Kirshner Lewis A
Harvard Medical School, Cambridge, MA 02139, USA.
J Am Psychoanal Assoc. 2012 Dec;60(6):1223-42. doi: 10.1177/0003065112457876. Epub 2012 Nov 1.
Lacan's seminar The Ethics of Psychoanalysis (1959-1960) pursues, from a Freudian perspective, a fundamental philosophical question classically addressed by Aristotle's Nichomachean Ethics: How is human life best lived and fulfilled? Is there is an ethic of this type intrinsic to psychoanalysis? Lacan placed the problem of desire at the center of his Ethics. His notorious self-authorized freedom from convention and probable crossing of limits (see Roudinesco 1993) may have led mainstream analysts to ignore his admonition: "At every moment we need to know what our effective relationship is to the desire to do good, to the desire to cure" (Lacan 1959-1960, p. 219). This means that the analyst's desire, as well as the patient's, is always in play in his attempt to sustain an ethical position. An examination of Lacan's seminar highlights this link, but also points to a number of unresolved issues. The patient's desire is a complex matter, readily entangled in neurotic compromise, defense, and transference, and the analyst's commitment to it is also problematic because of the inevitable co-presence of his own desire. Lacan suggested that more emphasis be placed in training on the desire of the analyst, but beyond that a proposal is advanced for the institutionalization of a "third" as reviewer and interlocutor in routine analytic practice. Analysis may not be a discipline that can be limited to a dyadic treatment relationship.
拉康的研讨班《精神分析伦理学》(1959 - 1960)从弗洛伊德的视角出发,探讨了一个亚里士多德在《尼各马可伦理学》中经典阐述过的基本哲学问题:怎样才能最好地生活并实现人生价值?精神分析是否存在一种内在的此类伦理学?拉康将欲望问题置于其伦理学的核心。他那臭名昭著的自行其是、摆脱传统以及可能跨越界限的做法(见鲁迪内斯科,1993)或许导致主流分析师忽视了他的告诫:“在每一刻,我们都需要明白我们与行善的欲望、与治愈的欲望之间的实际关系是什么”(拉康,1959 - 1960,第219页)。这意味着,在分析师试图坚守一种伦理立场的过程中,分析师的欲望以及患者的欲望始终在起作用。对拉康研讨班的审视凸显了这种联系,但也指出了一些未解决的问题。患者的欲望是个复杂的问题,很容易陷入神经症性的妥协、防御和移情之中,而且由于分析师自身欲望的必然存在,他对患者欲望的投入也存在问题。拉康建议在培训中更多地强调分析师的欲望,但除此之外,还提出了一个建议,即在常规分析实践中设立一个“第三方”作为审查者和对话者,使其制度化。精神分析可能并非一门仅限于二元治疗关系的学科。