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COUTINHO, Alberto Henrique Azeredo et al. Perversão: uma clínica possível. Reverso [online]. 2004, vol.26, n.51, pp. 19-27. ISSN 0102-7395.

Clinical work with perverse patients presents numerous difficulties to psychoanalysis, be that due to the characteristics typical of the perverse structure, which is founded on the mechanism of disavowal, or be that due to the inefficiency of neutrality and free association in this kind of practice. A study of existent literature on the subject and a thorough examination of their own clinical findings led the authors to propose a different form of strategy for dealing with transference that would make clinical work with these patients plausible and indicate options for the paralyzing position which is imposed on the analyst by the perverse patient in order to derange the analytic process. By proposing an alternative for the "semblance subject-supposed knowledge", the authors defend the idea that clinical work with perverse patients is possible, resulting in a subject less captive of the phantasmagoric scene.

Keywords : Clinical work with perverse patients; Transference; Strategy; Tactics; Subject-Supposed-Knowledge; Subject-Supposed-Knowledge-on-doing; Analyst's wish.

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