From a lacanian orientation, the relation between ‘treatment’, ‘coaching’ and ‘care’ is questioned in case of what one calls ‘long term care’. This question is approached from the perspective of a case study. A young man accuses himself constantly of not adapting enough to society and even of attacking society. His attempts to find a solution though, are situated both in his failure and his singular answers to this failing, as well as in his self-incrimination about his failure. Indeed, the real problem is neither the lack of adaptation nor the self-incrimination, but the feminine enjoyment that he is confronted with, over and over again. Theoretically, Lacan’s conceptualization of the symptom as a knotting element forms the framework.
Object and Symptom in Sergei Pankejev. Part 1: A Special Case of “Obsessional Neurosis”. Prelude to a Topological Reading
This article is the first part of a twofold contribution in which the case of Sergei Pankejev or Freud’s “Wolf Man” is reread from a topological point of view. In this first part, it is proposed that diagnosis of this case as either a neurotic or a psychotic structure from a Freudian or a classical Lacanian point of view inevitably leads to a dead-end. Instead the author makes use of the notion of “ordinary psychosis” from a topological point of view (knot theory). It is hypothesized that we see a disconnection of the Other in the initial stages of the mental illness followed by a manifest psychosis in the later period. Via this disconnection, the Wolf Man made use of a series of “neurotic”-like symptoms that helped him to avoid the triggering of the psychosis. The question of which symptoms he made use of will be treated in the second part of this case study.
In the first part of this contribution on Sergei Pankejev (Freud’s Wolf Man), the author proposed the hypothesis that the Wolfman avoided a psychotic breakthrough via a series of (seemingly “neurotic”) symptoms. This article investigates the nature and topological logic of these symptoms. Three distinct groups of symptoms are identified. Each group is situated on another cutting point in the knot that links the Real, the Symbolic and the Imaginary. A recurring element is the extraction of the anal object a as an answer to the feminine jouissance, the exact status of which is examined in detail. This leads to the formulation of new hypotheses related to the triggering moments of psychosis in the case of Pankejev.
The subject of this article is the body within the clinic of neurosis. A chronological summary of Jacques Lacan’s theory of the body is presented and some crucial clinical implications are highlighted. Throughout Lacan’s teaching, the Imaginary, Symbolic and the Real respectively are of primary importance in the construction of the body’s reality. The body is a bodily image that is construed in the field of the Other in response to the fragmentation of the Real drive. Thus the author will argue that the body is the main feature in Lacanian ontology: psychological reality is constructed simultaneously with bodily reality. Therefore, subject and body cannot and should not be separated in the clinic. This point will be illustrated by two case studies. The case of Pirandello’s novel One, No One and One Hundred Thousand (2001) shows that the subject is first and foremost a bodily subject; whereas the case of Alessandro provides a clear illustration of the fact that the body is a subjective body that has to be treated and listened to as such. As an introduction to the second case, the author will briefly deal with the works of Jean Bergès and Julian de Ajuriaguerra.