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The Significance / Insignificance of the Diagnosis.

People who apply to a psychologist can be inclined to diagnose their condition before making their applications, or a healthcare professional or someone close to them may help diagnose their condition before they meet a psychologist. Therefore, many people who start the therapy process try to diagnose themselves before starting the process or during the therapy process. From time to time, these people may ask their therapists to diagnose their condition.


When we consider the diagnosis issue from a psychoanalytic point of view, a different picture emerges than usual. In psychoanalysis, it is not the diagnosis that is important. Because, from the perspective of psychoanalysis, most diagnoses do not go beyond the symptoms found in people.


When we approach the subject from the Lacanian Psychoanalysis perspective, we encounter the subject of "structure". There are three main structures: Neurosis, psychosis, and perversion. All diagnoses referred to as "disorders" in today's mainstream psychiatry and psychology fall into one of these three categories. Most diagnoses called "disorders" are treated as symptoms in psychoanalysis. Therefore, diagnoses such as depression, obsession, anxiety disorder, personality disorder, and attention deficit are all considered symptoms from a psychoanalytic point of view. The main point is not the symptoms that people detect in themselves. Because these symptoms are the parts that are on the surface and are perceived by the conscious sides of the people. The important point is in which of these three structures people sit. Understanding which of these structures one sits in requires one to be involved in psychoanalytic work for a certain period. The therapist/psychoanalyst needs to understand which structure people fit into. For instance, if a therapist/psychoanalyst suspects a psychotic tendency in a patient, the therapist/psychoanalyst should deal with the issue in a way that supports that person.


Consequently, depending on the nature of the patient, the therapist/psychoanalyst should be able to decide what position to take in a therapy/psychoanalysis process.


As a clinical psychologist working on psychoanalysis, I have been working with people who fit into any of these three structures and apply to me with different complaints. I am currently working with adolescents and adults. I have been individually conducting online and face-to-face sessions with my patients.



 
 
 

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© 2023 by Felek Yoğan 

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