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WHY DIAGNOSIS? 为什么诊断?
Jacques Lacan and the Freudian Practice of Psychoanalysis
Dany Nobus 丹尼 诺布斯
雄伯译
雄伯译
Chapter 1 Diagnosis via speech and Transference
第一章 经由言说与移情的诊断
WHY DIAGNOSIS? 为什么诊断?
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.
在拉康的著作里,他坚持这些差异,在各色各样的精神病组织之间的差异,当它们探讨分析家体认这些差异的需要,与探讨义务地採用差异的治疗方法,从分析家在病人身上洞见的心灵活动的观点。“拉康派的分析家”必须将一些基本的疾病分类牢记在心,并且被认为应该诊断病人,在临床过程的最早期的阶段,因为分析家在治疗中的立场应该有所不同,依照病人的心灵的结构。因此,对于病人的最初的评估不仅是铭记的事情,由于这个事实:它具有重大的临床的结果。