A Clinical Introduction to Lacanian Psychoanalysis: Theory and Technique

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Harvard University Press, Sep 15, 1999 - Psychology - 318 pages
The goal of my teaching has always been, and remains, to train analysts. --Jacques Lacan, Seminar XI, 209 Arguably the most profound psychoanalytic thinker since Freud, and deeply influential in many fields, Jacques Lacan often seems opaque to those he most wanted to reach. These are the readers Bruce Fink addresses in this clear and practical account of Lacan's highly original approach to therapy. Written by a clinician for clinicians, Fink's Introduction is an invaluable guide to Lacanian psychoanalysis, how it's done, and how it differs from other forms of therapy. While elucidating many of Lacan's theoretical notions, the book does so from the perspective of the practitioner faced with the pressing questions of diagnosis, what therapeutic stance to adopt, how to involve the patient, and how to bring about change. Fink provides a comprehensive overview of Lacanian analysis, explaining the analyst's aims and interventions at each point in the treatment. He uses four case studies to elucidate Lacan's unique structural approach to diagnosis. These cases, taking up both theoretical and clinical issues in Lacan's views of psychosis, perversion, and neurosis, highlight the very different approaches to treatment that different situations demand.

From inside the book

Contents

DESIRE IN ANALYSIS
3
ENGAGING THE PATIENT IN THE THERAPEUTIC PROCESS
11
THE ANALYTIC RELATIONSHIP
28
INTERPRETATION OPENING UP THE SPACE OF DESIRE
42
THE DIALECTIC OF DESIRE
50
DIAGNOSIS AND THE POSITIONING OF THE ANALYST
73
A LACANIAN APPROACH TO DIAGNOSIS
75
PSYCHOSIS
79
PERVERSION
165
PSYCHOANALYTIC TECHNIQUE BEYOND DESIRE
203
FROM DESIRE TO JOUISSANCE
205
AFTERWORD
218
A NOTE ON DOCUMENTATION
223
NOTES
224
RECOMMENDED READING
280
INDEX
289

NEUROSIS
112

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Page 40 - The unconscious impulses do not want to be remembered in the way the treatment desires them to be, but endeavour to reproduce themselves in accordance with the timelessness of the unconscious and its capacity for hallucination. Just as happens in dreams, the patient regards the products of the awakening of his unconscious impulses as contemporaneous and real; he seeks to put his passions into action without taking any account of the real situation.
Page 40 - This struggle between the doctor and the patient, between intellect and instinctual life, between understanding and seeking to act, is played out almost exclusively in the phenomena of transference. It is on that field that the victory must be won.
Page 40 - It is undeniable that in his endeavor to emerge victorious over the transference phenomenon the psychoanalyst is faced with the greatest difficulties, but it should not be forgotten that it is just these difficulties that render us 1 Freud, " Zur Dynatnik der Ubertragung," Zentralblatt fur P.-A., Jahrg.
Page 40 - It cannot be disputed that controlling the phenomena of transference presents the psycho-analyst with the greatest difficulties. But it should not be forgotten that it is precisely they that do us the inestimable service of making the patient's hidden and forgotten erotic impulses immediate and manifest. For when all is said and done, it is impossible to destroy anyone in absentia or in effigie.
Page 271 - Oh, then I'll just go downstairs and sleep with Mariedl." MOTHER: "You really want to go away from Mummy and sleep downstairs?" HANS: "Oh, I'll come up again in the morning to have breakfast and do number one.
Page 255 - The oldest and best meaning of the word "unconscious" is the descriptive one; we call "unconscious" any mental process the existence of which we are obliged to assume — because, for instance, we infer it in some way from its effects — but of which we are not directly aware.
Page 77 - If you take up a theoretical point of view and disregard this matter of quantity, you may quite well say that we are all ill — that is, neurotic — since the preconditions for the formation of symptoms can also be observed in normal people
Page 3 - How many psychiatrists does it take to change a light bulb? — Only one, but the light bulb has to really want to change.
Page 227 - Do you know that I am here for the last time to-day ? ' — ' How can I know, as you have said nothing to me about it ? ' —
Page 71 - For when all is said and done, it is impossible to destroy anyone in absentia or in effigie [Freud, 1912, p.

About the author (1999)

Bruce Fink is Professor of Psychology at Duquesne University and a practicing psychoanalyst. He is the author of The Lacanian Subject: Between Language and Jouissance, the coeditor of two collections of papers on Jacques Lacan, and the translator of Lacan's Seminar XX, Seminar VIII,and Ecrits (new complete edition).

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