Some reflections on urgency, crisis and psychiatry

Some reflections on urgency, psychiatry and the position of the analyst are the main themes of this article. First of all he takes an historical detour via the figure of Gia¬como Casanova. With his work Ma voisine, la postérité the author compares a medical emergency with the sort of crisis intervention inspired by psychoanalysis. In the second part of the article a crisis is viewed as a place of rime/rhyme – crisis as a frozen discourse of the subject, beyond the deceptive glitter. Concepts from Lacan’s seminar on transfer¬ence and from Winnicott are used to support this view. The goal of this article is to argue in favour of a place for the odd (anti-rhyme) in the work with subjects in crisis. This in¬fluences the position of the analyst.

“The Body is a time-bomb”: Urgency and crisis in the transition from youth to adulthood

This article poses three related questions on the basis of a clinical example of a psychotic young man who develops a suicidal crisis.First of all there is the question of the cause of this crisis, at a moment when the subject makes the transfer from school life to ‘adult life’. A particular fragility (and the inability of others to recognize this) seems to cause this crisis. Secondly: what is the goal of clinical work in a psychiatric setting? It is clear that we must support the solutions of the subject itself, instead of focusing on our ideology of therapeutic objectives and workplans. Thirdly, what is the relationship between remedial education and psychoanalysis? An educational/corrective approach is completely incompatible with the ethics of psychoanalysis. The question of whether a reciprocal influence is possible is posed throughout the article which, amongst other things, problematizes the concept of “school”.

“Suddenly, they appear…”: On genuine, small and other Freudian case-studies

Reflecting on the three symposia recently organised by Idesça in cooperation with the Gezelschap voor Psychoanalyse en Psychotherapie, the author queries the status of so-called “small case-studies”. With reference to (i) his own clinical experience; (ii) so-called small Freudian case-studies (in contrast with Freud’s case-studies of Dora, The Ratman, The Wolfman, Little Hans and Schreber); and (iii) the short stories of the Belgian writer Peter Verhelst (Mondschilderingen [“mouth paintings”] (2002)), it is argued that a small Freudian clinical fragment bears witness to (i) the enigmatic presence of the clinician with respect to the sudden appearance of the unconscious; (ii) the use of a certain style and a certain measure; (iii) the circumvention of imaginary reality; and (iv) the clinical structure of fantasy.

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Anna G. & Sigmund Fr.: There is no Sexual Relationship. The Use of Freud’s (Counter)transference and the Question of Femininity

The publication of the diary of Anna G. has provided a new resource for the examination of the course of a psychoanalytic cure with Freud. The way in which Freud handled the (counter)transference and its effect on the femininity of his analysand is examined by analysing the diary as a form of free association. This method will allow us avoid the pitfalls of most other commentators. A slip of the tongue of the analysand (concerning Schnitzler’s Die Hirtenflöte) seems to hold the key to the transference in this cure.

Free association: talk! … and the other side?

In this article the author tries to problematize and to specify the place of free association within the psychoanalytic cure: this (free?) talking is fundamental to the psychoanalytic method. The starting point is the investigation of some problems in clinical practice, where the drive or jouissance appears in the act of speaking (or in the refusal to talk) – beyond the dimension of the signifier. This is the background for an investigation of the works of Freud and Lacan. First we try to specify the origin of the technique in Freuds works. Then we focus on Lacan’s reworking: from ‘saying everything’ to ‘say wathever comes to mind, say stupid things without hesitation’. The advantage of the latter is that it clarifies the connection between talking and the economy of pleasure or jouissance. This provides an opportunity to answer our questions in a new way. The accent shifts to the ethics of psychoanalysis and the psychoanalytic act.

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