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Psychosis and Extreme States

An Ethic for Treatment

Palgrave Macmillan

Authors:

  • Argues that psychoanalysis has much to learn from psychosis in creating an approach that is effective for the condition
  • Offers a synthesis of clinical and peer model principles that will enable readers to navigate potential transference impasses often encountered in clinical approaches
  • Provides a valuable new framework for practitioners and scholars working in clinical psychology that aims to change how psychosis is understood and treated

Part of the book series: The Palgrave Lacan Series (PALS)

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Table of contents (9 chapters)

  1. Front Matter

    Pages i-xxi
  2. Introduction: The Psychotic as Guide

    • Bret Fimiani
    Pages 1-12
  3. The Body of the Psychotic

    • Bret Fimiani
    Pages 13-39
  4. The Impasse of Transference in Psychosis

    • Bret Fimiani
    Pages 41-64
  5. Dream-work Versus Delusion

    • Bret Fimiani
    Pages 65-88
  6. Towards a New Ethics

    • Bret Fimiani
    Pages 103-135
  7. The Fear of Psychosis: Part I

    • Bret Fimiani
    Pages 137-163
  8. The Fear of Psychosis: Part II

    • Bret Fimiani
    Pages 165-199
  9. Back Matter

    Pages 221-228

About this book

“This brilliant and beautifully written book invokes a radical reorientation of the treatment of psychosis” Juliet Flower MacCannell, Author of Figuring Lacan and The Hysteric’s Guide to the Future Female Subject.

 

“Bret Fimiani's book offers an illuminating presentation of the Lacanian  approach to psychosis thanks to his clear style which presents Lacanian concepts with a wonderful accuracy, illustrated by examples from his psychoanalytic practice. The dynamic of his investigation challenges the fear of psychosis with testimonies of  lived experiences,  the Hearing Voices Network, and analysts who claim the unclaimed intelligence at work in psychosis."

Francoise Davoine, co-author of History Beyond Trauma

 


This book advances a theory of transference-in-psychosis with the aim of provoking a change in the way the experience of psychosis is understood and thus, clinically treated. It examines the function of ‘ethics’ in the ‘installation’ of transference in the treatment of psychosis and contends that the aim of the psychoanalytic experience is the creation of a new ethic for the analysand and for the treatment. Beginning from the premise that the body of the psychotic is a site of social contestation, the author draws upon the work of Freud, Lacan, Deleuze & Guattari and Apollon to reframe the problem of the ‘body’ (as an effect of language) and its relation to transference, and ethics, in treating psychosis. It argues that psychosis still has much to teach psychoanalysis about how psychoanalysis must continue to change in order to create/offer an approach that is effective for psychosis (versus neurosis) and provides a comprehensive psychoanalytic theory of psychosis that derives, at its core, from the experience of psychosis itself. The book’s synthesis of clinical and ‘peer model’ principles will provide readerswith a way to understand and navigate potential transference impasses often encountered with purely clinical approaches. In doing so it provides a valuable new framework for practitioners and scholars working in clinical psychology, psychoanalysis, philosophy, critical theory, psychiatry and social work.

Reviews

“Bret Fimiani’s (2021) Psychosis and Extreme States: An Ethic for Treatment, the product of decades of research and clinical experience in the psychoanalytic treatment of the psychoses, is published at a particularly kairotic[1] moment, addressing itself more broadly to the contemporary crisis of psychoanalysis. … Fimiani has produced a rich, heterodox account of psychosis and a psychoanalytic approach to working with psychotic subjects. … The structure and style of Fimiani’s book deserve closer attention.” (Matthew Oyer, European Journal of Psychoanalysis, Vol. 10 (1), June, 2023)

Authors and Affiliations

  • The San Francisco Bay Area Lacanian School of Psychoanalysis, Berkeley, USA

    Bret Fimiani

About the author

​Bret Fimiani is faculty, board member and psychoanalyst of the San Francisco Bay Area Lacanian School of Psychoanalysis, USA, and a clinical psychologist. He works with people experiencing psychosis and extreme states in his private practice in Oakland, CA and at the Haight-Ashbury Integrated Care Center in San Francisco. His research interests include adapting the Lacanian analytic frame for the treatment of psychosis and extreme states.

Bibliographic Information

  • Book Title: Psychosis and Extreme States

  • Book Subtitle: An Ethic for Treatment

  • Authors: Bret Fimiani

  • Series Title: The Palgrave Lacan Series

  • DOI: https://doi.org/10.1007/978-3-030-75440-2

  • Publisher: Palgrave Macmillan Cham

  • eBook Packages: Behavioral Science and Psychology, Behavioral Science and Psychology (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2021

  • Hardcover ISBN: 978-3-030-75439-6Published: 17 July 2021

  • Softcover ISBN: 978-3-030-75442-6Published: 18 July 2022

  • eBook ISBN: 978-3-030-75440-2Published: 16 July 2021

  • Series ISSN: 2946-4196

  • Series E-ISSN: 2946-420X

  • Edition Number: 1

  • Number of Pages: XXI, 228

  • Number of Illustrations: 2 b/w illustrations

  • Topics: Clinical Psychology, Psychoanalysis, Critical Theory, Psychiatry, Social Work

Buy it now

Buying options

eBook USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access