Abstract. Psychoanalysis has transmitted to psychiatry a particular idea of the ‘psychic human being’ that has formed the basis of its therapeutic practices even since the domination of ‘biological psychiatry’. In recent years, a new conception of the ‘citizen-patient’ has been challenging the psychoanalytic conception of the mental patient by introducing its own practices and values, supported by a broader movement in society. Nevertheless, the notion of psychotherapy retains its attractive quality as shared psychic work and might enable psychoanalytic thought to maintain its influence in psychiatry.
Abstract: Our purpose will be an attempt to put into perspective the elements of a logic of transmission so that the transmission itself, as logical position in relation to knowledge or even more to non – knowledge. From a first point is the encounter with a patient, will be unfolded and articulated the question of otherness, that of instituting separation, position relative to a point of no knowledge. The knowledge is not there to hear their differences with misleading knowledge, as knowledge on the side of learned ignorance. Through clinical notes will be discussed accepting to be moved and transformed by a patient, the ability to ex- position in relation to the institution but to get out of the fascination generated by the statements of some patients. This sometimes invisible transmission from patients may question our know how of psychoanalyst but also our clinical know how of practitioner in institution and our responsibility.