Abstract

CARVALHO, Soraya. Evidence-based medicine x psychoanalysis based on ex-sistence. Stylus (Rio J.) [online]. 2017, n.34, pp. 83-92. ISSN 1676-157X.

The biotechnical model of contemporary medicine adopts as criterion the effectiveness of the treatment, based on evidence-based medicine (EBM). Therapeutic efficacy is determined by market laws, guided by the capitalist discourse, and psychoanalysis does not escape its effects. If efficacy is measured by objective, replicable and transmissible criteria, psychoanalysis has come under severe criticism, accused of being ineffective and producing results that lack evidence. This article aims to clarify that psychoanalysis is not a clinical practice based on the evidences of reality, but on the ex-existence of the real. And if the real is the impossible, its effectiveness cannot be measured by the EBM criteria. How to prove the efficacy of an experience from a procedure that seeks to verify the real, the misconception, the letter of jouissance, the nonsense, if not by those who have been through it? Is the institutional procedure of the Pass the evidence of psychoanalysis?

Keywords : Psychoanalysis; evidence-based medicine (EBM); ex-existence; procedure of the pass.

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