ABSTRACT
Carrasquillo addresses the treatment challenges presented by psychotic patients. Hidden behind the modern logic of confinement or the contemporary psychiatric logic that sees the psychotic as an “impaired” patient, we find fears and anxieties on the side of most clinicians whenever they have to deal with psychotics, particularly with a phenomenon such as hallucinations. Their responses appear guided by a wish to control, not by a desire to know. What if, Carrasquillo asks, there was something to learn and not to fear in those hallucinations? What if there was a logic to decipher in what the psychotic person tries to say? What if psychotic people meant to share with us what they see as a defect in the universe and as limitations of the social link? What contemporary Lacanian psychoanalysis allows us to explore is the way in which we can structure a clinical setting and a framework allowing for treatments of psychoticsis persons without reducing them to objects of medical intervention and control. The author argues that by positioning the psychoanalyst as a responsible subject recognizing in psychotic patients the position of citizens endowed with rights and responsibilities, this will generate a novel approach for psychoanalysis and offer a valuable option for disenfranchised poor Hispanic psychotic persons. There is a need for an ethical space of transformation of the social link, with all its political implications.
