The Patient as Actor: Notall in the Case Presentation

While the case presentation from Emil Kraepelin onwards has tended to obectify and medicalise the psychiatric patient, this paper argues that it was in his re-presentations at L’hôpital Sainte-Anne that Jacques Lacan best demonstrated the primacy of “saying” over “the said”. And Guy Le Gaufey’s rigorous critique of the formulae of sexuation is thought to offer a basis for the essential integration of the “notall” into the clinic and for situating the particularity of the patient in the transmission of psycho- analysis.…