Penser la schizophrénie aujourd'hui

Abstract

Though influenced by psychoanalysis, the invention of schizophrenia has had the paradoxical effect of divesting of its very essence the psychoanalytical conception of psychosis. Schizophrenia has ended up covering the entire field, at the expense of both its libidinal causality and the paranoiac dimension. Thinking schizophrenia today therefore involves a return to those two separate aspects of psychosis, with a view to showing that libidinal causality, initially brought to light by Freud in the realm of paranoia, concerns schizophrenia as well. This affords the clinical approach to schizophrenia a greater coherence and specificity, distinct from organically generated disorders. When it is tackled from the vantage point of the relationship between body and libido rather than as an assortment of essentially cognitive disorders it is able to induce a practice that can take its inspiration from the solutions sought by the subject him/herself ; aiming to achieve a less devastating and perhaps more creative knotting of the body with the libido.