ABSTRACT
This chapter articulates the author’s efforts at avoiding falling into those contemporary paradigms, which have privileged the “damaged brain” (complete with “irrational thoughts” that must be debunked and removed) above all other explanatory paradigms and with this, a “physico-chemical-genetic machine” over an experiential subject—one who submits him or herself passively for cognitive and behavioral adjustment and better adaptation to fit into society’s norms. Through clinical vignettes comes the articulation of efforts, perhaps better considered as “perspectives,” to approach the construction of meaning within the neo-reality that resides in the wake of psychotic collapse, and associated efforts to maintain an ethic for the elucidation of a savoir of the patient. In this sense, it is the patient who is “the-one-supposed-to-know” and not the psychoanalyst. It falls to the psychoanalyst, who, in knowing that he does not and cannot “know,” attempts to establish a space wherein the Question is privileged, and may be asked, reaching like an arc overwriting the hole left by the subject’s act of foreclosure. This process becomes a central element of the psychoanalytical journey in the treatment of psychosis, opening the possibility of finding meaning as material is brought into the field of speech, and in the process, the analysand as a speaking Subject.
