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For Lacan, in 1964, sexuality was by definition traumatic. In 1970, language was traumatic, for it is language that affects the body. A change can be noted here: there is a shift from the unconscious as truth to the unconscious as knowledge. A clinical analysis guided by the real requires work on the change in perspective that the 1970s introduced into Lacanian teaching. Quoting Miller, this can be expressed as follows: “ Jouissance, too, relates to the signifier, but where it joins with the living.”