The central argument of On Being Normal and Other Disorders is that psychic identity is acquired through one's primary intersubjective relationships. Thus, the diagsis of potential pathologies must also be founded on this relation. Given that the efficacy of all forms of treatment depends upon the therapeutic relation, a diagstic of this sort has wide-ranging applications.Paul Verhaeghe's critical evaluation of the contemporary DSM-diagstic shows that the lack of reference to and governing metapsychology impinges on the therapeutic value of the DSM categories. In response to this problem, the author sketches out the foundations of such a metapsychology by combining a Freudo-Lacanian approach with contemporary empirical research. Close attention is paid to the processes of identity acquisition to show how the self and the Other are t two separate entities. Rather, subject formation is seen as a process in which both the subject's and the Other's identity, as well as the relationship between them, comes into being. By engaging this new theoretical approach in a constant dialogue with the findings of contemporary research, this book provides a compass for the practical applications of such a differential diagstic. Post-modern categories of anxiety disorders, personality disorders, and post-traumatic stress disorders are approached both through the well-kwn neurotic, psychotic, and perverse structures, as well as through the less familiar distinction between an actual pathology and a psychopathology. These two outlooks, which involve the role of language and the subject's relation to the Other, are spelled out to show their implications for treatment at every turn.
Paul Verhaeghe is Professor of Psychoanalysis at the University of Ghent in Belgium and is also in private practice. He is the author of 'Love in a Time of Loneliness' (1999) and 'Does the Woman Exist?' (1999).