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Treatment

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{{Top}}[[cure]]{{Bottom}}
==Practice of ==Psychoanalysis====
The term "[[treatment]]" designates the ''[[practice]]'' of [[psychoanalysis]] -- as opposed to the ''[[theory]]'' of [[psychoanalysis]].
==Jacques Lacan==The term has a specific [[meaning ]] in [[psychoanalytic theory]] which is quite different from the way it is [[understood ]] in [[psychiatry|medicine]].
The specific meaning of the term in [[psychoanalytic theory]] different from the way it is understood in [[psychiatry|medicine]]. The term, inherited by [[psychoanalysis]] from [[psychiatry|medicine]], has acquired a different meaning from the way it was understood. ===Cure=Aim====In [[particular]], the [[end of analysis|aim]] of [[treatment|psychoanalytic treatment]] is not to "heal" or "cure" the [[analysand]], in the [[sense ]] of developing a perfectly healthy [[psyche]].
[[Structure|Clinical structures]], such as [[neurosis]], [[psychosis]] and [[perversion]] are essentially "incurable."
The [[end of analysis|aim]] of [[treatment|psychoanalytic treatment]] is to lead the [[analysand]] to articulate this [[truth]].
===Structural Progression=Analytic Process====
The [[treatment]] is a [[progress|process]] with a definite direction, a ''[[structural]] [[progress]]ion'' with a beginning, middle, and end.
=====Beginning=====The ''beginning'', or "point of entry into the [[analytic ]] [[situation]]", is a ''contract'', or "''pact''", between the [[analyst]] and the [[analysand]] which includes the [[analysand]]'s agreement to abide by the [[fundamental ruleFundamental Rule]].
Following the initial consultation, a series of face-to-face preliminary interviews take [[place]].
These preliminary interviews have several aims.
# They enable a properly [[psychoanalytic]] [[symptom]] to be constituted in place of the vague collection of complaints often brought by the [[patient]].
# They allow [[time]] for the [[transference]] to develop.
# They permit the [[analyst]] to ascertain whether or not there is really a [[demand ]] for [[psychoanalysis]], and also to hypothesize [[about ]] the [[clinical]] [[structure]] of the [[analysand]].
=====Middle=====After the preliminary interviews, the [[treatment]] is no longer conducted face to face, but with the [[analysand]] reclining on a couch while the [[analyst]] sits behind him, out of the [[analysand]]'s field of [[vision ]] (the couch is not used in the [[treatment]] of [[psychotic]] [[patient]]s).
====Speech====As he [[free associates]], the [[analysand]] works through the [[signifier]]s that have determined him in his [[history]], and is driven by the very [[process ]] of [[speech]] itself to articulate something of his [[desire]].
===Desire of the Analyst and Resistance==End=====This is a [[dynamic ]] process which involves a [[conflict ]] between a force which [[drives ]] the [[treatment]] on (see [[transference]], [[desire of the analyst]]) and an opposing force which blocks the process (see [[resistance]]).
The [[analyst]]'s task is to direct this process (not to direct the [[patient]]), and to get the process going again when it gets stuck.
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