4inquiries (4inquiries) wrote in psychoanalysts,

Fink on Drug Therapy

From A Clinical Introduction to Lacanian Psychoanalysis: Theory and Technique (1997):

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).
  • Post a new comment


    default userpic
    When you submit the form an invisible reCAPTCHA check will be performed.
    You must follow the Privacy Policy and Google Terms of use.