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Towards the difference between neurosis and psychosis

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By b o'donnell · 2009 · cited by 1 — what reality is this which merits such a strong summation: "unbearable"? when freud continues here he shows that it is not in the turning away from what is ...
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IB. O'DONNELL Neurosis and Psychosis THE LETTER 40 (2009) 43-57Towards the Difference between Neurosis and PsychosisBarry O'DonnellThis paper recommends that clinicians attempting to differentiate thestructures of neurosis and psychosis take account of Freud's thinking on themental act of negation, based on his clinical practice, as well as JacquesLacan's development of Freud's conception. The author argues that this isessential for any diagnosis which invokes the notion of a loss of a sense ofreality.Keywords: neurosis; psychosis; psychoanalysis; reality; negationIf in recent years, in other discourses, there has been a loss of confidence inthe terms "neurosis" and "psychosis", their differentiation remains crucial topsychoanalytic practice. 1 The term neurosis was dropped from the DSM IIIin 1980; and in the current DSM IV-TR the term "psychotic" is moreapologised for than advocated: "The narrowest definition of psychotic isrestricted to delusions or prominent hallucinations, with hal...