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E-raamat: Structuralist Approach in Psychiatry: Uncanny and Desire in Psychosis

(Reinier van Arkel Institution of Mental Health, the Netherlands)
  • Formaat: EPUB+DRM
  • Ilmumisaeg: 31-Mar-2026
  • Kirjastus: Routledge
  • Keel: eng
  • ISBN-13: 9781040626979
  • Formaat - EPUB+DRM
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  • Formaat: EPUB+DRM
  • Ilmumisaeg: 31-Mar-2026
  • Kirjastus: Routledge
  • Keel: eng
  • ISBN-13: 9781040626979

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A Structuralist Approach in Psychiatry presents an alternative view of the psychiatric patient and highlights a connection with continental post-structuralist thinking to provide a new approach to psychiatry.

After outlining the problems facing psychiatry, and the historical development of the field, this book outlines a structuralist model of the subject that does greater justice to the complexity involved while avoiding physicalist reductionism. It draws heavily on French structuralism, in which language plays a central structuring role that also influences the subject. The author draws on the works of Foucault, Lacan, and Bergson, as well as Nietzsche, Heidegger, and iek. The structuralist model proposed engages with the intricate relationships between the Real, the Imaginary, and the Symbolic in relation to the subject, particularly in the marginality of psychosis. Three clinical examples are provided to illustrate this: the syndromes of Cotard, Capgras, and negative hallucination. These examples demonstrate how the negative within the subject manifests itself in their symptomatology. However, the negative also plays a role in the normal development of the subject when they encounter the Symbolic and enter the world of language. Time and again, the subject must reinvent themselves through speech. This model, grounded in the concept of the zero point, has implications for an alternative anthropology and for psychiatry, where speaking and listening take center stage.

This book will be of interest to mental healthcare professionals, including psychiatric nurses, psychiatrists, psychologists, and physician assistants, and those studying to enter these professions.

Arvustused

In clear prose, Jos de Kroon presents an alternative to current psychiatry, which seems to have had its day. His point of departure is a structuralist approach in which more space and freedom are reserved for the subject.

Professor Marc De Kesel, Radboud University, Nijmegen, the Netherlands

A Structuralist Approach in Psychiatry is an atypical psychiatric book that challenges the dominant naturalistic and mechanistic paradigms of contemporary psychiatry. While engaging with crucial questions of diagnosis and treatment, it critiques mainstream psychiatric discourse through the lens of structuralist linguistics, Lacanian psychoanalysis, and continental philosophy. De Kroon argues for a structuralist psychiatry that recognizes the subject as fundamentally shaped by its symbolic and discursive environment, rather than reducing mental illness to neurobiological determinants. Through a nuanced reading of concepts from Saussure, Lacan, Heidegger, and iek, he explores how nothingness operates as a creative force in subject formation and in psychosis. With case discussions on Cotards syndrome, Capgras syndrome, and negative hallucinations, the book demonstrates how symbolic disruptions manifest in clinical practice. Rather than merely confronting psychiatry with philosophy, De Kroon constructs a bridge between psychoanalytic theory and psychiatric treatment, making a compelling plea for a paradigm shift in mental health care.

Professor Stijn Vanheule, University of Ghent, Belgium

Part one. Positioning of modern psychiatry

Chapter
1. Outline of the problem facing psychiatry

Chapter
2. Historical development of Psychiatry from the Enlightenment

Part two. Structuralism and nothingness

Chapter
3. Structuralism

Chapter
4. Fundamental Impossibilities

Chapter
5. Nothingness and Science

Chapter
6. Nothingness as creative moment

Part three. Three Experiences of Nothingness in the Clinic

Chapter
7. As in a black mirror; Cotards syndrome

Chapter
8. The Stranger in ourselves; Capgras Syndrome

Chapter
9. Experience of Nothingness

Part four. Towards a Different Perspective of the Subject

Chapter
10. Subject and Science

Chapter
11. Looking for the Psyche in Psychiatry

Chapter
12. Sketch of an Alternative

Part five. The Creative Power of Nothingness

Chapter
13. Friedrich Nietzsche and Degree Zero of Morality

Chapter
14. Interlude, Fable

Chapter
15. Martin Heidegger and Nothingness

Chapter
16. Nothingness at Jacques Lacan

Chapter
17. Slavoj iek: Can it be Less than Nothing?

Chapter
18. Genealogy of Creation

Chapter
19. Towards a Structuralist Psychiatry

Chapter
20. The Role of Linguistics in a Therapeutic Perspective

Chapter
21. The Eclipse of the (Psychotic) Subject?

Chapter
22. What about the Self?

Part six. To Resist the Death Instinct of Nothingness

Chapter
23. An Object Relations Theory without an Object

Chapter
24. Psychiatry and the Transcendental

Chapter
25. The Ethical Implications of Mysticism and Desire

Chapter
26. The Subject as a Dynamic Process: From Deadlock to
Transformation-Symbolisation as a Response to Nothingness

Chapter
27. Everything or Nothing-About Mysticism and the Genesis of the
Subject
Jos de Kroon is a psychiatrist, psychotherapist and psychoanalyst working at the Reinier van Arkel Institution of Mental Health in Den Bosch, the Netherlands. He publishes on the subjects of psychiatry and science, Freud, and Lacan. His publications include: Language and psychosis (1993), The history of psychiatry (1999), About the soul (2007), The voice of the Other (2010, about verbal hallucinations), and Hamlet versus Oedipus or a matrixial orientation? (2020), and Discomfort and Desire - A Lacanian View of the Subject in the Age of Artificial Intelligence (2026).