A Lacanian Reading of Anorexia

Cover
Endorsements
Half Title
Title Page
Copyright Page
Contents
Author\'s note to the English edition
Preface
	References
Acknowledgments
Introduction
	The research objective
	The cardinal theses
	The research method
	Articulation
	References
Chapter 1: The anorexic solution
	From trouble to symptom
	Anorexia as a symptom
	Anorexia and the classic form of the neurotic symptom
	Anorexia and new forms of the symptom (NFS)
	A new epidemiology
	The enigma of anorexic jouissance
	Two preliminary theses on les NFS: fetishistic forms of disenchantment, superegoic autotherapies
	Anorexia as a \"solution\"
	Anorexia from the NFS to the real structure of the symptom
	The two paths of the anorexic symptom as real: nirvanic dimension and uncanny dimension (unheimlich)
	Note
	References
Chapter 2: Anorexia as a frontier in the contemporary clinical debate
	Anorexia between development and structure
	Anorexia in the evolutionary-stadial paradigm of drive
	The psychogenetico-relational paradigm of anorexia: identity, narcissism and the family system
	Limits of a semantics of the unconscious: the criticisms of Bruch and Selvini Palazzoli on the analytic treatment of anorexia
	From meaning to structure: a new encounter between psychoanalysis and anorexia
	The system as a resource and as a limit: the systemic-family pathway to anorexia by Selvini Palazzoli
	The incongruous mother/daughter interaction and the learning deficit in anorexia nervosa: Hilde Bruch\'s way between psychoanalysis and learning therapy
	A reversal of perspective: from the deficit of the self to the refusal of the Other
	Note
	References
Chapter 3: The anorexic question in psychoanalysis between narcissism and dependence
	Anorexia, primary narcissism and dependence: two current versions of the post-Freudian object-relationship paradigm
	Narcissism and drug addiction: anorexia-bulimia in French psychoanalytical child psychiatry
		The perspective of the Kestembergs: anorexia and the orgasm of hunger
	Anorexia as endogenous drug addiction by Bernard Brusset
	The Kleinian-Bionian perspective in the field of anorexia and bulimia: the Tavistock experience of Gianna Polacco Williams
	References
Chapter 4: Anorexia in Lacan\'s teaching
	The revival of Freud\'s lesson: anorexia and structure
	Historical-critical preliminary to a Lacanian theory of anorexia
	Lacan\'s four paradigms on anorexia
		The psychogenetic-regressive paradigm in Family Complexes
			Weaning, psychic trauma, anorexia nervosa
			Maternal imago, death appetite and anorexia
			Anorexia, drug addiction, gastric neuroses: non-violent suicides
			Anorexia and decline of the paternal imago
		The dialectical-hysterical paradigm in \"The direction of the treatment\"
		The causative-structural paradigm in the Seminar, Book XI
			Anorexia and the nothing as an object a produced by weaning at the time of separation
			The anorexic child eats nothing
			Anorexic \"eating nothing\" and the object of weaning functioning as deprivation at the level of castration
			The anorexic, the fantasy of one\'s own disappearance and the question it embodies in the enigma of the desire of the parental Other: \"Do you want to lose me?\" (ibid., p. 240)
		The Seminar paradigm of the refusal of knowledge, Book XXI
	Concluding considerations on anorexia in the last teaching of Lacan
	References
Chapter 5: Lacanian readings of anorexia
	From Lacan to the Lacanian orientation
	A structural theory of the anorexic process: Augustin Ménard and logical time elided in anorexia
		Frustration and the dialectic of exchange and gift
		The appetite for death and the time of deprivation
		Castration and access to desire and the law
	The anorexic aporia in the reading by Jacques-Alain Miller: \"structure of all desire\" and \"refusal of the Other\"
	A new scansion in the Lacanian clinical orientation and its effects on the reading of anorexia: the transition to the Borromean clinic and the theory of ordinary psychoses
	Anorexia/bulimia in the new forms of the symptom: the reading of Massimo Recalcati
	Failure of the equation body = phallus, refusal of the semblance and imaginary nomination: anorexia in the reading of Nieves Soria
	A reading of anorexia from anxiety: true anorexia by Carole Dewambrechies La Sagna
	Open questions on anorexia in Lacanian orientation
	References
Chapter 6: The four functions of refusal in anorexia nervosa
	Refusal as a key to anorexia
	Refusal as a metaphor for desire: the conjunction between anorexia and hysteria
		Hysterical anorexia: between forgetting and discovery
		Functions of refusal in hysterical anorexia
			Refusal as a condition of desire
			Refusal as a metaphor for the demand for love: unconscious demand for rectification of the subjective position of the Other in relation to the subject
			Metonymic dimension of desire in anorexic-hysterical refusal: refusal as desire for another
			The \"fantasy of one\'s own disappearance\" in hysterical anorexia and the unconscious demand that expresses: \"does he want to lose me?\"
			The threat of disappearance in the analytic transference: the push to interrupt the treatment and its symbolic side
			Refusal as an unconscious demand for interpretation
	Refusal as a defence
		The anti-metaphorical side of anorexic-bulimic refusal
		The refusal of food as a defence
		Refusal of the body image in the mirror: partial failure of the mirror stage and defence against the return of the real in anamorphosis
		Refusal as a defence against the drive: the refusal of enjoyment (jouissance)
	Anorexic refusal as a mode of separation from the Other
		\"Refusal of the Other\", new forms of the symptom and anorexia
		A pathology of the link to the Other
		The all-powerful Other of the anorexic
		The anorexic pseudo-separation
	Refusal as jouissance
		From the refusal of jouissance to the jouissance of refusal
		The jouissance of refusal between hysteria and anorexia
		Eating \"nothing\", libidinal positivization of anorexic refusal
		Cannibalistic jouissance of refusal: anorexia versus melancholy
		Enjoyment of the gaze in the mirror in anorexia
		Anorexia as addiction to \"nothing\" (Dewambrechies La Sagna, 1996, pp. 149-157)
		The anorexic as object-waste: masochism and superego in the clinic of anorexic refusal
	References
Chapter 7: The object nothing in the Lacanian clinic of anorexia
	Return to the object nothing
	Punctuations on the object nothing in Lacan
	Beyond the dualism of nothing
	The object nothing as the only object a that is not the cause of desire: a recent contribution by Jacques-Alain Miller
	Some consequences for the doctrine of drive objects and for the clinical theory of anorexia nervosa
	Rewriting the theory of the drive objects
		Extraction of the object nothing from Lacan\'s list of objects of the drive
		The object nothing is the only object that cannot be located specifically and exclusively in a single erogenous zone of the body
		The object nothing is the only object a that functions as an object that is not the cause of desire
		The object nothing is the closest to the Das Ding among the a-objects, since it presents itself in the form of the absolute without limit of a non-partial object, as pure negativity
		The object nothing is not only an object a among the others but also it embodies the anti-desire function, internal to the structure of the drive object
	Re-articulation of the clinic of anorexia nervosa in the light of the status of the object nothing
		Clinic of the phallus and clinic of the object nothing
		Anorexia between the phallus clinic and the nothing clinic
		A differential clinic of anorexia based on the function of the object nothing
	The case of hysterical-neurotic anorexia
		Between the clinic of the phallus and the clinic of the object nothing
		A clinical exemplification: the case of Clementina
			A tortuous preliminary
			Being unique
			Clementina and the family
			The either-or of the case: either anorexia or theatre
	Anorexia in classical psychoses
		Anorexia when the nothing object is not drained by the phallic function: anorexic solution and holophrase
		A clinical example: the case of Valentina
			The beginning of the treatment
			The maternal mandate and the flight from the father
			Early anorexia and religious compensation
			An oscillatory movement between withdrawal and euphoria
			Erotomanic-persecutory ideation and anorexic response
	Ordinary psychosis and anorexia nervosa
		S0 + nothing: a formula for anorexia in ordinary psychosis
		A clinical example: the case of Emilia
			A life organized around isolation
			Emilia\'s anorexia and the emptiness of her relationship with sex
			Subjective emptiness and the construction of a supplementary device
	Note
	References
Chapter 8: The teaching of infantile anorexia
	The anorexic question in childhood
	Classification of eating disorders in childhood, from the perspective of current psychiatric-descriptive classification systems
		From DSM-IV to CD: 0-3R
	Irene Chatoor\'s classification of childhood eating disorders and the CD: 0-3R system
	Childhood eating disorders in the PDM (Psychodynamic Diagnostic Manual)
	Developments on anorexia in the most recent classification systems: DSM-5, DC: 0-5, PDM2
	A child psychiatric approach to anorexia in children with an analytic orientation: the contribution of Bernard Brusset
		Anorexia nervosa between an eating disorder and primary mother/child relationship disorder
		Refusal in infantile anorexia and weaning anorexia
		Oppositional anorexia and anorexia of inertia
		Inertia anorexia and autism: an open question
		Childhood anorexia and personality structures: perverse and psychosomatic frameworks
	The Lacanian perspective on infantile anorexia
		Lacan and the refusal of the anorexic child as an action: eating nothing
	The contribution of Manuel Férnandez Blanco
		The unconscious stake of the anorexic subject: digging a hole in the real through his own death
		Saturating maternal asphyxia, deficit of the paternal function
		Massive refusal of the Other and symptomatic refusal: a principle for the differential diagnosis of infantile anorexia
		Early childhood anorexia between autistic-psychotic forms and neurosis
	The contribution of François Ansermet
	The dialectical-hysterical paradigm of adolescent anorexia and the question of early anorexia
		Early infantile anorexia as a clinic of the \"emergence of the subject\"
		Early infantile anorexia as a defence against distress
		Active and passive early anorexia
		The enigma of passive precocious anorexia: two open questions
	Concluding remarks on the anorexia of early childhood
	Notes
	References
Chapter 9: Anorexia nervosa in adolescence
	From child anorexia to young girl anorexia nervosa
	The bifurcation of the subject facing the denouement of puberty: the path of the symptom or the path of refusal
	Adolescence as a symptom of puberty
	The process of sexual initiation of the adolescent and its logical times
	Elements for a differential clinic of the symptom in adolescence
	Anorexia as a failure of the symptomatization of puberty
	The impasse of contemporary adolescence: loss of veil on sex and decline of the father
	The refusal of the drive body
	Differential clinic of the girl\'s anorexia
		The refusal of the body in hysteria
		The refusal of the body in hysterical anorexia
			Hysterical anorexia as a response to the trauma of castration
			A clinic of the phallicization of thinness
			Knowledge (savoir) as an enigma in hysterical anorexia
	The refusal of the body in anorexia nervosa
		A clinic of the rupture of the veil
		Failure of the equation body = phallus
		An outsized jouissance: perverting the \"not-all\" in the limitless anorexic
	The object nothing in childhood anorexia and in young girl\'s anorexia
	References
Chapter 10: Guidelines in the treatment of anorexia nervosa
	Diagnostic issue: structure and position of the subject
		Eating disorder is not a diagnosis in its own right
		Beyond the personality disorder: the structural diagnosis
		The diagnosis of structure in anorexia nervosa: inclusive and exclusive version in the Lacanian orientation
		The anorexic closure as an obstacle and a resource for the diagnosis
	Indicators of change in the subjective position
	The state of the body and the problem of hospitalization
	A guideline: the quadripartite grid on anorexic refusal
	The question of the treatment of parents and the family
		Beyond the systemic-family approach: anorexic jouissance
		Beyond phenomenological characterizations: a structural formula for the family of the anorexic
		The partnership between the daughter\'s (or son\'s) symptom and the parents\' anxiety
		Beyond the symptom/demand binomial: starting from the real of anxiety
	Preliminary work and a new theory and praxis of subjective rectification
		Transforming the real of the symptom: from the nirvanic-egosyntonic to the uncanny-egodystonic status
		The gap between body and speech and their intersection: the point of anxiety as a bridge to desire
	What rectification for psychoses? One form: rectification of the Other
	Scansions in the process of the treatment
		First scansion: loss of the imaginary control of the symptom
			From egosyntony to egodystony: the time of anxiety
			From the request for help to the analytical request: the time of the symptom as enigma and the activation of the transference
		Second scansion: reactivation of signifying alienation (or recovery of the power of speech)
			Reopening of the unconscious: from empty speech to evocative speech
			Control of the Other/signifying alienation
			Anorexic strategies for controlling the Other: from stereotypy to semantic redundancy
			Ways circumventing anorexic control: presenting surprise, giving space to anxiety
			Anxiety and the two meanings of \"refusal of the Other\" in anorexia nervosa
		Third scansion: isolation of the key signifiers of alienation
			Signifying alienation and the lethal effect of speech on the body: isolation of the traumatic statements
			Return effects of the superegoic ideals on the anorexia
			The alienating vel \"eat or die\" and the anorexic response
		An unravelling in hysterical anorexics: extraction of the sign of love from the field of the Other
			From the homogeneity to the ambivalence of the Other
			The question of love in anorexia nervosa
		A terminal point in the analytic treatment of anorexia: extracting the object nothing from the drive body
			True anorexia and localized or partial foreclosure
			Encystment and embodiment
			Trajectory of the treatment: from the fantasy of embodiment to the lack of signifying embodiment
			Beyond the parasitism of nothing
	References
Conclusion
	References
Index