Treating without diagnosis: Psychoanalysis in medical settings in Argentina

Authors

  • Juan Eduardo Bonnin Consejo Nacional de Investigaciones Científicas y Técnicas,

DOI:

https://doi.org/10.1558/cam.v11i1.26446

Keywords:

Mental health, Psychoanalysis, Medical discourse, Diagnosis, Treatment, Doctor-Patient communication

Abstract

This article is part of a larger research project the aim of which is to understand the discursive conditions of access and adherence to an outpatient mental health service at a public hospital in Buenos Aires, Argentina. The focus is on the historical conflict between medical discourse and psychoanalytical discourse as it emerges in the negotiation of treatment and diagnostic sequences at first consultations. This allows us to observe, on the one hand, patients who, socialized in medical discourse, and even in psychiatric discourse, expect the usual organization which first offers a diagnosis, however transitory, and then a treatment recommendation. On the other hand, however, psychoanalysts tend to reject diagnostic labels and offer treatment without further justification. This has an impact on the adherence of patients, and allows us to argue for the need of negotiating with medical discourse in order to guarantee engagement and continuity in treatment.

Author Biography

Juan Eduardo Bonnin, Consejo Nacional de Investigaciones Científicas y Técnicas,

Juan Eduardo Bonnin teaches Semiotics at the University of Moreno and the University of San Martín and is a researcher at the Consejo Nacional de Investigaciones Científicas y Técnicas. His interests include interdisciplinary research on language, inequality, and access to civil rights, especially in the field of health care. His latest published book is Discurso religioso y discurso político en América Latina. Leyendo los borradores de Medellín (1968) (Buenos Aires, Santiago Arcos, 2013).

Published

2015-03-16

How to Cite

Bonnin, J. E. (2015). Treating without diagnosis: Psychoanalysis in medical settings in Argentina. Communication and Medicine, 11(1), 15-26. https://doi.org/10.1558/cam.v11i1.26446

Issue

Section

Articles