Impactos do DSM-V na clínica psicanalítica com sujeitos autistas

Abstract

This study aimed to investigate how the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) impacts the psychoanalytic clinic with autistic subjects. The research begins with a historical analysis of the DSM and its changes throughout the editions, especially with regard to autism, which in the DSM-V was conceptualized as Autism Spectrum Disorder (ASD). The new definition unifies previously distinct diagnoses, reflecting a trend of diagnostic expansion and, secondarily, commercialization and psychopathologization. The method used, in turn, is theoretical and bibliographical, with an emphasis on the psychoanalytic counterpoint to the biological psychiatric approach and the construction of a nosological entity that becomes a successful commodity. The investigation adopts a Lacanian perspective and uses contributions from Lacan himself and contemporary authors, who share different positions on autism. The study also discusses the relationship between psychiatry and autism and Lacanian discourse theory, outlining a deeper understanding of the social impact of a context of reductionism in clinical practice and the dissemination of capitalist discourse in using autism as a gadget. Psychoanalysis is presented as an approach that has been hidden from psychiatric classifications and treatments recommendations for autism, but it is shown to be a perspective that can, and should, resist this situation, defending a listening to the singularity of the subject that remains open to their own inventions