9/27/2023 0 Comments Superego train sketchHis theory of psychosis is important as it addresses forms of psychosis “without symptoms.” That is, he engages with aspects of psychosis not easily contained by contemporary psychiatric nosology such as, psychosis without delusions and hallucinations, untriggered psychosis and body disturbances such as hypochondriasis. Paul Verhaeghe, in On being normal and other disorders:a manual for clinical psychodiagnostics provides a fascinating approach to psychosis through his synthesis of Lacanian psychoanalysis with Freud's theory of actual neurosis and psychoanalytic attachment theory research. Two important new developments have emerged over the past decade that provide contrasting approaches to Lacan's oeuvre and the theorization of psychosis. In Lacanian psychoanalysis psychosis continues to be an important focal point for new theoretical developments driven by clinical experience. Although the idea of ordinary psychosis requires further development, it promise greater utility than Verhaeghe's model, as it provides a broader and more nuanced approach to the complex vicissitudes of triggering and restitution in psychosis. Clinicians adapting the idea of ordinary psychosis aim to rethink pivotal Lacanian concepts-“untriggered” psychosis and stabilization-beyond the scope of the schizophrenia/paranoia dichotomy. In contrast, the Millerian field of ordinary psychosis aims to broaden the idea of psychosis by reviving the idea of “mild psychosis” and the different forms of stabilization possible in psychosis. Moreover, these ideas are situated in the “schizophrenia/paranoia dichotomy” an important heuristic device utilized in clinical practice with psychosis. Verhaeghe's theory of psychosis is a synthesis of Lacanian theory, Freud's idea of actual neurosis and psychoanalytic attachment concepts. Despite the shared focus on similar clinical phenomena, particularly body disturbances, these two theories provide different explanations of psychosis. ![]() In this paper, the two approaches to psychosis are examined with a particular emphasis on “mild psychosis” and compensatory mechanisms. ![]() In contemporary Lacanian psychoanalysis, Verhaeghe's theory of actualpathology psychopathology in psychosis and the Millerian idea of “ordinary psychosis” provide diverging conceptual approaches to psychosis.
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