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That theory changes with later conceptual developments in Lacan\u2019s work that focus on the incompleteness of symbolic functioning. This connects with how, in his works from the late 1960s and the 1970s, Lacan embraces the idea of a fundamental non-rapport and symbolic non-existence at the basis of mental life. In a second step, the paper explores what the Lacanian model of psychosis implies with regard to ethical positioning, addressing the unconscious, handling transference, and crisis and stability in psychosis. A clinical case discussion focuses on a yearlong therapeutic trajectory with a young man with Down\u2019s syndrome who suffered from psychotic experiences.<\/jats:p>","DOI":"10.1177\/00030651231204838","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T08:00:40Z","timestamp":1703318440000},"page":"883-906","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Treating Psychosis Today: A Lacanian Take"],"prefix":"10.1177","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8580-5809","authenticated-orcid":false,"given":"Stijn","family":"Vanheule","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,23]]},"reference":[{"key":"bibr1-00030651231204838","doi-asserted-by":"publisher","DOI":"10.1111\/bjp.12377"},{"key":"bibr2-00030651231204838","doi-asserted-by":"publisher","DOI":"10.4324\/9781003410935"},{"key":"bibr3-00030651231204838","first-page":"99","volume":"12","author":"Freud S.","year":"1912","journal-title":"Standard Edition"},{"key":"bibr4-00030651231204838","volume-title":"Lacan, Language, and Philosophy","author":"Grigg R.","year":"2008"},{"key":"bibr5-00030651231204838","volume-title":"La conversation d\u2019Arcachon: Ces cas rares: les inclassables de la clinique","author":"IRMA","year":"1997"},{"key":"bibr6-00030651231204838","volume-title":"La convention d\u2019Antibes: La psychose ordinaire","author":"IRMA","year":"1999"},{"key":"bibr7-00030651231204838","doi-asserted-by":"publisher","DOI":"10.1177\/0003065112457876"},{"key":"bibr8-00030651231204838","volume-title":"De la psychose parano\u00efaque dans ses rapports avec la personnalit\u00e9","author":"Lacan J.","year":"1932"},{"key":"bibr9-00030651231204838","first-page":"75","volume-title":"\u00c9crits: The First Complete Edition in English","author":"Lacan J.","year":"1949"},{"key":"bibr10-00030651231204838","unstructured":"Lacan J. 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