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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