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The Psychotherapeutic Labour of the Subject within Visual Creative Therapy

This paper explores what happens in the subject when creating visual art. It is argued on the first level that there are four steps in the creation process: (i) forming the image; (ii) creating the object; (iii) the decision to finish; and (iv) the separation. On a more advanced level, one needs to be aware of the essential difference between the status of the creative process in neurosis and psychosis. It is argued that within a neurotic structure the process of creation (sublimation) witnesses the acceptance by the subject of the emptiness of the Thing behind the object created, whereas within a psychotic structure visual expression should be considered a symptom, a therapeutic phenomenon. Insight is gained into the specific way in which linguistic mechanisms enter visualisation through the case of Friedrich Schröder-Sonnenstern, a German psychotic outsider.

Sexuality and the Real in Psychosis. Clinical Vignette

This article deals with the case-study of a psychotic subject in which jouissance and the fragmented body play a dominant role. The jouissance of an abusive mother is inscribed on the body of this subject, a subject who is compelled to mutilate his or her body in order to ensure its unity and as such to make it his or her own. It is the same mother with her same jouissance, that appears in the Real to this subject. Through discussion of elementary phenomena – which, within the Lacanian structure of psychosis, can be divided into two categories: one the symbolic, as that which is signified by the Name-of-the-Father (P°) and consequently one which concerns the body and the jouissance (?°) of the Other signified by the phallus – it is argued that this case is situated beyond the two sexes by negating sexuality as a non-sexed being.

Psychosis and the Institution: On the Principles of Jean Oury’s Institutional Psychotherapy

This paper aims to address how the institution functions for the psychotic. People with a psychotic structure often have difficulties integrating into a community and functioning within a social bond. This means that on the level of treatment it is not immediately apparent how to build a lasting therapeutic relationship (and environment). Jean Oury’s institutional psychotherapy starts from this point, inspired by Marx’s analysis of social alienation. This paper focuses on the way in which an institution can be organised according to the principles of Oury’s institutional psychotherapy, taking into account the phenomenon of social alienation. First the theory of the social alienation is described, then the praxis of Oury’s institutional psychotherapy is outlined.

Repetition in Psychosis: A Theoretical Question

This article investigates the theoretical issue of whether the concept of repetition is applicable to psychosis. In the neurotic subject, repetition is a reaction to the lack in the Other. The subject is confronted with a lack, a chance event, a question to which he has no answer. As a consequence, the neurotic is passively subjected to the Other. A case study makes it clear that the psychotic reacts differently to the lack in the Other. On the one hand, the psychotic can find an answer in the jouissance of the father and this jouissance will repeat itself during the course of his or her life. This “repetition” can be traced back to the sinthome which is not the case in neurosis. On the other hand, some psychotics may be unable to find an answer to the lack in the Other and they will experience a return in the Real. In these patients, a repetition is traceable, but this time to the concept of le retour dans le réel. Therefore, it is concluded that the application of the concept of repetition is inadequate in terms of the psychotic structure.

On the Nature of the Creative Process in Art Brut, Reflections Inspired by the Work of Arthur Perreira

Starting from the viewpoint that Art Brut cannot be differentiated from professional art on the basis of an analysis of either its style or its content, the author questions the nature of the creative process in Art Brut, with reference to his observation of a psychotic artist and to the work of Jean Oury on Creation and Schizophrenia (1989). It is argued that in Art Brut there are three main elements: (i) the need to create which manifests itself as an attempt to cure; (ii) a characteristic attempt to communicate or to install a social bond; and (iii) endless repetition. However, while these elements may be particularly explicit in Art Brut and therefore suggest an interesting perspective for the study of the creative process in general, it is concluded that they do not in themselves constitute a set of distinctive criteria with which to differentiate “Art Brut” from professional art.