Lacan, esteta? Anotações sobre a clínica do real / Lacan, aesthete? Notes about the clinic of the real / Lacan, ¿esteta? Notas sobre la clínica de lo real / Lacan, esthète ? Notes concernant la clinique du réel

O objetivo deste ensaio é desenvolver a hipótese segundo a qual é possível ouvir uma estética na proposta ética da psicanálise lacaniana. Para tanto, será discutida a clínica do simbólico tal como delineada, sobretudo, no seminário A ética da psicanálise, para em seguida apresentar a clínica do real desde o seminário O sinthoma, na qual a problemática da escrita do gozo se radicaliza. No desenrolar do debate, pretende-se destacar como, progressivamente, Lacan aprofunda a experiência analítica enquanto poiesis, ato de criação, um gesto de abandono de uma "vontade de poder", no sentido foucaultiano, para a afirmação de uma "vontade de criação", para dizê-lo nietzschianamente, própria às artes, e portanto como o avesso da biopolítica, de uma ordem de controle dos corpos e da subjetividade.

The aim of this essay is to develop the hypothesis according to which it is possible to hear an aesthetic in the ethical proposal of Lacanian psychoanalysis. In order to do so, the symbolic clinic will be discussed as outlined in the seminar The ethics of psychoanalysis to then present the clinic of the real since the seminar The sinthome in which the problem of writing of jouissance is radicalized. In the course of the debate, it is intended to highlight how, progressively, Lacan deepens the analytical experience as an act of poiesis, creation, a gesture of abandonment of a "will of power", in the Foucauldian sense, for an affirmation of a "willingness to create", to put it in a Nietzschean way, as the reverse of biopolitics, of an order of control over bodies and subjectivity.

El objetivo de este ensayo es desarrollar la hipótesis de que es posible escuchar una estética en la propuesta ética del psicoanálisis lacaniano. Con este fin, se discutirá la clínica de lo simbólico, sobre todo, como se describe en el seminario La ética del psicoanálisis, y luego presentaremos la clínica de lo real desde el seminario Le sinthome en el que se radicaliza el problema de la escritura del goce. En el transcurso del debate, se pretende destacar cómo, progresivamente, Lacan profundiza en la experiencia analítica como poiesis, acto de creación, un gesto de abandono de una "voluntad de poder", en el sentido de Foucault, para una afirmación de una "voluntad de crear", en el sentido de Nietzsche, propio de las artes y, por lo tanto, como el reverso de la biopolítica, de un orden para controlar los cuerpos y la subjetividad.

L'objectif de cet essai est de développer l'hypothèse selon laquelle il est possible de s'entendre une proposition éthique de la psychanalyse lacanienne. Pour cela, on discutera de la clinique du symbolique telle qu'elle a été délinéée surtout pendant le séminaire L'éthique de la psychanalyse pour ensuite présenter la clinique du réel depuis le séminaire Le sinthome, dans laquelle la problématique de l'écriture de la jouissance se radicalise. Pendant le déroulement du débat, on a l'intention de souligner comment Lacan approfondit progressivement l'expérience analytique en tant que poïétique, ou poiesis, un acte de création, un geste d'abandon d'une « volonté de pouvoir ¼ dans le sens foucaldien, vers une affirmation d'une « volonté de création ¼ pour le dire à la façon nietzschéenne, propre aux arts et, donc telle que l'inverse de la biopolitique, d'un ordre de contrôle des corps et de la subjectivité.

Apuntes sobre lo singular, la re-presentación y el arte. Un rodeo a lo real / Notes on the singular, representation and art. Edging the real

El arte se debate precisamente entre responder al papel asignado por la modernidad como campo de la estética, y de escapar de ese lugar e interrogar la re-presentación para abrir el horizonte de sentido, pero esta vez introduciendo lo singular como su única garantía de tratar lo real. Lo cual dista del ámbito de la investigación. El arte, en consecuencia, está expuesto al peligro de sucumbir a la demanda de la realidad en el capitalismo de la modernidad tardía. La pertinencia de tratar lo singular en su propia lógica, es decir sin la pretensión de compararlo con lo universal, mediante la creación artística y la elaboración simbólica, permite tramitar lo incomprensible, lo real, lo insoportable dándole una forma y una materia, lo cual implica contrarrestar los efectos del retorno de lo real puesto en el acto atroz

Art is debating precisely between responding to the role assigned by modernity as a field of aesthetics and escaping from that place and questioning the re-presentation to open the horizon of meaning, but this time introducing the singular as its only guarantee of trying the real. Which is far from the scope of the investigation. Consequently, art is exposed to the danger of succumbing to the demand of reality in late modern capitalism. The relevance of treating the singular in its own logic, that is, without the pretense of comparing it with the universal, through artistic creation and symbolic elaboration, allows us to process the incomprehensible, the real, the unbearable, giving it a form and a matter, which it implies counteracting the effects of the return of the real put into the heinous act

Survey on the Research of Traditional Chinese Medicine Therapeutic Evaluation Information Processing Method in the Real Word / 世界科学技术-中医药现代化

In the process of current clinical efficacy evaluation of traditional Chinese medicine, there are four diagnostic information lack of scientific evidence, patients with individualized information using deficiencies. For example the inadequate efficacy evaluation is rarely mentioned in literature methodology to process syndrome. In order to deal with clinical information more objectively and comprehensively, The clinical curative effect of traditional Chinese medicine should be evaluated reasonably, so as to facilitate the clinical treatment of syndromes. This article describes the background, classifications, advantages and disadvantages of traditional Chinese medicine therapeutic evaluation information of processing method in the real word. Mainly introduced the classifications, include quantification and forecast. The former includes the scaling method, scaling method by TCM diagnosis instrument, Data Envelopment Analysis, Propensity score method, Fuzzy Mathematics Calculation Model and Prescription similarity model. The latter includes the multilevel statistical models, Generalized Linear Model and Markov model. In this paper, we introduce the common information processing methods in clinical practice, and the purpose is to simplify and clarify the evaluation objects so as to facilitate the evaluation of TCM clinical efficacy.

Analysis on value of using real time dynamic blood sugar monitoring during insulin pump treatment process in ICU patients / 重庆医学

Objective To investigate and analyze the value of using real time dynamic blood sugar monitoring during insulin pump treatment process in ICU patients.Methods Sixty-two ICU cases needing insulin intervention due to own blood glucose abnormality in this hospital from February 2015 to February 2016 were selected and divided into the control group and observation group,31 cases in each group.The control group used the fingertip method for measuring blood glucose and simultaneously used the continuous intravenous insulin injection by micropump;the observation group used real time dynamic blood sugar monitoring system to measure blood glucose level.Results The two groups completed the related study without excluded case or fallen out case.The observation group was better than the control group in the aspects of the time reaching target blood sugar level,total treatment time,insulin dosage and hypoglycemia occurrence rate,the difference was statistically significant (P ＜ 0.05).MBG,MAGE,MODD,SDBG and time percent of glucose drift (TBG≥7.8 mmol/L and TBG≤3.9 mmol/L) on 3 d in the observation group were significantly decreased compared with those on 1 d.The two monitoring methods showed significantly positive correlation (r =0.97,P=0.006).Conclusion ICU patients using the real time dynamic blood sugar monitoring system can obviously decrease blood sugar level,and is safe and effective.

Orientação do real / Orientation du réel / Real’s orientation

A clínica psicanalítica no século XXI apresenta configurações distintas da clínica de Freud: outro laço social, outras subjetividades e novas discussões diagnósticas. Uma excelente referência teórica nesta problemática são os cursos de orientação lacaniana, ministrados por Jacques-Allain Miller. Em um deles, Miller afirma que é possível encontrar no último ensino de Lacan subsídios para concluir que o analista é o proton pseudos da psicanálise. Neste artigo, o autor efetua a leitura dos últimos seminários de Lacan (em especial O sinthoma) e não encontra nenhuma fórmula que, fora de contexto, pudesse garantir inequivocamente esta assertiva. Diferentemente da orientação para o real proposta por Miller, foi encontrada a orientação do real. Esta diferença motivou um trabalho de pesquisa que acompanhou o estatuto do analista em Freud e em Lacan e construiu este percurso até as últimas formulações lacanianas.

La clinique pscyhanalytique du XXIe siècle présente des configurations distinctes de celle de Freud: un autre lien social, d’autres subjectivités, et de nouvelles discussions diagnostiques. Les cours d’ orientation lacanienne enseignés par Jacques-Alain Miller, sont une excellente référence théorique dans cette problématique. Au cours de l’un d’eux, Miller affirme qu’il est possible de trouver dans le dernier enseignement de Lacan des elements suffisants pour conclure que l’analyste est le proton pseudos de la psychanalyse. Dans cet écrit, l’auteur fait la lecture des derniers Séminaires de Lacan, (Le sinthome en particulier) et ne trouve aucune formule qui puisse, séparée de son contexte, prouver irréfutablement cette affirmation. De manière différente de l’orientation pour le réel propose par Miller, l’auteur propose l’orientation du reel. Cette difference a motivé un travail de recherché qui accompagne le statut de l’analyste chez Freud et Lacan et construit ce parcours jusqu’aux dernières formulations lacaniennes.

The psychoanalytic clinic in the XXI century has distinct clinical settings from Freud’s creation: another social bond, other subjectivities and new diagnostic discussions. Excellent theoretical references in this issue are the Lacan orientated courses, taught by Jacques-Allain Miller. In one of them, Miller states that it is possible to find subsidies in the last teaching of Lacan to conclude that the analyst is the proton pseudos of psychoanalysis. In this article, the author makes the reading of Lacan’s final Seminars (especially Le synthome) and finds no formula that, out of context, could unequivocally guarantee this statement. Unlike the orientation for the real proposed by Miller, the author of this paper creates the orientation of the real. This difference led to a research that follows the analyst's status in Freud and Lacan and builds this route until the final statements of Jacques Lacan.

Existe um lugar para os pais reais: reflexões sobre o lugar dos pais e do analista real na psicanálise de orientação kleiniana / There is a place to the real parents: some thoughts about the place of parents and reality in the kleinian's psychoanalysis / Hay un lugar para los padres reales: reflexiones sobre el lugar de los padres y de la realidad en el psicoanálisis kleiniano

Muitas críticas são feitas à teoria kleiniana. Ela tem sido criticada por conferir espaço privilegiado ao mundo interno, negligenciando o papel que o mundo externo - os pais reais - teria sobre o desenvolvimento da criança. O que pretendo explorar neste trabalho é como, especialmente a partir do conceito de identificação projetiva, a pessoa real dos pais e do analista passa a ser primordial na teoria e na técnica de orientação kleiniana.

Many criticisms are made to Klein's theory. It has been criticized for giving privileged space to the internal world by neglecting the role that the external world - the real parents - would have on child development. What I intend to explore in this paper is how, especially since the concept of projective identification, the real person of the parents and the psychoanalist becames crucial in the kleinan's theory and technique.

Muchas críticas se hacen a la teoría de Klein, que ha sido criticada por dar un espacio privilegiado para el mundo interior y descuidar el papel que el mundo exterior - los padres reales - tendría en el desarrollo del niño. Lo que me propongo explorar en este trabajo es cómo, sobre todo desde el concepto de identificación proyectiva, la persona real de los padres y del analista se convierte en crucial en la teoría y en la técnica de orientación kleiniana.

Expression of aproliferation-inducing ligand in B cell non-Hodgkin lymphoma / 白血病·淋巴瘤

Objective To investigate mRNA and protein expression of aproliferation-inducing ligand (APRIL) in peripheral blood mononuclear cell and plasma of patients with B cells non-Hodgkin lymphoma (B-NHL) pre- or post- chemotherapy and to explore the role of APRIL in the B-NHL. Methods The mRNA and protein expression of APRIL were detected by real-time fluorescence quantitative polymerase chain reaction (RFQ-PCR) and enzyme-linked immunosorbent assay(ELISA), respectively. According to the standard curves,the quantitative levels of target mRNA and protein were determined. Results The detection linear range of targeted mRNA by RFQ-PCR was 101-109 pg/ml, and the coefficient of variation values for both intra- and inter-experimental reproducibility ranged 1.69 %-5.99 % and 6.35 %-10.12 %, respectively. To detect expression of APRIL protein by ELISA, the correlation coefficient of standard curves reached 0.9922. Before or after chemical treatment, the expression levels of APRIL mRNA and protein in patients with B-NHL were significantly higher than those in normal control (P ＜0.01), while the expression levels in post-treatment patients with Ⅲ and Ⅳ stage were lower than those of pre-treatment patients with corresponding stage (P ＜0.05, respectively), but those of pre- and post-treatment patients with Ⅰ / Ⅱ stage were not different (P ＞0.05).Conclusion The expression level of APRIL mRNA is similar to that of APRIL protein. APRIL may be involved in pathogenesis and development of B-NHL. Moreover, APRIL may be related to the burden of B-NHL and it may be considered as a targeted molecule for B-NHL.

A legenda dos genes e os leitores do cérebro / The genes legend and brain readers / La leyenda de los genes y los lectores del cerebro

Entre psicanálise e cognitivismo, entre psicanálise e neurociências, não há ponto de interseção, são campo disjuntos, sem convergência nem objeto comum possível. Isso por uma razão simples que o leitor encontrará argumentada de várias formas, precisadas nas páginas que seguem: a psicanálise e o cognitivismo, assim como a psicanálise e as neurociências, frente a frente, tratam de reais distintos, radicalmente heterogêneos. O real próprio da psicanálise, esse real que Sigmund Freud abordou com o conceito de inconsciente e que Jacques Lacan escreveu com a letra do objeto a, esse real sem lei que não atende à probabilidade nem ao azar e que definimos, finalmente, como o impossível, como o que não deixa de não se escrever, é um real que não superpõe nem poderá localizar-se, jamais, no real objetivável das neurociências. Nesse real onde a ciência supõe um saber escrito, já constituído, a psicanálise lê a página em branco do sujeito do inconsciente.

Between psychoanalysis and cognitivism, between psychoanalysis and neurosciences, there is no intersection point, as they are disjunctive fields, without convergence or a common object. The reason for that, a very simple one, is expressed in different ways in the pages that follow: when compared, psychoanalysis and cognitivism, just as psychoanalysis and neurosciences, deal with distinct and radically heterogeneous realities. The real characteristic of psychoanalysis, the real that Sigmund Freud approached with the concept of the unconscious and that Jacques Lacan wrote with the letter of object a, that lawless real that does not attend to probability nor to chance and that is defined, at last, as the impossible, as that which does not fail to write itself, is a real that does not overlap nor can it ever be found in the object-to-be real of neurosciences. In that real in which science presupposes a written knowledge, already constituted, psychoanalysis reads the blank page of the unconscious subject.

Entre el psicoanálisis y el cognitivismo, entre el psicoanálisis y las neurociencias, no hay un punto de intersección, son campos disjuntos, sin convergencia ni objeto común posible. Y ello por una razón muy simple que el lector encontrará argumentada de varias formas, precisadas en las páginas a continuación: el psicoanálisis y el cognitivismo, así como el psicoanálisis y las neurociencias, frente a frente, tratan de reales distintos, radicalmente heterogéneos. Lo real propio del psicoanálisis, ese real que Sigmund Freud abordó con el concepto de inconsciente y que Jacques Lacan escribió con la letra del objeto a, ese real sin ley que no atiende ni a la probabilidad ni al azar y que definimos, finalmente, como lo imposible, como lo que no deja de no escribirse, es un real que no se superpone ni se podrá localizar jamás en lo real objetivable de las neurociencias. En ese real donde la ciencia supone un saber escrito, ya constituido, el psicoanálisis lee la página en blanco del sujeto del inconsciente.

O real na experiência de análise: interpelação e presença do analista / The real in the analysis experience: the analyst's interpellation and presence

O texto resulta de uma elaboração de acompanhamentos deanálises, tendo como foco a indagação a respeito da presença doanalista, no que a mesma implica um encontro do real. Essa questãofoi acompanhada, nos casos apresentados, pela via de indagaçõessobre o silêncio. Ele foi situado a partir de duas proposições: emprimeiro lugar, como uma interpelação quanto ao lugar do analista,com o encontro de um mutismo; numa segunda apresentação decaso, o silêncio situou-se do lado da analisanda, com asconseqüências implicadas na circulação da palavra. A referênciadas duas passagens é a produção do sonho, que se apresenta comoo encontro do real, que convoca o trabalho do sujeito doinconsciente. A partir dos fragmentos clínicos, o silêncio pôde serpensado como proveniente do real, como via de possibilidade parauma nova circulação do discurso, nessa dobradura entre simbólicoe real na qual se inscreve uma experiência de análise.

This text results from the reports of accompanied analysis processesconcerning an investigation of the analyst’s presence, in so far as itimplies meeting the real. This question was focused in casespresented by means of investigations of silence. It was consideredin two perspectives: in the first place, as an interpellation regardingthe analyst’s role, a meeting with muteness; in the second casepresentation, as coming from the patient, with the consequencesimplied in the circulation of the word. For reference of the twopassages, dream production presents itself as a meeting with the real that incites the work of the subject of the unconscious. Withbasis on clinical fragments, silence could be thought of as derivingfrom the real, as the possibility of a new speech circulation, inthat folding between the symbolic and the real in which an analysisexperience is inserted.

Inconsistency between the Accounts and the Numbers of Drugs by Computer Management in Inpatient Dispensary of Our Hospital:Causes and Countermeasures / 中国药房

OBJECTIVE:To provide references for the elevation of the inconsistency between the accounts and the numbers of drugs by computer management in inpatient dispensary in our hospital.METHODS:Three stages including drug checking,stockout and stockin were analyzed to find out the causes for the inconsistency between the accounts and the numbers of drugs,aimed at which the countermeasures were put forward.RESULTS & CONCLUSIONS:The consistency between the accounts and the numbers of drugs could be greatly elevated by adopting special messenger responsible system,arranging reasonable drug stocktaking time,evolving stockin and stockout system as well as strengthening the responsibility of the concerned personnel.