Fundamentals of Psychoanalytic Technique: A Lacanian Approach for Practitioners Review

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Fundamentals of Psychoanalytic Technique: A Lacanian Approach for Practitioners ReviewLacan is a fascinating thinker but famously difficult to read. I've been reading Lacan and Lacanian commentators on and off for 20 years. Only in the past few years have I felt as if I'm getting a handle on Lacan, and Bruce Fink's two decades of work deserve most of the credit.
Fink's "Fundamentals" discusses the basics of clinical interaction from a Lacanian perspective, covering everything from the art of interpretation, to how the Lacanian approach differs in practice from other psychoanalytic approaches, to discussion of often misunderstood details such as variable-length sessions. All of these are discussed in a straightforward way: with a minimum of Lacanian jargon and theoretical complexity, a large dose of actual case excerpts, and extensive citation and analysis of dominant ego psychology and other psychoanalytic approaches.
Fink provides scathing critiques of several psychoanalytic concepts that are prevalent in mainstream ego psychology and object relations approaches. He dissects the concepts of "projective identification", which he argues is little more than ego aggrandizement and power politics by the analyst, and "unconscious affect", which he argues is a terribly confused notion. Both critiques are compelling; even if one does not agree, they demonstrate the need for a return to solid clinical reality and coherent theory rather than acceptance of prevailing dogma.
Fink makes a strong case for returning to the details of clinical interaction: how to listen carefully, the importance of attending to literal words from patients, and how clinicians should be humble enough to attend to patients' own experiences rather than immediately assuming that everything is about the therapist (i.e., transference).
Despite years of studying and practicing ego psychology and object relations approaches, I've often felt uncomfortable with them and sensed that the earlier, structural notions of Freud contained truths that had been jettisoned (or even repressed) too completely in modern theories. Fink provided a framework to help me think about this. I'm not convinced that his is the only answer, as clearly there are good clinicians working on all sides of psychoanalytic theory. But his perspective is worth hearing and makes a substantial contribution to the field and to individual clinical work.
In terms of how this relates to other books on Lacanian approaches, this text has the best mixture of readability and applicability for practitioners. Fink's own "Clinical Introduction" is more comprehensive, but is also more difficult, with a larger dose of Lacanian theory, and less focused on immediate application and case-based examples. His "Lacanian Subject" is a good exposition of theory, but with less specific clinical focus. My suggestion would be for practitioners to read Fink backwards in time: start with "Fundamentals", then either "Clinical Introduction" (for the most applied clinical text) or "Lacan to the Letter" (if starting to read Lacan), and then "Subject".
For interested Lacan readers who are not clinicians, a better sequence might be Joel Dor's "Introduction", which is a brilliant exposition of Lacan's theory of the unconscious, followed by Fink's "Lacanian Subject", and then "Lacan to the Letter" or one of the clinical works, if interested. Besides reading commentaries, the sooner that one experiences Lacan directly, the better; Fink's Ecrits is a brilliant translation.
In "Fundamentals", Fink refers a few times to other clinical works in progress. I'm eagerly awaiting them. Enjoy -- and may Fink's letters continue to reach their destination.
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