwilling to go outdoors lest heproposes his own view of phobia.
encounter one in Following Freud, he stresses the [[difference]] between phobia and anxiety: anxiety appears first, and the streetphobia is a defensive [[formation]] which turns the anxiety into fear by focusing it on a specific object. In his case study of Hans<ref>{{S4}} pp. 207, Freud distinguished400</ref>
between However, rather than [[identifying]] the initial onset phobic object as a [[representative]] of the father, as Freud does, Lacan argues that the fundamental characteristic of anxiety (which was the phobic object is that it does not attached to any object) andsimply [[represent]] one person but represents different [[people]] in turn.<ref>{{S4}} pp. 283-8</ref>
Lacan points out the ensuing fear extremely diverse ways in which was focused specifically on horsesHans describes the feared horse at different moments of his phobia; only the latterfor example, at one point Hans is afraid that a horse will bite him and at [[another]] [[moment]] that a horse will fall down.<ref>{{S4}} p. 305-6</ref>
constituted At each of these different moments, Lacan argues, the phobia properhorse represents a different person in Hans's life. Freud argued that the anxiety was the transfor-<ref>{{S4}} p. 307</ref>
mation The horse thus functions not as the equivalent of sexual excitement generated a sole [[signified]] but as a [[signifier]] which has no univocal [[sense]] and is [[displaced]] onto different signifieds in Hans by his relationship with histurn<ref>{{S4}} p. 288</ref>
mother, and that the horses represented his father who Hans feared would---
punish him (FreudLacan argues that Hans develops the horse phobia because his [[Real]] father fails to intervene as the [[agent]] of [[castration]], 1909b)which is his proper [[role]] in the [[Oedipus Complex]].<ref>{{S4}} p. 212</ref>
Lacan, When his [[sexuality]] begins to make itself felt in his seminar of 1956-7[[infantile]] [[masturbation]], offers a detailed reading of the case [[preoedipal]] [[triangle]] (mother-[[child]]-[[Imaginary]] [[phallus]]) is transformed from [[being]] Hans's source of[[enjoyment]] into something that provokes anxiety in him.
Little The [[intervention]] of the [[Real]] father would have saved Hansfrom this anxiety by [[Symbolic]]ally [[castrating]] him, and proposes his own view but in the [[absence]] of this intervention Hans is [[forced]] to find a [[substitute]] in the phobia. Following Freud, he stresses
The phobia functions by using an [[Imaginary]] object (the difference between phobia horse) to reorganise the [[Symbolic]] [[world]] of Hans and anxiety: anxiety appears firstthus [[help]] him to make the passage from the [[Imaginary]] to the [[Symbolic]] [[order]]<ref>{{S4}} pp. 230, 245-6, and the284</ref>
Far from being a purely [[negative]] phenomenon, then, a phobia makes a [[traumatic]] situation thinkable, livable, by introducing a [[symbolic]] [[dimension]], even if it is only a defensive formation which turns the anxiety into fear by focusingprovisional solution.<ref>{{S4}} p. 82</ref>
it on a specific object (S4, 207, 400). However, rather than identifying the---
The phobic object is thus an [[Imaginary]] element which is able to function as a representative of the father, as Freud does, Lacan argues that the fundamental characteristic of the phobic object is that it does not simply signifier by being used to represent one person but represents different people in turn (S4, 283-8). Lacan points out the extremely diverse ways every possible element in which Hans describes the feared horse at different moments of his phobia; for example, at one point Hans is afraid that a horse will bite him and at another moment that a horse will fall down (S4, 305-6). At each of these different moments, Lacan argues, the horse represents a different person in Hanssubject's life (S4, 307). The horse thus functions not as the equivalent of a sole signified but as a signifier which has no univocal sense and is displaced onto different signifieds in turn (S4, 288)world.
Lacan argues that For Hans develops , the horse phobia because represents at different moments his [[Real]] father fails to intervene as the agent of castration, which is his proper role in the OEDIPUS COMPLEx (S4mother, his little sister, 212). When his sexuality begins to make itself felt in infantile masturbationfriends, the preoedipal triangle (mother-child-[[Imaginary]] phallus) is transformed from being Hans's source of enjoyment into something that provokes anxiety in him. The intervention of the [[Real]] father would have saved Hans from this anxiety by [[Symbolic]]ally castrating himhimself, but in the absence of this intervention Hans is forced to find a substitute in the phobia. The phobia functions by using an [[Imaginary]] object (the horse) to reorganise the [[Symbolic]] world of Hans and thus help him to make the passage from the [[Imaginary]] to the many [[Symbolicother]] order (S4, 230, 245-6, 284)things besides. Far from being a purely negative phenomenon, then, a phobia makes a traumatic situation thinkable, livable, by introducing a [[Symbolic]] dimension, even if it is only a provisional solution (<ref>{{S4, 82)}} p.307</ref>
The phobic object is thus an In the [[Imaginaryprocess]] element which is able to function as a signifier by being used to represent every possible element in the subject's world. For Hans, the horse represents at different moments his father, his mother, his little sister, his friends, himself, and many other things besides (S4, 307). In the process of developing all the permutations possible around 'the signifying crystal of his phobia', little Hans was able to exhaust all the impossibilities that blocked his passage from the [[Imaginary]] to the [[Symbolic]] and thus find a solution to the [[impossible ]] by recourse to a signifying equation (.<ref>{{E, }} p. 168). In other words, a phobia plays exactly the same role which Claude LÈvi-Strauss assigns to myths, only on the level of the individual rather than of society. What is important in the myth, argues LÈvi-Strauss, is not any 'natural' or 'archetal' meaning of the isolated elements which make it up, but the way they are combined and re-combined in such a way that while the elements change position, the relations between the positions are immutable (LÈvi-Strauss, 1955). This repeated re-combination of the same elements allows an impossible situation to be faced up to by articulating in turn all the different forms of its impossibility (S4, 330).</ref>
What are the practical consequences of Lacan's theory in the treatment of subjects who suffer from phobias? Rather than simply desensitising the subject (as in behavioural therapy)In other [[words]], or simply providing an explanation of a phobia plays exactly the phobic object (e.g. 'the horse is your father')same role which Claude LÈvi-[[Strauss]] assigns to [[myths]], only on the treatment should aim at helping the subject to work through all the various permutations involving the phobic signifier. By helping the subject to develop level of the [[individual myth in accordance with its own laws, the treatment enables him finally to exhaust all the possible combinations ]] rather than of signifying elements and thus to dissolve the phobia (S4, 402)[[society]].
(It should be borne What is important in mind that Lacanthe [[myth]], argues [[Lévi-Strauss]], is not any '[[natural]]' or 'archetal's discussion [[meaning]] of the case of Little Hans only explicitly addresses isolated elements which make it up, but the way they are combined and re-combined in such a way that while the question of childhood phobiaselements [[change]] [[position]], and leaves open the question of whether these remarks also apply to adult phobiasrelations between the positions are immutable.<ref>Lévi-Strauss.)1955</ref>
As Freud himself noted in his case study This repeated re-combination of Little Hans, phobias had not previously been assigned any definite position in psychiatric nosographies. He attempted to remedy this uncertainty surrounding the classification of phobia, but his proposed solution is prey same elements allows an impossible situation to a certain ambiguity. On the one hand, since phobic symptoms can be found among both neurotic and psychotic subjects, Freud argued that phobias could not be regarded as an 'independent patholo- gical process' (Freud, 1909b: SE X, l15). On the other hand, in the same work Freud did isolate a particular form of neurosis whose central symptom is a phobia. Freud called this new diagnostic category 'anxiety hysteria' in order to distinguish it from 'conversion hysteria' (which Freud had previously referred faced up to simply as 'hysteria'). Freud's remarks are thus ambiguous, implying that phobia can be both a symptom and an underlying clinical entity.The same ambiguity is repeated by articulating in Lacan's works, where turn all the question is rephrased in terms different forms of whether phobia is a symptom or a its [[Structureimpossibility]]. Usually, Lacan distinguishes only two neurotic structures (hysteria and obsessional neurosis), and describes phobia as a symptom rather than a structure (<ref>{{S4, 285). However, there are also points in Lacan's work where he lists phobia as a third form of neurosis in addition to hysteria and obsessional neurosis, thus implying that there is a phobic structure (e.g. E, 321); in 1961, for example, he describes phobia as 'the most radical form of neurosis' (S8, 425)}} p. The question is not resolved until the seminar of 1968-9, where Lacan states that One cannot see in it [phobia] a clinical entity but rather a revolving junction [plaque tournante], something that must be elucidated in its relations with that towards which it usually tends, namely the two great orders of neurosis, hysteria and obsessionality, and also the junction which it [[Real]]ises with perversion. (Lacan, 1968-9, quoted in Chemama, 1993: 210)330</ref>
Thus phobia is not, according to Lacan, a clinical structure on the same level as hysteria and obsessional neurosis, but a gateway which can lead to either of them and which also has certain connections with the perverse structure. The link with perversion can be seen in the similarities between the fetish and the phobic object, both of which are [[Symbolic]] substitutes for a missing element and both of which serve to structure the surrounding world. Furthermore, both phobia and perversion arise from difficulties in the passage from the [[Imaginary]] preoedipal triangle to the [[Symbolic]] Oedipal quaternary.---
What are the [[practical]] consequences of Lacan's [[theory]] in the [[treatment]] of [[subjects]] who suffer from phobias? Rather than simply desensitising the subject (as in behavioural [[therapy]]), or simply providing an explanation of the phobic object (e.g. 'the horse is your father'), the treatment should aim at helping the subject to [[work]] through all the various permutations involving the phobic signifier.
By helping the subject to develop the individual myth in accordance with its own laws, the treatment enables him finally to exhaust all the possible combinations of signifying elements and thus to dissolve the phobia.<ref>{{S4}} p. 402</ref>
---
(It should be borne in [[mind]] that Lacan's [[discussion]] of the case of Little Hans only explicitly addresses the question of [[childhood]] phobias, and leaves open the question of whether these remarks also apply to [[adult]] phobias.) --- As Freud himself noted in his case study of Little Hans, phobias had not previously been assigned any definite position in [[psychiatric]] nosographies.  He attempted to remedy this uncertainty surrounding the classification of phobia, but his proposed solution is prey to a certain ambiguity.  On the one hand, since phobic [[symptoms]] can be found among both [[neurotic]] and [[psychotic]] subjects, Freud argued that phobias could not be regarded as an 'independent pathological process'.<ref>Freud, 1909b: SE X, l15</ref> On the other hand, in the same work Freud did isolate a particular [[form]] of [[neurosis]] whose central [[symptom]] is a phobia.  Freud called this new diagnostic [[category]] 'anxiety [[hysteria]]' in order to distinguish it from 'conversion hysteria' (which Freud had previously referred to simply as 'hysteria').  Freud's remarks are thus ambiguous, implying that phobia can be both a symptom and an underlying [[clinical]] entity. The same ambiguity is repeated in Lacan's works, where the question is rephrased in [[terms]] of whether phobia is a symptom or a [[structure]].  Usually, Lacan distinguishes only two neurotic [[structures]] (hysteria and [[obsessional]] neurosis), and describes phobia as a symptom rather than a structure.<ref>{{S4}} p. 285</ref>  However, there are also points in Lacan's work where he lists phobia as a [[third]] form of neurosis in addition to hysteria and [[obsessional neurosis]], thus implying that there is a phobic structure;<ref>{{E}} p. 321</ref>; in 1961, for example, he describes phobia as "the most radical form of neurosis."<ref>{{S8}} p. 425</ref>  The question is not resolved until the seminar of [[1968]]-9, where Lacan states that One cannot see in it [phobia] a clinical entity but rather a revolving junction [plaque tournante], something that must be elucidated in its relations withthat towards which it usually tends, namely the two great [[orders]] of neurosis, hysteria and obsessionality, and also the junction which it realises with [[perversion]].<ref>{{JL}} 1968-9</ref> --- Thus phobia is not, according to Lacan, a [[clinical structure]] on the same level as hysteria and obsessional neurosis, but a gateway which can lead to either of [[them]] and which also has certain connections with the [[perverse]] structure.  The link with perversion can be seen in the similarities between the [[fetish]] and the phobic object, both of which are [[symbolic]] substitutes for a [[missing]] element and both of which serve to structure the surrounding world.  Furthermore, both phobia and perversion arise from difficulties in the passage from the [[imaginary]] preoedipal triangle to the [[symbolic]] [[Oedipal]] [[quaternary]].  == References ==<div style="font-size:11px" class="references-small">
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