Ler um sintoma, escrever um caso : o invariante da contingência na construção do caso clínico

Abstract

The research arose from a previous work whose purpose was an investigation into the differential diagnosis in the context of psychoanalytic practice, a perspective in which the orientation of clinical management permeated not by the classification rigor pre-established by the structural clinic, but factually by the singular issue of subject in his relationship with the Other, your position in discourse. What the results informed us is that when it comes to a diagnosis in Psychoanalysis, it is possible to obtain, in cases clearly classified under the same insignia, completely different clinical conducts – which launches us, as psychoanalysts, into the originality of the unique case. Questions remained: how does psychoanalysis methodologically apprehend this unique element of each subject in its praxis, since it cannot be prescribed? How is it possible, in Psychoanalysis, to reduce this position of the subject to a kind of symptom formula, which allows itself to be read in order to be written in a case? We understand that what sustains the reading of the symptom and gives it its character of uniqueness is its contingent mark, the meeting of the body with language. Here is our hypothesis. If in the dialectical cut of language in which the subject emerges, a letter forms the coast of the drive and establishes a position there, it is precisely from the recollection of this inherent character to the position of the subject in his symptom as necessary from his contingency that we learn to read like psychoanalysts. At this point, the facticity of the structure abandons us because it does not consider that the signifier has a corporeal resonance, a material positivity. We return, therefore, to Freud in his energetic metaphor, which allowed us to treat the corporeal materiality of the signifier by the impact of its resonance, not by way of meaning. We take Meillassoux's meaningless sign (2012) to read the symptom from its character as a letter, outside of meaning, and we propose the writing of the clinical case, via the articulation of the letters, as a Lacanian matheme.