Difference between revisions of "Treatment"

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==Jacques Lacan==
 
==Jacques Lacan==
Although the term was inherited by [[psychoanalysis]] from medicine, it has acquired a specific [[meaning]] in [[Lacan]]ian [[psychoanalytic theory]] which is quite different from the way it is understood in medicine.
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The term has a specific meaning in [[psychoanalytic theory]] which is quite different from the way it is understood in [[psychiatry|medicine]].
  
==Aim of Treatment==
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The specific meaning of the term in [[psychoanalytic theory]] different from the way it is understood in [[psychiatry|medicine]].
In particular, the aim of [[psychoanalytic treatment]] is not seen [[Lacan]] as "healing" or "curing" people in the sense of producing a perfectly healthy [[psyche]].
 
  
==Clinical Structures "Incurable"==
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The term, inherited by [[psychoanalysis]] from [[psychiatry|medicine]], has acquired a different meaning from the way it was understood.
The [[clinical structure]]s of [[neurosis]], [[psychosis]] and [[perversion]] are seen as essentially "incurable," and the aim of [[analytic treatment]] is simply to lead the [[analysand]] to articulate his [[truth]].
 
  
==Structural Progression==
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===Cure===
==Analytic Process==
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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]].
[[Lacan]] argues that the [[treatment]] is a process with a definite direction, a [[structural]] [[progress]]ion with a beginning, middle, and end.
 
  
===Beginning===
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[[Structure|Clinical structures]], such as [[neurosis]], [[psychosis]] and [[perversion]] are essentially "incurable."
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 rule]].
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 +
The [[end of analysis|aim]] of [[treatment|psychoanalytic treatment]] is to lead the [[analysand]] to articulate this [[truth]].
 +
 
 +
===Structural Progression===
 +
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 rule]].
  
 
Following the initial consultation, a series of face-to-face preliminary interviews take place.  
 
Following the initial consultation, a series of face-to-face preliminary interviews take place.  
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These preliminary interviews have several aims.
 
These preliminary interviews have several aims.
  
# Firstly, they enable a properly [[psychoanalytic]] [[symptom]] to be constituted in place of the vague collection of complaints often brought by the [[patient]].  
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# They enable a properly [[psychoanalytic]] [[symptom]] to be constituted in place of the vague collection of complaints often brought by the [[patient]].  
# Secondly, they allow [[time]] for the [[transference]] to develop.  
+
# They allow [[time]] for the [[transference]] to develop.  
# Thirdly, 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]].
+
# 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===
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====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).  
 
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==
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====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]].  
 
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==
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===Desire of the Analyst and Resistance===
 
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]]).  
 
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]]).  
  
==Analyst==
 
 
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.
 
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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{{Also}}
 
{{Also}}
  
 +
==References==
 +
<references/>
  
[[Category:Psychoanalysis]]
 
[[Category:Jacques Lacan]]
 
[[Category:Dictionary]]
 
 
[[Category:Treatment]]
 
[[Category:Treatment]]
 
[[Category:Practice]]
 
[[Category:Practice]]
[[Category:Concepts]]
 
[[Category:Terms]]
 
 
{{OK}}
 
{{OK}}
  
 
__NOTOC__
 
__NOTOC__

Revision as of 04:25, 5 September 2006

French: cure

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 medicine.

The specific meaning of the term in psychoanalytic theory different from the way it is understood in medicine.

The term, inherited by psychoanalysis from medicine, has acquired a different meaning from the way it was understood.

Cure

In particular, the aim of psychoanalytic treatment is not to "heal" or "cure" the analysand, in the sense of developing a perfectly healthy psyche.

Clinical structures, such as neurosis, psychosis and perversion are essentially "incurable."

The aim of psychoanalytic treatment is to lead the analysand to articulate this truth.

Structural Progression

The treatment is a process with a definite direction, a structural progression 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 rule.

Following the initial consultation, a series of face-to-face preliminary interviews take place.

These preliminary interviews have several aims.

  1. They enable a properly psychoanalytic symptom to be constituted in place of the vague collection of complaints often brought by the patient.
  2. They allow time for the transference to develop.
  3. 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 patients).

Speech

As he free associates, the analysand works through the signifiers 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

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.

See Also

References