Theory of the Real: A Clinical Analysis of “Contention”
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The clinical analysis of third-degree burn victims finds its roots in the theory of the real, a concept “invented” by Lacan to distinguish it from other registers, and to highlight its special nature, which evades symbolic and representational form. How can the real be attained through the word? Can we propose an alternative to the clinical analysis of emotional and verbal expression, which is the current practice in emergency care for trauma victims? Through the analysis of the case of Mr. M., who was accidentally burned, and a conceptual deployment of said notion, we shall demonstrate the relevance of a practice of contention and not of symbolization of the real in our clinical practice. The latter feeds off the transference dynamic and the language approach: this involves a speech act from the clinician, who, by replacing a prohibition of “real-ization,” is capable of reawakening the subject’s desire, to the detriment of his or her jouissance. Following the Freudian-Lacanian current in the interpretation of Didier-Weill, we shall define a clinical analysis of re-veiling. This is characterized by the use of a garment to hide the flesh, which, like a garment that hides the genitals, and Noah’s cloak, will conceal the secret of the being. It will also restore the subject’s dimension of infinity, of which the depressive symptom had deprived them.
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