chapter  1
50 Pages

Diagnosis Via Speech and Transference

Throughout his works, Lacan insisted on the differences between various mental organizations, on the analyst’s need to recognize these differences, and on the mandatory adoption of a differential treatment approach in the light of the psychic economy the analyst has acknowledged in the patient. The ‘Lacanian analyst’ has to bear in mind some basic nosological categories and is held to diagnose patients at the earliest stage of the clinical process, because her position within the treatment should differ according to the psychic structure of the patient. Hence, the initial assessment of the patient is not merely a matter of registration, due to the fact that it has major clinical consequences.