Cantin Lucie
GIFRIC (Groupe Interdisciplinaire Freudien de Recherche pour l'Intervention Clinique).
Sante Ment Que. 2010 Autumn;35(2):31-46. doi: 10.7202/1000552ar.
The definition of 'clinical impasse' depends not only on the clinician who-as the proposed argument suggests-would be faced to his powerlessness in specific situations, but this definition is tributary to the clinical and theoretical field inscribed within this clinician's practice. Thus, for example, the practice of psychotherapy and the practice of psychoanalysis implies very different if not opposed positions of the clinician, bringing on the patient's side, very specific difficulties and impasses. In the field of psychoanalysis conceived essentially as a practice of the ethical, one cannot address this notion of 'clinical impasse' without first questioning the position of the analyst, not as much in his rapport with theory and technique used but mainly by questioning the point and the locus within himself from which he directs the treatment. Likewise, for the analysed, can what entails impasse in the treatment be indissociable to the ethical position of the subject?
“临床僵局”的定义不仅取决于临床医生——正如所提出的论点所示，临床医生在特定情况下会面临自身的无力感——而且这个定义还受制于该临床医生实践中所包含的临床和理论领域。因此，例如，心理治疗的实践和精神分析的实践意味着临床医生处于截然不同甚至相反的立场，这在患者方面会带来非常具体的困难和僵局。在本质上被视为一种伦理实践的精神分析领域中，如果不首先质疑分析师的立场，就无法探讨“临床僵局”这一概念，这里质疑的并非他与所使用的理论和技术的关系，而主要是质疑他从自身哪个点和位置来指导治疗。同样，对于接受分析者而言，治疗中导致僵局的因素是否与主体的伦理立场不可分割呢？
