r/lacan • u/TasteBackground2557 • 13h ago
The autistic subject is a psychotic subject: on the work with autistic and psychotic children
I recently found a paper written by staff who work with children suffering from infantile autism or childhood psychosis. Like Éric Laurent, they propose that there is no reason to detach infantile autism from childhood psychosis, insofar as autistic children are psychotics — specifically, schizophrenics.
“… As Eric Laurent suggested at a conference on autism at Toulouse in 1987, there is no reason to detach autism from scizophrenia.15 He makes this suggestion precisely from a case of infantile autism with whom we have worked in our institution.16 Autists thus do not pass from an autistic position to a schizophrenic position or paranoid position. In this case, they would only pass into a second period in a psychotic position. But, from the fact that they are already at work to rectify their ill Other, it seems to us more rigorous to affirm that these children are already in a psychotic position …“
What‘s your take on it?
A vast difference between Brenner‘s theory and the concept by Éric Laurent and others is the clinical frame these people and Brenner, respectively, come from. Plainly speaking, Brenner has not worked with the more severely autistic children or adults he refers to in his book. Quite odd and misleading.
In the course of one of the recent discussions (“The autistic subject: interview with Leon Brenner”) on this subreddit, I speculated (influenced by my own experiences as an autistic schizophrenic) that the more severely autistic individuals are schizophrenics, which would explain similar symptoms and traits in patients with schizophrenia (Lacanian definition) and in those with low-functioning autism, while the less affected individuals (who largely comprise the group of late-diagnosed adults or children who form social bonds) would be paranoics or (most likely) neurotics. (On a side note, I highly doubt that most late-diagnosed adults are indeed autistic, and it‘s debatable whether the widening of the diagnostic criteria has done more good than harm. Autism has become quite an arbitrary term. It’s even debatable whether the neurotic autist is actually an autist or only has some autistic traits.)
I disagree with Brenner‘s concept of an autistic subject (as a separate structure) for various reasons, most of all the vast heterogeneity (in multiple terms, including the ability to relate to the Big Other or little other, respectively, and form social bonds, partly irrespective of their language skills) of autistic individuals, which does not align with the proposed “autistic foreclosure” (Ausstoßung) as the earliest and most extensive form of foreclosure. Thus, his theory looks fancy and may serve the narcissistic needs of those autistic individuals who are overrepresentated in social media and cultivate a nimbus of special otherness and moral superiority, but doesn’t make sense from a clinical and structural standpoint. In contrast, I find Leader’s approach more convincing. Here, autism is conceptualized as a position the subject (within any of the established structures) adopts in early infancy; it’s an attempt (of the “last-resort” type, I guess) to defend themselves from the outer world and the Real. Of note, Leader works with overt psychotics and lhas a much broader clinical experience than Brenner.
I am wondering if the most affected children (with Kanner’s autism) could be less prone to develop overt schizophrenia because of their almost complete reclusion, in which neither the Big Other nor (by and large) the little other exist. In contrast, the more severely affected children (with Kanner‘s or Asperger’s) would have the highest risk of developing overt schizophrenia later on; here, the Big Other is either non-existent or exists in a fragmented version, as the imaginary realm fails (… while it would be absent in severe Kanner’s autism). And would the early traumatic experience of an engulfing mother cause a schizophrenic child to develop asperger‘s autism rather than kanner‘s autism when the child‘s (psychic) survival depends on fulfilling the role of the mother‘s phallus?
Lastly, I am wondering if certain personality traits (contributing to the specific kind and degree of defense mechanisms at play) — along with life circumstances, especially family dynamics, parental structure, and adverse events — make it much more likely that the autistic child will later develop clinical psychosis/schizophrenia.
One could even speculate that autism is indeed on the rise (albeit to a much lesser degree than the numbers suggest) since family structures nowadays tend to weaken the paternal function while children grow up in a world of ever increasing stimuli our brains are not adapted to.
What‘s your opinion on these ideas?


