Diagnosis in Lacan (1 of 6): An Introduction
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- čas přidán 28. 06. 2024
- Lacan does not approach diagnosis via symptoms bur rather via a consideration of the predominant structure underlying the subject's existential stance. In this respect, Lacanian psychoanalysis differs dramatically from the checkbox diagnosis-by-symptoms approach. The three structures that Lacan foregrounds (neurosis, psychosis and perversion) are each based on a primary mode of defense (repression, foreclosure and disavowal, respectively). These modes of defense are not, as it were, 'add ons' to the subject. Rather, the subject emerges as such via the prominence of one or other mode of defense. We ask though: is this an overly categorical, even objectifying, approach to diagnosis?
Link to board:
drive.google.com/drive/folder...
As a clinician, the articulation presented here is invaluable and bears frequent reminding
Many thanks for your comment. The challenge is always to link the theory of Lacanian Psychoanalysis to instances of clinical practice.
Hi, I'm a lacanian clinician based on Italy. I love Bruce Fink work and this video is great as well! Very clear and brilliantly exposed. Thanks for you work
Being unable to understand entirely Stijn Vanheule's work about Lacanian psychoanalysis, I appreciate your great lectures as a merely literature student.
Hi Derek, thanks for the great lectures about Diagnosis in Lacan, I have really enjoyed them :)
I love the questions you bring up to stimulate my thinking, and the examples you use to clarify things. Your passion and engagement is very much valued. Thanks Derek.
Hi Derek, hope you are doing well. I'm a psychotherapist in Iran and just wanted to say recently I translated this lecture into persian and made a sort of podcast of it. Many analysts admired me for that although I've just translated it. Anyway I'm so grateful and you're realy inspiring me. Reading Lacan is much more easier on the way you're training to us.
Thanks Hamid. I'm so glad the material has been of interest and value. Do you have many Lacanian analysts in Iran?
@@derekhookonlacan no unfortunately not many, but he is an eminent analyst and has his own effects on clinical practice. As time goes on he is becoming more famous for psychotherapists and psychiatrists. His perspective on practicing with psychotic patients is really great to us.
Great series of episodes, thank you Derek. I wish you'd speak about perversion more. It seems that it is disproportionately less covered than other 2 structures. In general I find much less literature dedicated to it. I'd like to understand it better.
I totally agree that it seems to get less attention. I plan to address it in some future lectures but until then, it might be worthwhile checking out the book by Stephanie Swales titled "Perversion"
When I have an inkling about irrational reactions of self othering in the workplace these ideas are now giving structural formula to the apparent obstacle in the others self defense in everyday relations. The question is how to do so outside the clinic effect better outcomes and relationships.
A great lecture, thank you for sharing
Thanks!
This is amazing
Hi Derek, I apologise in advance if this question has been covered elsewhere but I was wondering if you had presented a talk on the elements of Lacanian Discourse Theory? Your videos are invaluable to my learning and I would be grateful if you could point me to the direction of understanding the discourse theory. Best wishes,
Thanks so much! 1 question - 12:18 before closing or be foreclosing :)
Greta video but the handheld cam makes this feel like a serial killer's manifesto
My take on disavowal as a phenomena had always placed it closer to sexuation (it has seemed to me that masculine = avowal of a symbolic structure = ego-libidinal enjoyment and feminine = disavowal of a symbolic structure = object-libidinal enjoyment) and the operation of ego/superego relative to enjoyment (mostly influenced by Robert phallers "on the pleasure principle in culture") and as such, is not a particular structuring phenomena on the same level of abstraction as other modes of being.
What does the emergence of a perverse individual look like, especially in regards to the structuring effect it has on the use of language?
I'm here to learn about my symptom.
Great video, great explanation, great teacher. Its a shame the camera work sucks
Camera person here (Derek’s non camera skilled partner!)If you’re willing to invest your time and energy into improving camera work for free - I’d love to hear your suggestions and why you think it sucks. Thanks for your comments and please also note - no editing at all one take - we don’t have time for that.
@@derekhookonlacan hey! I just thought you should've kept the camera in one place or zoomed in in places that mattered. You kept moving it around and zooming it in which made it a bit disorienting. I have trouble concetrating at times and the camera constantly moving made me lose focus a lot. But I appreciate the fact it was done all in one take, pretty impressive considering most yt videos nowadays feature heavy editing. I cant tell you how to do your job though, if you think this works best who am i to judge 🤷♂️, just wanted to give my opinion on this
@@derekhookonlacan the camera couldve been kept steady is what im trying to say
ok that makes sense - I myself get tired of static youtube lectures and imagined I was imitating more of what your eye does when you're listening to a lecture. But point taken - I just took exception to "sucks" that's all.@@cockshed5214
If an analysand can never change subjective structure, then how are we to understand the subjectivity of a child prior to the emergence of said structure? Presumably a child is not born a neurotic - do we have to maintain that a child is not a subject prior to foreclosure/separation?
At a more philosophical level, how are we to understand the diachronic nature of a given subject? Can we make sense of a phrase like ‘a subject’ or ‘one unconscious’? What about ‘my unconscious’? In other words, are subjectivities or unconsciousnesses discrete countable objects, ‘belonging’ or ‘attached’ to speaking animals?
If so, should each be taken as strictly correlated with the unity and survival of a human animal? If not, how do we conceive of the connection of the two, and the persistence of the former? Is it possible for multiple subjects - one schizophrenic, one hysterical - to emerge at different times from one human animal? And so on. Hopefully this latter type of question will be addressed in your upcoming series! But I thought I’d ask it here
It was a fantastic lecture. I didn't get that what your patient said! In 14:45 he said if you don't keep things in place the gates of heaven starts to open! He wasn't supposed to say the gates starts to close🤔
Yeah, well spotted. Closed would certainly work better (or maybe the gates of hell opening would be better yet)
I've started disclosing my autism diagnosis more often as my peers (across 3 or 4 generations for some reason, but moreso Millennials & GenZ) have been aging into self‐help content that jumps from (perceived) symptom to entire categories like "OCD", "Psychosis" etc ...
Especially when some peers get into psychedelics and then comparing their experiences to sobriety, my own behavior is misinterpreted as something worthy of unsolicited advice when "I'm diagnosed with Autism" is the only way to demonstrate that they're going in the wrong direction with their advice.
I kinda prefer my prior, hostile teenage peer group calling me weird rather than ppl making leaps about themselves and giving good‐spirited but inaccurately objectifying advice. They do it to themselves, so it takes on a spiritual impenetrability and generalization
"I'm disabled. I'm autistic, Level 2 support needs in socializing & repetition" is sometimes still not enough to stop the bad advice, so i end up just entertaining the advice and watching ppl "self discover" in ways that display possible stereotype threat :(
I can tell them I've been assessed with subclinical, traumagenic antisocial avoidance, emotional lability, & "pure O" subclinical ocpd (obsessive not-so-compulsive personality) after some recent traumas & that i know how to differentiate, but their very way of going about "self improvement" is ironically tripping my neurosis wires in the moment (and then causing autistic shutdowns and even meltdowns at a higher rate) more often than when all i had to deal with was "you're weird" which i learned to take as a compliment.
I thought the proliferation of positive "psychology" that my professors warned me about was annoying, but this new wave of "self diagnose everything" based on checklists, as a kind of civil self‐discipline rite of passage seems to be making my peer groups much more likely to contain unnecessary psychopathological objectification as we grow a bit into our late 20s, early 30s.
and as a certified neurotic, it looks like their "rite of passage" is taken upon themselves in neurotic ways, and sometimes when i talk to them more about how they like to grow as a person, there's underlying paranoia, dissociation, sadomasochism, etc... And they'll label such symptoms accurately sometimes, which makes it hard to point to how they're generalizing in an objectifying manner bc they're not completely wrong.
Sign of the times i guess
Where would autism fit in this schema? I’ve heard it described as another structure, alongside neurosis and psychosis (and presumably perversion). That said, I’ve only ever heard Bruce Fink talk about autism from a Lacanian perspective, and even then only in passing and in a way which very much felt dated/reductive
Have a look at the interview with Leon Brenner recently posted. He argues very convincingly that autism does not fit within the three standard structures outlined by Lacanian psychoanalysis. Autism is underpinned by its own specific mode of defense, what Brenner refers to as autistic foreclosure.
@@derekhookonlacan haha yes speak of the devil! Very lucky timing for me - I’ll let you know my thoughts once I’ve watched it. I asked in part because one of my friends in the psychoanalysis reading group I’m running is autistic, and found the summary treatments of autism very limited and frankly almost insulting at points, so I might pass the video on to him too