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Tom Dalzell – Psychoanalytic Treatment of Psychosis – A Later Lacanian Critique of the 388 in Québec City


THE LETTER 55 & 56 Spring/Summer 2014, pages 93-102.


This paper attempts to assess the psychoanalytic treatment of psychotic illness at a publicly funded centre in Canada. This treatment ‘after Lacan’ is thought to amount to treating delusions with the patient’s own dreams, or subordinating the Imaginary to the Symbolic. As a critique ‘after the later Lacan’, the paper draws on current debate and practice in France which applies the later Lacan’s turn to the Real, and in particular his theory of knots, to the treatment of psychotic illness.


Keywords: Lacan; psychosis; borromean knot; Real; Symbolic; Imaginary; names of the father; The 388 

Psychoanalytic Treatment of Psychosis

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