Abstract

LIMA, Claudia Henschel de; VALENTIM, Adilson Pimentel; ROCHA, Carlos Emmanuel  and  RODRIGUES, Natália. Diagnosis and direction of treatment in the current era: from DSM-IV to pschoanalysis. Arq. bras. psicol. [online]. 2010, vol.62, n.1, pp. 49-61. ISSN 1809-5267.

The objective of this paper is to analyze the relevance of the psychoanalysis in the context of an era dominated by the biopolitical model as reference for diagnosis and for direction of the treatment of mental disorders. The DSM-IV uses generic category of disorder to classify the symptoms, reducing them to a behavioral dimension and converting them into monosymptoms. Hence, from the approach of the diagnostic difficulties faced by Freud in the conduction of the case of the Wolf Man, this paper question the current relevance of structural diagnosis in psychoanalysis, showing that the DSM-IV: (i) reduces the diagnostic difficulty to the syndrome of the panic; (ii) establish the direction of treatment through the monosymptmatic model, suppressing structural elements of the psychosis. Alternatively, the orientation of the diagnosis in the last Lacan to the Wolf Man case will be an ordinary psychosis.

Keywords : Psychoanalysis; Diagnosis; Psychosis; Biopolitics; Psychiatry.

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