Psychosis

From No Subject - Encyclopedia of Psychoanalysis
Revision as of 16:08, 10 August 2006 by Riot Hero (talk | contribs)
Jump to: navigation, search

"psychosis" (Fr. psychose)

Sigmund Freud

The term psychosis arose in psychiatry in the nineteenth century as a way of designating mental illness in general.

During Freud's life, a basic distinction between psychosis and neurosis came to be generally accepted, according to which psychosis designated extreme forms of mental illness and neurosis denoted less serious disorders.

This basic distinction between neurosis and psychosis was taken up and developed by Freud himself in several papers.[1]

Jacques Lacan

Lacan's interest in psychosis predates his nterest in psychoanalysis.

Indeed it was his doctoral research, which concerned a psychotic woman whom Lacan calls Aimée that first led Lacan to psychoanalytic theory.[2]

It is often remarked that Lacan's debt to this patient is reminiscent of Freud's debt to his first neurotic patient's (who were also female).

In other words, whereas Freud's first approach to the unconscious sis by way of neurosis, Lacan's tortured and at times almsot incomprehensible style of writing and speaking to the discourse of psychotic patients.

Whatever one makes of such comparisons, it is clear that 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 The Psychoses.

It is here that he expounds what come to be the main tents of the Lacanian approach to madness.

Psychosis is defined as one of the three clinical structures, one of hwihc is defined by the operation of foreclosure.

In this operation, the Name-of-the-Father is not integrated in the symbolic universe of the psychotic (it is "foreclosed"), with the result that a hole is left in the symbolic order.

To speak of a hole in the symbolic order is not to say that the psychotic does not have an unconscious; on the contrary, in psychosis "the unconscious is present but not functioning."[3]

The psychotic structure thus results from a certain malfunction of the Oedipus complex, a lack in the paternal function; more specifically, in psychosis the paternal funciton is reduced to the image of the father (the symbolic is reduced to the imaginary).



---

The languge 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.[4]

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).[5]

  1. Freud, 1924b and 1924e
  2. Lacan, Jacques. p.1932.
  3. Lacan, Jacques. The Seminar. Book III. The Psychoses, 1955-56. Trans. Russell Grigg. London: Routledge, 1993. p.208
  4. Lacan, Jacques. The Seminar. Book III. The Psychoses, 1955-56. Trans. Russell Grigg. London: Routledge, 1993. p.92
  5. Lacan, Jacques. Écrits. Paris: Seuil, 1966. p.167