|According to Fink, a Lacanian psychoanalyst, the use of drugs in therapy may be complicit with a theoretical shallowness with respect to diagnosis, since “American psychology and psychiatry... often succumb to the banal simplicity of mainstream American scientific thought: divide and conquer - break every pattern [e.g. neurosis, psychosis, perversion] down into its smallest isolable parts [i.e. symptoms], give those parts new names [e.g. acrophobia, pyromania], and attempt to treat them (with drugs whenever possible, or with specific ‘therapeutic techniques’) as logically separate ‘disorders’” (116).|
Fink also protests against drug use on psychotics because he believes they create an indefinite dependence upon a non-subjective stability, “It seems likely that while certain drug treatments used with psychotics put a stop to delusional activity, they thus also impede the possible construction of a delusional metaphor [a subjective stability point]. To maintain stability, then, the drug treatments must often be continued ad infinitum” (252n70). However, we know from Ostow that anti-psychotic medication can allow a patient to enter analysis that was otherwise inaccessible, and analytic therapy can stabilize the patient enough to remove dependency on drugs, “Ostow observed that a priori he had hoped that, with drugs, one could analyze even psychotic patients and achieve a state in which drugs would no longer be necessary. He was able to do that in some cases” (PRDF 56).