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Article Abstract

In his classic paper "The Function and the Field of Language and Speech in Psychoanalysis," Lacan wrote that psychoanalysis had abandoned its original interest in speech. It had turned instead to the countertransference as a window of insight into the patient's preverbal fantasies. The danger, as the Lacanian tradition emphasizes, is that we might fall into "me-centered attention": a focus on our own meanings and resonances over those of the patient. We find an echo of this concern in the more recent worry among some American analysts that we now privilege visual-behavioral evidence, that is, the data of nonverbal transference-countertransference enactment, often anchored in the data of infant observation, over aural-oral data. There is, however, another way to think about language, an alternative grounded neither in Lacan, nor in Saussure, but in Peirce's theory of signs. I argue that when we use the countertransference-or at least when we use it well-we are not listening with egocentric attention, but, rather, engaging an interpretant, a beat in the signifying process, to hear the patient more fully. Far from abandoning speech, we find ourselves immersed in a semiotic field. I illustrate this approach in the case of single, middle-aged father.

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http://dx.doi.org/10.1177/00030651251356983DOI Listing

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In his classic paper "The Function and the Field of Language and Speech in Psychoanalysis," Lacan wrote that psychoanalysis had abandoned its original interest in speech. It had turned instead to the countertransference as a window of insight into the patient's preverbal fantasies. The danger, as the Lacanian tradition emphasizes, is that we might fall into "me-centered attention": a focus on our own meanings and resonances over those of the patient.

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The father of pragmatism, Charles Sanders Peirce, gave in 1903 the following definition of a sign: "A Sign, or Representamen, is a First which stands in such a genuine triadic relation to a Second, called its Object, as to be capable of determining a Third, called its Interpretant, to assume the same triadic relation to its Object in which it stands itself to the same Object. The triadic relation is genuine, that is its three members are bound together by it in a way that does not consist in any complexus of dyadic relations". Despite its cult status and its pragmatic foundation, the Peircean sign has never revealed its true potential by being integrated into a formal system.

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This essay focuses on a moment when in medicine the prevailing static conception of disease was seen from a temporal perspective and conceived as a developmental process. Included in this discourse was Hahnemann's conception of homoeopathy. His conception combined two traditional systems of reading and interpreting signs of illness drawing a direct conclusion from a visible sign to a significant therapy while excluding causal-theoretical reflection about the meaning of signs.

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