Özet:

The current study contrasted the biomedical-oriented approach that emerged in the late nineteenth century, exerting global influence on psychosis diagnosis and treatment, with Freud’s psychoanalytic studies involving the father complex, later reinterpreted by Lacan within the framework of the father function, in a historical context and discussed within the relevant literature. The primary aim of this study was to emphasize that while psychosis is generally conceptualized using biomedical terms within mainstream clinical psychiatry and psychology, the neglect of the subjectivation inherent in the psychoanalytic approach is evident, thus highlighting the critical significance of this aspect within the realm of mental health. The second aim was to highlight the original contributions of the Lacanian conceptualization, often overlooked in mainstream clinical psychiatry and psychology disciplines that inadequately incorporate psychoanalytic studies, to the structural diagnosis and treatment processes of psychosis. Lastly, the third aim was to assert that, based on Lacan’s explicit reference to the paternal function and his reliance on topological interpretations in explicating psychotic structure, the Names-of the-Father function as a coding mechanism, resulting in the synchronic emergence of the three fundamental psychic structures through this coding via the paternal metaphor. Thus, the aim was to elucidate this conceptual model by drawing on Lacan’s topological studies in part, presenting it through a graphical representation. In this context, Lacan’s interpretations of the first-level desire graph, code, and message phenomena related to psychotic structure, as well as his studies exploring the relationship among the symbolic, the paternal function, and mental structures, were referenced.

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