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Treating Psychosis Today

A Lacanian Take

Bibliographic Data

ID8335716
AuthorsStijn Vanheule (0000-0001-8580-5809, corresponding author)
Year2023
Volume71
Issue5
Pages883-906
Publication date2023-10-01
Open AccessYes
TypeARTICLE
VenueJournal of the American Psychoanalytic Association (JOURNAL)
Journal identifiersISSN: 0003-0651 • E-ISSN: 1941-2460
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00030651231204838
PMID38140978
OpenAlexW4390147523
LanguageEN
Citations received6
References cited11

This paper examines the principal ideas from Jacques Lacan’s psychoanalytic theory of psychosis. According to Lacan’s theory in the 1950s, the central organizing element of symbolically organized mental life, the Name-of-the-Father, is missing in psychosis. That theory changes with later conceptual developments in Lacan’s work that focus on the incompleteness of symbolic functioning. This connects with how, in his works from the late 1960s and the 1970s, Lacan embraces the idea of a fundamental non-rapport and symbolic non-existence at the basis of mental life. In a second step, the paper explores what the Lacanian model of psychosis implies with regard to ethical positioning, addressing the unconscious, handling transference, and crisis and stability in psychosis. A clinical case discussion focuses on a yearlong therapeutic trajectory with a young man with Down’s syndrome who suffered from psychotic experiences

Focus (optics) · Mental health · Mental illness · Narcissism · Principal (computer security) · Projective identification · Psychiatry · Psychoanalysis · Psychoanalytic theory · Psychosis · Psychotherapist · Unconscious mind · Computer Science · Mental Health and Psychiatry · Psychoanalysis, Philosophy, and Politics · Psychology · Psychotherapy Techniques and Applications

  • Like a prism

    Peter Tomlinson, Evi Verbeke et al.•Medical Humanities•2026

  • The space between - ‘Making Room with Madness’

    Open Access•Emma Brijs, Stijn Vanheule et al.•Subjectivity•2026

  • Ethical design

    Edouard Pignot, Jean-Etienne Joullié et al.•Journal of Organizational…•2025

  • Psychoanalytic work with autistic objects and affinities

    Open Access•Liesbeth Taels, Stijn Vanheule•Theory & Psychology•2025

  • Trapped or Free? Fanon and Lacan on Psychosis and Alienation

    Open Access•Lotte Soffers, Jasper Feyaerts et al.•Theory & Psychology•2026

  • What Sort Of Language Is The Unconscious Structured Like? A Lacanian Neuropsychoanalytic Perspective

    John Dall’aglio•The Psychoanalytic Quarterly•2025

  • Ordinary Psychosis and The Body

    Open Access•J Redmond, Jonathan D Redmond•Ordinary Psychosis and The Body•2014

  • « Tout le monde est fou »

    Jacques-Alain Miller•La Cause Du Désir•2022

  • The father, the Wager, and the question of psychosis in Lacan’s work

    Stijn Vanheule•Philosophical Psychology•2023

  • Toward an Ethics of Psychoanalysis

    Open Access•Lewis A Kirshner•Journal of the American…•2012

Citations per year6
Citation span2025 - 2026 (2)
Highly citedNo

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