Against Understanding, Volume 1: Commentary and Critique in a Lacanian Key
Bruce Fink
by Bruce Fink (2014)
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Synopsis
Against Understanding, Volume 1 by Bruce Fink (Routledge, 2014) mounts a systematic, clinically grounded polemic against the privileged role that "understanding" occupies in contemporary psychotherapy and psychoanalysis. The book's central argument is that understanding — in the ordinary sense of a patient gaining cognitive or emotional insight into their condition — is not merely an insufficient therapeutic goal but is often an active obstacle to genuine analytic change, because it primarily gratifies the ego (the analysand's or the analyst's) while bypassing the unconscious and leaving the real libidinal economy untouched. Working rigorously in a Lacanian register, Fink argues that the imaginary register governs the very impulse to understand by reducing the unfamiliar to the familiar and projecting the analyst's frameworks onto the analysand's speech; authentic clinical work requires instead a symbolic listening that attends to the letter — slips, pauses, aposiopesis, homophony, compromise formations — rather than to meaning. The collection's positive counter-thesis is that speech itself, particularly the laborious verbalization of previously unspeakable material before another person, carries genuine curative power independent of conscious comprehension: change can and regularly does occur without the analysand knowing why or when it happened. Across seventeen chapters organized into sections on clinical practice, reading Lacan, cases, translation, and critique, Fink demonstrates this thesis through dense clinical vignettes, extended literary analysis (Hamlet), a Lacanian response to Foucault, sustained commentary on key Lacanian texts, a psychoanalytic ethics of translation, and a synoptic comparison of psychoanalytic paradigms. The book, roughly two-thirds of which appeared in print for the first time, is addressed to a broad clinical and scholarly readership and draws on approximately twenty years of Fink's clinical and translatorial practice.
Distinctive contribution
What this book does that no other single work in the Lacanian corpus does quite as comprehensively is to prosecute the critique of "understanding" across every major domain of psychoanalytic life simultaneously: clinical technique, textual commentary, literary interpretation, translation theory, cultural critique, and comparative paradigm analysis. Other works in the corpus address subsets of these domains — Fink's own earlier books (A Clinical Introduction to Lacanian Psychoanalysis; The Lacanian Subject) focus on theory and technique, Žižek uses Lacanian concepts for cultural criticism, and various translation commentaries exist piecemeal — but Against Understanding Volume 1 is unique in making the single thesis ("understanding is not the goal; change, symbolization, and jouissance are") do sustained argumentative work across all these registers at once. The result is a volume that demonstrates its own thesis formally: the reader encounters Lacanian critique as an ongoing practice rather than as a doctrinal statement.
The book's second distinctive contribution is its unusually frank and detailed engagement with the practice of translation as a site of psychoanalytic ethics. The extended interview-chapters on translating the Écrits — covering everything from micro-level decisions about specific prepositions, mathemes, and pronouns, to macro-level questions about audience, style, jouissance of the text, and the translator's own desire — constitute the most comprehensive published account of what it actually means to translate Lacan into English. By drawing a sustained analogy between the analyst who must listen to the analysand's speech without imposing their own frameworks and the translator who must attend to the letter of the source text without domesticating it, Fink transforms translation theory into clinical epistemology: both practices require the same principled non-mastery, the same toleration of irreducible otherness, the same refusal of premature closure.
A third contribution is the volume's systematic comparative architecture. Rather than simply advocating for Lacanian practice, the closing "Summary Comparison of Psychoanalytic Paradigms" chapter constructs a detailed three-way map — classical Freudian (often caricatured), contemporary eclectic (object-relational/relational/intersubjective), and Lacanian — across axes including the analyst's role, the theory of transference and countertransference, the theory of conflict, the model of the mind, and the conception of the therapeutic relationship. This provides a rare structural overview of what distinguishes Lacanian clinical practice from its nearest rivals, grounding abstract theoretical differences in concrete clinical postures, and making it directly useful for clinicians trying to orient themselves in the contemporary landscape.
Main themes
- Understanding as obstacle: the ego-gratifying function of insight versus genuine analytic change
- Symbolic versus imaginary listening: attending to the letter rather than projecting meaning
- Speech and verbalization as independent curative mechanisms distinct from conscious knowledge
- Jouissance, the real, and libidinal transformation as the proper lodestar of analytic work
- Structural diagnosis (neurosis, psychosis, perversion) and differential clinical technique
- The ethics of translation as an extension of the ethics of psychoanalytic interpretation
- Desire, demand, and drive: their structural distinctions and clinical implications
- Critique of ego psychology and relational/intersubjective models in favor of Lacanian structural analysis
- The Lacanian reading of literary and cultural texts (Hamlet, Marilyn Monroe) as psychoanalytic inquiry
- Epistemic humility, non-mastery, and the productive not-knowing of analyst and translator alike
Chapter outline
- Preface
- Against Understanding: Why Understanding Should Not Be Viewed as an Essential Aim of Psychoanalytic Treatment — p.23-42
- Lacanian Clinical Practice: From the Imaginary to the Symbolic — p.27-62
- A Lacanian Response to Foucault's Critique of Psychoanalysis — p.63-74
- Compulsive Eating and the Death Drive — p.74-80
- A Brief Reader's Guide to "Variations on the Standard Treatment" — p.85-103
- Reading Hamlet with Lacan — p.103-118
- A Psychoanalytic Ethics of Translation — p.119-133
- On Translating Écrits: A Selection (Interview with D. Noam Warner) — p.135-152
- Both/And Logic in a Case of Fetishism — p.155-173
- Inter(oed)dictions — p.174-195
- Sexual Anxieties — p.186-195
- Psychoanalytic Approaches to Severe Pathology: A Lacanian Perspective — p.197-215
- Marilyn Monroe and Modern-Day Hysteria — p.213-231
- Interview: A Psychoanalyst Has to Speak like an Oracle — p.217+
- Interview: Lacan's Reception in the United States — p.226+
- Letter to the Editor of Scientific American — p.250
- A Summary Comparison of Psychoanalytic Paradigms — p.252+
Chapter summaries
Preface
The Preface frames the book's central epistemological stance through a navigational metaphor: the analyst must steer between the Charybdis of believing one has understood everything and the Scylla of believing one has understood nothing, a challenge Fink likens to the 'almost fractal' nature of human experience, where ever-finer substructures always lurk behind larger visible ones. This image argues against any final or total understanding, positioning analytic listening as a permanently recursive practice rather than a movement toward a destination.
Fink extends the same predicament to the analysand, who enters treatment hoping for quick answers but must learn through the analytic process itself that experience is multileveled and virtually every facet of it overdetermined. Analyst and analysand alike must learn to tolerate partial, provisional formulations — accepting that some solutions may only be 'good enough' for a given moment. Fink acknowledges his own admiration for Feyerabend and Kuhn, drawing a deep skepticism toward scientific method and a commitment to the historical contingency of any theoretical model, Freudian or Lacanian. The Preface thus sets the epistemological tone for the entire volume: sustained argument against the rush to understanding, in favour of disciplined attentiveness to complexity and overdetermination.
Key concepts: Against understanding, Fractal nature of human experience, Overdetermination, Partial and provisional formulations, Feyerabend and Kuhn on scientific method
Against Understanding: Why Understanding Should Not Be Viewed as an Essential Aim of Psychoanalytic Treatment *(p.23-42)*
This opening chapter — the book's argumentative centerpiece — advances the polemic that understanding, in the ordinary sense of cognitively grasping why one suffers or behaves as one does, has no essential curative value in psychoanalysis and can actively function as a resistance to change. Fink illustrates this with a clinical vignette: an analysand whose career sabotage (rooted in a childhood sexual experience with an older boy) resolved without the analysand being able to articulate when, why, or what had changed. The curative factor was not insight but the laborious verbal articulation of the formative experience before another person. This placement of the burden of proof firmly on insight-oriented theorists is the chapter's sharpest polemical move.
Fink identifies understanding with Lacan's imaginary register — the register of projection, prefabricated meaning, and the ego's drive to reduce the unfamiliar to the already-known. Analysts who listen for meaning alone remain trapped at this level, colonizing the analysand's speech with their own frameworks. The alternative is symbolic listening: attending to what is actually said — slips, unfinished sentences, double entendres, pauses, aposiopesis, compromise formations — rather than to the intended meaning. Fink argues that language is simultaneously a medium of communication and a wall between speakers, and that the analyst must exploit precisely the points where speech goes awry.
Through multiple clinical examples — including female analysands whose interrupted sentences ('My mother was sort of —'; 'I feel... like killing him!') contain the affect that full articulation alone can process, and an analysand with tinnitus who associates the sound of cicadas ('acadas') to 'sick' and 'AIDS' and to sleeping in his parents' bedroom — Fink builds the case that complete articulation of affect in all its variations, rather than intellectual acknowledgment of its sources, is what working-through actually requires. Interpretation, he concludes, should not produce understanding but 'make waves': it should be unexpected, jolting, oracular, working at the level of jouissance in the real rather than at the level of meaning.
Key concepts: Understanding as resistance, Symbolic vs. imaginary listening, Putting the unspeakable into words, Jouissance and the real, Oracular interpretation, Articulation of affect Notable examples: Analysand whose career sabotage resolved without conscious understanding; Female analysand with aposiopesis ('My mother was sort of —'); Female analysand who completed 'I feel... like killing him!' when prompted; Analysand with tinnitus associating 'acadas' to 'sick' and 'AIDS'; Analysand with erectile dysfunction using the phrase 'what really sticks out for me'
Lacanian Clinical Practice: From the Imaginary to the Symbolic *(p.27-62)*
This extended chapter develops the clinical implications of Lacan's foundational distinction between the imaginary and the symbolic dimensions, using it as the principal axis for differential diagnosis between neurosis and psychosis and for differential clinical technique. The imaginary is introduced not primarily as illusion but as the register of images and mimetic identification — of unlimited, boundless passion without ambivalence, where no Third, no limits, and no unconscious yet operate. Fink draws on ethological examples (female pigeons requiring visual images of conspecifics for sexual maturity; Schistocerca grasshoppers transitioning to gregariousness via visual stimulus; Lorenz's observations of intra-species aggression) and on Saint Augustine's anecdote of the envious infant to ground the imaginary in preoedipal structure.
Oedipalization is presented as the pivotal event that instates the symbolic dimension, brings the unconscious into being, and introduces ambivalence and limits into the otherwise boundless imaginary passions. A key clinical criterion for detecting the symbolic dimension's presence is the subject's relation to knowledge: the neurotic senses that some knowledge about herself is inaccessible yet attributes it to an Other — constituting the transference structure Lacan calls the 'subject supposed to know.' The psychotic, by contrast, does not attribute surplus knowledge to the analyst; when the analyst notes an ambiguity or equivocation in speech, the psychotic insists their words were clear and admit of no other reading. This linguistic rigidity is traced to the foreclosure of the symbolic, which leaves signifier and signified 'soldered together' without the gap that makes irony, humor, and double entendre possible.
Fink illustrates these structural differences through rich clinical vignettes: a psychotic analysand who feels she 'dies' whenever an execution takes place in her state (transitivism, or porous ego boundaries); an obsessional analysand whose phrase 'a wreck' is heard simultaneously as 'erect,' revealing an Oedipal triangular desire; the dream vignette in which an analysand reports being 'moved' (in both senses) at work. Differential technique follows directly from differential structure: with neurotics, the analyst's gestures of skepticism and non-comprehension elicit the hidden underside of the discourse; with psychotics, such interventions risk inducing persecution and are contraindicated. Attempting to instate the symbolic dimension where it was never established, Fink concludes, is both futile and potentially harmful.
Key concepts: Imaginary vs. symbolic dimension, Oedipalization and the unconscious, Subject supposed to know, Transitivism, Signifier/signified gap, Differential clinical technique for neurosis vs. psychosis Notable examples: Female pigeons and visual conspecific image; Schistocerca grasshoppers; Saint Augustine's envious infant; Psychotic analysand who feels she dies at executions; Obsessional analysand: 'a wreck'/'erect'; Analysand's dream: 'I'm being moved'
A Lacanian Response to Foucault's Critique of Psychoanalysis *(p.63-74)*
This chapter engages with Michel Foucault's critique of psychoanalysis as articulated primarily in volume 1 of his History of Sexuality, where Foucault analogizes the analytic encounter to the Catholic ritual of confession and argues that power resides with the silent listener who holds the position of 'master of truth.' Fink situates this critique within the broader landscape of poststructuralist and feminist objections (Deleuze and Guattari on the Oedipus complex; Irigaray on Freud's misogyny and Lacan's view of women), while focusing on what he takes to be Foucault's most debatable claims.
A central argument concerns the constitution of desire through prohibition. Against Foucault's juridical-power reading, Fink argues — following Lacan and citing Plato's Philebus and Symposium — that prohibition is constitutive of desire rather than merely suppressive of it: human desire can only form when it meets an obstacle. The paternal prohibition of the child's close erotic relationship with the mother does not merely repress an existing libido but generates new, proliferating conscious desires. Fink also responds to Foucault's implicit critique of the surface/depth metaphor by noting that Lacan reformulates the problem as an inside/outside distinction: what is excluded from the chain of speech determines, through its exclusion, the detours of what is said.
Fink concedes that Foucault's discourse-analytic framework offers a genuine corrective to psychoanalytic tendencies to ignore how normative cultural discourses shape analysands' speech, while insisting that not all determinants of speech are reducible to such discourses — some things remain genuinely difficult to put into words, pointing to repression that exceeds discourse analysis. On Foucault's power-critique specifically, Fink defends the Lacanian position by arguing that the analyst occupies only a position of semblance — not actual mastery — and that Lacanian technique is precisely designed to dismantle the transference by eventually revealing to the analysand that the analyst holds only what the analysand herself has disclosed. The chapter also traces the historical complicity of American ego psychology with normalizing and exclusionary therapeutic goals, positioning Lacanian analysis as structurally resistant to the Foucauldian critique that rightly targets that tradition.
Key concepts: Subject supposed to know, Desire constituted by prohibition and lack, Semblance vs. mastery, Inside/outside vs. surface/depth, Ego psychology and normalization, Foucault's discourse analysis Notable examples: Foucault's History of Sexuality Vol. 1; Plato's Philebus and Symposium (desire based on lack); Catholic ritual of confession; American ego psychology's conversion of homosexuals; Anna Freud and origins of ego psychology in England
Compulsive Eating and the Death Drive *(p.74-80)*
This chapter applies Lacanian concepts — particularly the drive, jouissance, and the structural distinction between desire and demand — to compulsive eating and related eating disturbances. Fink begins by critiquing the contemporary proliferation of 'eating disorder' as a psychological category, arguing that what mainstream psychology packages as discrete clinical entities (anorexia, bulimia, binge-purge) are, from a classical psychoanalytic standpoint, symptoms characteristic of hysteria. He grounds this in Freud's earliest formulations: hysteria is defined via alimentary metaphors — disgust, revulsion, nausea — and the hysteric is someone who reacts to a primal experience of pleasure with repulsion.
Fink develops the distinction between desire and drive, arguing that symptoms such as compulsive eating originate in the non-dialectical, repetitive loop of the drives, which short-circuit the more open relational dialectic of desire. In neurosis, desire becomes worked into and imbricated with the drives, making reductive drive-only accounts insufficient. The death drive — the 'acephalous' (headless) drive that executes the Other's demand (in the anorexic case, the mother's 'Get out of my way!') without measure or limit — is shown to be operative in all drives, since any activity pursued without symbolic regulation will eventually destroy the subject.
A clinical case of a young anorexic woman illustrates these structures. The mother's foundational demand — 'Get out of my way!' — is internalized as a death drive, and the daughter responds by eating as little as possible. But a counter-movement also operates: a hidden desire to protest by eating everything in sight and taking up more space. The more forceful this oppositional desire becomes, the more compulsively the daughter counts calories. Fink also reads bingeing episodes as Lacanian 'separation' — a staking of everything to elicit from the parents a response revealing what the daughter truly means to them. The chapter also invokes Freud's Beyond the Pleasure Principle and the shell-shocked patient's repetitive trauma dreams to argue that the drive is fundamentally oriented around the retroactive restructuring of the subject's relation to the traumatic demand of the Other.
Key concepts: Drive vs. desire, Death drive, Jouissance, mOther's demand, Hysteria and eating, Separation (Lacanian) Notable examples: Young anorexic woman with rejecting mother ('Get out of my way!'); Freud's Beyond the Pleasure Principle — shell-shocked patient's repetitive trauma dreams; Male analysand able 'to enjoy his pleasure' in a sexual encounter
A Brief Reader's Guide to "Variations on the Standard Treatment" *(p.85-103)*
This chapter provides an extended commentary on two of Lacan's key 1950s clinical papers: 'Variations on the Standard Treatment' (1953) and 'The Direction of the Treatment and the Principles of Its Power.' Fink frames his commentary as necessarily partial — a selective decipherment — and immediately contests the ideological loading of the title Lacan was assigned: Lacan argues that 'standard treatment' is a pleonasm rooted in a statistical, Bell-curve logic of normality, and that 'variations' is used pejoratively to dismiss his own controversial techniques (variable-length sessions, oracular interpretation).
Fink traces Lacan's critique of the absence of theoretical justification for therapeutic criteria in post-Freudian psychoanalysis, citing Lacan's appreciation of Edward Glover's skepticism and his scorn for the 'pointless syncretisms' of middle-group positions. The standard, Lacan shows, collapses into an appeal to the ineffable person of the analyst — innate, untransmissible gifts — revealing a false humility that conceals grandiosity. Against this, Lacan insists on rigorous theorization of what analysts actually do.
The commentary covers Lacan's critique of empathy (Einfühlung/connivance) as identificatory connivance that forecloses genuine symbolic work; his partial rehabilitation of the 'communication of unconsciouses' concept because it preserves the place of the Other; his reading of Wilhelm Reich's character armor as mislocating a symbolic phenomenon in the imaginary; and his critique of Balint's dyadic approach, which can only be salvaged by the analyst presenting 'the face of death' — a third term that dialectizes the ego-to-ego situation. The chapter also develops Lacan's account of intersubjectivity and the constitutive (rather than merely communicative) function of speech, and his distinction between 'true speech' (parole vraie — intersubjective recognition) and 'true discourse' (correspondence to the thing), arguing that authentic truth in language belongs to the register of mutual recognition rather than referential adequacy.
Key concepts: Standard treatment and normative logic, Empathy (Einfühlung) as connivance, Constitutive nature of speech, True speech vs. true discourse, Death as third term (Balint critique), Nonknowledge as analytic virtue Notable examples: Edward Glover; Karl Jaspers (empathy critique); Sándor Ferenczi (nonknowledge); Wilhelm Reich's character armor; Michael Balint's dyadic approach; Aesop's fable of the bat
Reading Hamlet with Lacan *(p.103-118)*
This chapter examines Lacan's seven-lecture engagement with Shakespeare's Hamlet in Seminar VI (Desire and Its Interpretation, 1958–59), situating it as a generative encounter rather than a conventional psychoanalytic literary analysis. Fink stresses that Lacan's method — consistent with his readings of Poe and Plato — is to learn from poetic works rather than simply apply pre-formed psychoanalytic schemas to them. The overarching thesis is that symbolic castration must occur if the 'problem of desire' is to be resolved — if the subject's desire is to be freed from its subjugation to the Other's desire — and that Hamlet is the figure who fails, throughout most of the play, to complete this movement.
Fink devotes extended analysis to the closet scene (Act III, Scene IV), where Lacan reads Hamlet's moral lecture to Gertrude as a precise illustration of the demand/desire distinction: at the very moment Gertrude unexpectedly acquiesces ('What shall I do?'), Hamlet retreats ('Not this, by no means, that I bid you do'). The structural cause of Hamlet's paralysis is identified as the failure of separation from the mOther: Gertrude deflects Hamlet's implicit question about his place in her desire by speaking only of herself, converting his desire into mere demand for attention and love. Fink maps this onto the Graph of Desire, showing that Hamlet's access to the upper level — the encounter with the signifier of the lack in the Other — is blocked throughout most of the play.
The conditions under which Hamlet finally acts are analyzed via Lacan's 'Logical Time and the Assertion of Anticipated Certainty' (the three-prisoner problem), in which subjectivity is precipitated through temporal tension within a specular situation. It is Hamlet's imaginary rivalry with Laertes — ordinarily considered an obstacle to symbolic development — that paradoxically catalyzes his symbolic castration, the reincorporation of Ophelia as object of desire, and finally the stabbing of the King. Fink then critically contests Lacan's conclusion by attending to Hamlet's dying words ('Had I but time'), arguing that Hamlet never truly acts in a full sense but lives — and dies — posthumously, always delegating speech and deferring to the time of the Other. This section models the book's broader method: engaged, critical commentary rather than mere exegesis.
Key concepts: Symbolic castration, Alienation and separation, mOther's desire, Demand vs. desire, Graph of Desire (upper level), Signifier of the lack in the Other Notable examples: Hamlet, Act III Scene IV (closet scene); Gertrude's 'What shall I do?' and Hamlet's retreat; Laertes and the cemetery scene; The poisoned-sword duel and Hamlet's final act; Lacan's 'Logical Time and the Assertion of Anticipated Certainty' (three-prisoner problem)
A Psychoanalytic Ethics of Translation *(p.119-133)*
This chapter establishes a psychoanalytic ethics of translation by drawing a direct parallel between commenting on a text and conducting a psychoanalysis. The guiding provocation is Lacan's remark to his supervisees: one of the greatest dangers in both clinical and textual work is 'understanding too much' — reading into a subject's or author's discourse more than is actually there. The chapter frames the translator's task as one of principled non-mastery: understanding is never more than an asymptotically unfolding project, perpetually approached but never fully arrived at.
Fink develops the argument that not everything in a text or an analysand's discourse can or should be rendered fully meaningful. Drawing on Lacan's Seminar XI, he distinguishes interpretation aimed at producing meaning from interpretation aimed at exposing the fundamental nonsensicality — the non-meaning — that underlies signifiers, using Freud's Rat Man case to illustrate how symptoms are determined by purely letter-based verbal bridges (Ratten/Raten/Spielratte) that carry no semantic meaning. A pointed critique of Alan Sheridan's prior translations demonstrates how the translator who misses such structural distinctions ends up reversing Lacan's actual meaning.
The chapter introduces the concept of 'signifierness' (signifiance) — the irreducible textual dimension that exceeds any single reading — to argue that the translator's job is not to close down meaning but to keep open the text's productive excess. Practically, this means using footnotes to present alternative readings rather than interpolating decisions into the main body, and presuming authorial coherence over translator mastery ('benefit of the doubt'). The translator-as-analyst analogy is fully developed: just as the analyst maintains a position of non-knowledge while presupposing that knowledge is encoded in the analysand's speech, so too the translator presumes a thesis is inscribed in Lacan's difficult prose, requiring active interpretive labor to excavate.
Key concepts: Ethics of translation, Refusal of understanding, Signifierness (signifiance), Nonmastery, Letter-based verbal bridges, Benefit of the doubt toward the author Notable examples: Rat Man case (Ratten/Raten/Spielratte); Sheridan's mistranslation of Seminar XI (reversing Lacan's meaning); Dryden on the low status of translation
On Translating Écrits: A Selection (Interview with D. Noam Warner) *(p.135-152)*
This extended interview-chapter recounts in remarkable detail the process of producing the first complete English translation of Lacan's Écrits, situating the labor within both an intellectual biography and a sustained reflection on translation methodology. Fink traces his entry into Lacan through analytic philosophy's dissatisfaction, Deleuze and Guattari's Anti-Oedipus, and Richard Klein's seminar on Lacan and Derrida at Cornell, before moving to Paris with very poor French to study at the source. The first translation — a collaborative summer rendering of 'Logical Time and the Assertion of Anticipated Certainty' with Marc Silver — is described as initially 'awful,' refined over years of drafting.
Fink details his multi-stage revision process for the Écrits: line-by-line comparison with Héloïse Fink against the French source, then revision with Russell Grigg for alternate readings, then repeated return to each text over months and after typesetting. Distance from the French is necessary to write natural English; teaching the texts simultaneously proved invaluable. Micro-level comparisons with Sheridan's translations demonstrate the theoretical stakes of specific word choices: 'mediatization' vs. 'mediated by,' 'competition' vs. 'co-operation' for concurrence, the numeral '1' vs. the letter 'I' in a matheme, and the pronoun 'she' vs. 'he' when context identifies Lacan's referent as Anna O. and the early hysterics.
Larger methodological arguments emerge from these micro-analyses: the deliberate exploitation of grammatical ambiguity in Lacan's French (le désir de l'Autre; le réel du corps) cannot simply be transplanted by mimicking French syntax in English, as this produces 'Lacanese' (langue de bois) rather than preserving productive theoretical polyvalence. Lacan's style changes text by text — each essay works a particular preposition with unusual intensity (de, où, sous, à) — demanding that the translator account for historical period and not import later technical meanings anachronistically. The chapter closes with reflections on Lacan's jouissance of the text (style addressed to a specific audience), on the deliberate difficulty of later Lacan as a corrective to Freud's deceptive accessibility, and on the translator's inevitable 'revenge' through clarity — Fink's plain prose and hundreds of explanatory notes as a principled act of resistance against Lacan's Gongoresque origami.
Key concepts: Translation methodology and fidelity, Lacanese (langue de bois), Jouissance of the text, Style addressed to audience, Historical periodization of Lacanian concepts, Collaborative revision process Notable examples: Alan Sheridan's Écrits: A Selection (critique); Lacan's 'Subversion of the Subject' (se régler sur / linguistic origami); The Points paperback edition of Écrits (1970-71); Mallarmé's translation of Poe; Anthony Wilden's Language of the Self; Seminar XX (Encore) and its translation circumstances
Both/And Logic in a Case of Fetishism *(p.155-173)*
This extended clinical case study presents four years of analytic work with an analysand referred to as 'W' — a man in his forties presenting with depression, suicidality, and a deeply troubling boot fetish central to virtually all his masturbatory fantasies. Fink traces the genealogy of the fetish through a dense network of early childhood encounters: the father's inordinate number of work boots in the basement, a kindergarten classmate's black boots, watching cowboys breaking horses (identifying with the subdued animal rather than the cowboy), a policeman pinning a criminal under his boot, and the analysand's primal scene — witnessing parental intercourse, misread as the father fighting and hurting the mother. W masturbated for the first time wearing his maternal grandfather's boots in the barn. The fetish object is shown to be overdetermined by a cluster of phonemically and orthographically related signifiers: 'butt' and 'boot' are near-homophones; 'root' (penis-slang) rhymes with 'boot'; 'tube' (another slang term) is a near-palindrome of 'butt.'
A second dimension of the case is a psychosomatic symptom: following rejection from the Navy for a heart murmur, W experienced a persistent sensation of a dagger stabbing him in the heart, relieved only by fingering the hem of a fabric. Three nocturnal formations — a hypnagogic thought of standing at the frayed edge of fabric ('I'm coming out of the cage!'), a dream of identification with a dead son, and a dream of a vast red curtain ripped by a locomotive — proved pivotal in the symptom's abatement. W himself associated the curtain to the hymen, its redness to blood, and produced the condensation 'a sperm in an egg is like a dagger in my heart,' linking the New Testament story of the woman's issue of blood stanched by touching Christ's hem. The 'both/and' logic of the fetish — hem as visible edge and hidden fold, simultaneously concealing and revealing the wound of sexual difference — is thus made legible through the clinical and dream material.
The chapter also presents W's relationship with his mother as one of intrusive jouissance: she colonized his sexuality from within by demanding he 'do something about' his wet dreams (leading to masturbation as solution, which W described as his 'mother's jouissance getting into his penis'). The transference trajectory is tracked with diagnostic acuity: at times W positioned the analyst as object a — cause of desire, bus-driver in dreams — while at other times he claimed to be the cause of the analyst's desire and even of the analyst's sports injury, a configuration Fink reads as more characteristic of perversion than neurosis. The resolution came through the elaboration of a pivotal dream in which the analyst is drowned by an assailant wearing shiny black boots, and all the analysand's analysands are set free. After this, the boot fantasies receded decisively.
Key concepts: Fetishism and fetish formation, Both/and logic, Phonemic overdetermination of the signifier, mOther's jouissance, Psychosomatic symptom, Transference and object a Notable examples: W's boot fetish (case study); Primal scene (parental intercourse misread as violence); Hem-of-cloth fetish and heart pains; Dream of analyst drowned by boots; Biblical story of the woman's issue of blood and Christ's hem; 'A sperm in an egg is like a dagger in my heart'
Inter(oed)dictions *(p.174-195)*
This chapter presents an extended case study of 'Slater,' an obsessive neurotic in his late thirties whose compulsive relationship with Internet pornography centered on women's buttocks serves as the entry point into a dense Oedipal and familial structure. The title's pun — inter(oed)dictions, embedding 'Oedipus' within 'interdictions' — announces the chapter's central concern: the paternal function of interdiction (literally 'speaking-between,' separating mother and child) and its multiple failures in Slater's history.
Fink traces the genealogy of Slater's symptom with characteristic Lacanian precision. Slater can date his erotic shift from breasts to buttocks to a precise moment in eighth grade — a humiliation in which girls praised a friend's protruding butt while mocking his absence of one. The chapter reveals a childhood saturated with anatomical ambiguity: the Joy of Sex discovered under his mother's side of the bed, fantasies of having both a penis and a vagina, cross-dressing episodes, and neighborhood girls explaining sexual difference via quantity of 'thumbs' rather than qualitative difference. Slater's passive sexual position (consistently the 'bottom') is traced to a deeply internalized prohibition against male sexual aggression, whose origins lie in the mother's history of physical domination (lying on top of him, backing him into corners, striking him with a wooden spoon) and the father's contradictory messages about looking at women.
The father's failures of interdiction are multiple and structurally determining: he absented himself with drinking companions, tacitly condoned the mother-son closeness, yet violently cross-examined Slater about a Playboy stash while emitting an ambiguous giggle. Slater's Internet porn use is read as a renewed 'No!' at the prohibiting father and as a refusal of castration — simultaneously a transgression and a search for externally imposed prohibition (fantasizing about being caught, confessing in sessions as at 'Masturbators Anonymous'). His suicide attempt — consuming an entire bottle of liquor until he fell into a coma — is interpreted via Lacan's 'Position of the Unconscious' as the child's question to the parental Other: 'Can he lose me?' The chapter mobilizes Lacan's Seminar XI on the child's fantasy of disappearance as first object and Seminar XX on phallic versus feminine jouissance, while also signaling a disagreement with Rik Loose's reading of masturbation and addiction.
Key concepts: Interdiction (paternal function), Oedipus complex, Castration refused and sought, Passage à l'acte, Jouissance and compulsive repetition, Object a (scopic drive / gaze) Notable examples: Slater's compulsive Internet pornography (case study); Eighth-grade humiliation over friend Willy's butt; Joy of Sex discovered under mother's bed; Father's Playboy cross-examination; Slater's suicide attempt (alcohol overdose/coma); Lacan, Seminar XI on child's fantasy of disappearance
Sexual Anxieties *(p.186-195)*
This chapter continues the case of Slater, shifting from his compulsive pornography use and alcoholism to the structure of his sexual anxiety — specifically the terror of being overwhelmed, 'mind-split,' or irrevocably altered by the experience of overwhelming jouissance with a former partner named Celine. Slater describes their sex as 'great' yet simultaneously terrifying, and has spent over a decade chasing women who physically resembled her, treating what they shared as 'real sex' in contradistinction to all subsequent encounters. His actual sexual life with his current partner is organized around maintaining a protective fantasy distance — 'that distance allowed him to exist.'
Fink traces the Oedipal texture of Slater's desire through his relationship with his sister: Celine closely resembled her, and Slater's desire for Celine is shown to carry an incestuous coloring whose origins lie in early sibling rivalry and a particular scene of revenge-turned-idealization. When Celine's jouissance became dependent on Slater's — when her confirming look and sound appeared only after he had already climaxed — he experienced this inversion as catastrophic: Celine had made him the 'butt' of her jouissance, casting him in the role of his overwhelmed mother to Celine's domineering father. The chapter invokes Lacan's formula about 'moutarde après dîner' (post-sex condiment) to capture the temporal structure of this reversal.
Fink also develops the analysis of anxiety through Lacan's Seminar X, showing how the proximity of anxiety and orgasm — the threat of self-erasure — can precipitate overwhelming jouissance precisely when the supporting object a (the visual image of a woman's buttocks) is absent, as it is in actual sexual relations. Repression of hostile ideational content (directed at his sister, mother, and women generally) causes the associated affect to become detached and convert into anxiety. The analytic outcomes reported — overcoming writer's block, ceasing to binge on pornography, managing the intrusive mother, relinquishing nostalgia for 'mind-splitting' orgasms — illustrate how the clinical work on jouissance, object a, and familial identificatory positions produces broad, measurable change.
Key concepts: Sexual anxiety and jouissance, Object a (scopic drive), Anxiety as converted affect (repression), Jouissance as demand, Inversion of erotic positions, Analytic outcomes Notable examples: Slater and Celine (case study); Lacan's Seminar X on anxiety and jouissance; Lacan's 'moutarde après dîner' formula; Slater's father's alcoholism and domestic violence toward mother
Psychoanalytic Approaches to Severe Pathology: A Lacanian Perspective *(p.197-215)*
This chapter addresses the clinical treatment of severe psychopathology — primarily psychosis — from a Lacanian vantage point, arguing for a fundamentally non-insight-oriented approach that reverses the logic of neurotic treatment. Fink begins by critiquing the dominant 'insight-oriented psychotherapy' model as rooted in a Cartesian objectifying model of the self, in which a hypothesized meta-position of a detached ego surveys the subject's inner life. Even clinicians theoretically critical of this model tend in practice to prefer introspective analysands, treating self-reflection as a facilitative condition.
For psychosis, the clinical logic is reversed: where the neurotic ego is excessively strong and rigid (making repression and symptom-formation possible), the psychotic ego is characterized by a hole or weakness. The analyst's task is not deconstruction but supplementation — helping the patient construct 'meaning patches' that render threatening enigmas livable. This is illustrated through two case studies: 'Tina,' a patient in untriggered (pre-)psychosis, whose analysis is organized around fraud, paternal abandonment, and incestuous advances, and for whom the therapeutic value lies in the symbolization of experience (including the disclosure of an orgasm during rape, which had never been spoken to anyone) rather than in interpretive insight; and 'José' (from Alemán's 'The Invention of a Parenthesis'), whose psychotic structure is shown through his laughter at his father's funeral, his robotic performance of incompetence at work, and his attempt to legally replace his paternal surname. Fink also discusses the case of 'Mark,' organized around paternal non-recognition, fraud, and accumulating deaths. The chapter insists on individualized treatment and acknowledges that creative responses to psychotic rupture take diverse forms — delusional systems, filmic production, literary genres.
Key concepts: Non-insight-oriented psychotherapy, Supplementation (Lacanian), Ego weakness vs. ego strength, Foreclosure of the Name-of-the-Father, Meaning patches, Symbolization of experience Notable examples: Case of Tina (prepsychosis — fraud, incest, orgasm during rape); José from Alemán's 'The Invention of a Parenthesis' (psychosis); Case of Mark (paternal non-recognition, fraud, accumulating deaths)
Marilyn Monroe and Modern-Day Hysteria *(p.213-231)*
This chapter reads Marilyn Monroe's life — her severe depression, chronic insomnia, drug addiction, suicidality, multiple hospitalizations, and the catastrophic inadequacy of every therapeutic intervention she received — as a case study in modern hysteria, arguing that her treating psychiatrists were fundamentally misled by the surface presentation of her symptoms into diagnoses of psychosis (paranoia, schizophrenia) or borderline personality. Fink demonstrates that Monroe's dramatic mood swings, contradictory self-narratives, and rage at rivals all fall well within the range of severe hysterical symptomatology, including the characteristic 'twilight state' bordering on hallucination.
Fink uses Monroe's case to mount a broader critique of DSM-style symptom-by-symptom diagnosis, which has effectively eliminated hysteria as a clinical category and fragmented the underlying structure into discrete labels (depression, mania, eating disorders). From a Lacanian structural perspective, the chapter argues, many patients currently classified as schizophrenic or borderline are more accurately hysterics. The historical consequence of this misdiagnosis — large numbers of hysterical women subjected to prefrontal lobotomy in 1950s America — is presented as a damning illustration of what happens when desire itself is surgically eliminated in the name of treating 'ordinary unhappiness.'
The clinical analysis proceeds through the Lacanian structural logic of hysteria: the demanding absolute, unconditional love (illustrated by Monroe's insistence that Robert Kennedy abandon wife, family, and politics for her); the unsatisfied desire as constitutive (captured in the lyric 'After you get what you want you don't want it' and illustrated by Monroe's pre-selection of Arthur Miller as her next husband before meeting him); and the hysterical subversion of the analytic frame (Monroe's psychiatrist Ralph Greenson conducting unlimited sessions at his home and hers, with his entire family enmeshed in her troubles). The chapter also analyzes 'anorexia amoris' — being anorexic in matters of love — as a structural consequence of desire's primacy over satisfaction, and concludes with Freud's 1896 distinction between hysteria (pleasure accompanied by revulsion) and obsession (revulsion accompanied by pleasure), noting the clinical paradox that hysterics demand ever more from the Other while obsessives avoid it.
Key concepts: Hysteria (structural diagnosis), Unsatisfied desire, Demand for absolute love, Anorexia amoris, DSM critique, Subversion of the analytic frame Notable examples: Marilyn Monroe; Ralph Greenson (psychiatrist); Robert Kennedy; Joe DiMaggio; Arthur Miller; Joni Mitchell; Prefrontal lobotomy in 1950s America
Interview: A Psychoanalyst Has to Speak like an Oracle *(p.217+)*
This interview chapter, originally published in Polish in Kronos, defends the Lacanian conception of analytic speech as oracular — ambiguous, polyvalent, and productive of multiple simultaneous interpretations — against calls for therapeutic transparency prevalent in American clinical culture. Fink explains that the Lacanian analyst does not occupy a position of mastery or comprehensive knowing but maintains a principled non-mastery, openly acknowledging the limits of their knowledge and rejecting the Socratic 'communicating vases' model of truth transfer.
A Lacanian interpretation is shown to be almost authorless: built from the patient's own words, minimally rearranged, so that it emerges organically from what the patient has said. This dissolution of the analyst's authority makes the interpretation feel self-generated rather than imposed, dramatically reducing resistance. The interview also develops Fink's account of love in a Lacanian key: ranging from Lacan's early formula ('Every demand is a demand for love') through his later formulation ('Love is what allows jouissance to condescend to desire'), exploring the structural difficulty of relationships given the non-alignment of demand, desire, and drive across the three registers (imaginary, symbolic, real). The interview was conducted in Warsaw following Fink's lecture 'Lacan on Love.'
Key concepts: Oracular analytic speech, Analyst's non-mastery, Lacanian interpretation from the patient's own words, Love and jouissance, Demand vs. desire vs. drive, Three registers mapped onto love/desire/jouissance Notable examples: The Delphic Oracle; Warsaw lecture 'Lacan on Love'; Socratic image of communicating vases
Interview: Lacan's Reception in the United States *(p.226+)*
This interview chapter, conducted at the Catholic University of Louvain and published in The Leuven Philosophy Newsletter, addresses the specific difficulties and distortions surrounding Lacan's reception in Anglophone — particularly American — contexts. Fink observes that the early Anglophone audience for Lacan was almost entirely non-clinical (literary theorists, film scholars, humanities academics) rather than practicing psychoanalysts, and that early translations by Sheridan, Rose, and Mehlman were frequently inaccurate, sometimes conveying the exact opposite of what Lacan had written, producing 'gobbledygook' for clinicians.
Fink also reflects on the broader cultural landscape: Lacanian analysis tends to function as a 'therapy of last resort' in the US, sought out after New Age psychology, behavioral approaches, Jungian analysis, and psychiatric medication have all failed. American belief in therapy has declined while trust in fast-acting medication has risen, driven partly by insurance reimbursement pressures. The chapter surveys Lacan's broader philosophical significance — particularly his subversion of the Cartesian cogito (thinking and being cannot coincide; the subject is always split) and the Borromean knot as a general theory of subjectivity — while maintaining skepticism toward the wholesale application of clinical concepts to cultural analysis, as practiced by Žižek and Salecl.
Key concepts: Lacan's US reception, Misreading and mistranslation, Therapy of last resort, Subversion of the Cartesian cogito, Borromean knot, Skepticism toward cultural application of clinical concepts Notable examples: Žižek's Lacanian cultural criticism; Salecl's Lacanian cultural criticism; Early translations by Sheridan, Rose, Mehlman; Anthony Wilden's Language of the Self
Letter to the Editor of Scientific American *(p.250)*
This brief, pointed letter — written in April 1994 but never published — mounts a Lacanian-inflected methodological critique of neuroscientist Marcus Raichle's brain-imaging experiments ('Visualizing the Mind,' Scientific American, April 1994). Fink argues that Raichle's experimental design fundamentally misunderstands the nature of language: by asking subjects to generate an 'appropriate' verb for a given noun, the experiment inadvertently introduces a powerful layer of social censorship not accounted for in the brain-imaging results. The upper-tier brain images in Raichle's 'Before Practice/After Practice' illustration capture the cognitive work of excluding socially inappropriate associations, not 'purely linguistic' noun-verb association.
Fink draws on the psychoanalytic concept of censorship and the linguistic concept of paradigmatic relations to show that every iteration of such a task carries an irreducible social and psychoanalytic dimension. Brain imaging cannot isolate 'pure' cognitive functions precisely because language use is always already embedded in a relational, contextual, and unconscious matrix. The letter is presented with the wry aside that it was 'needless to say' never published, and functions as a brief demonstration of Lacanian critique applied to ostensibly objective scientific methodology.
Key concepts: Censorship and paradigmatic relations, Experimental design critique, Social embeddedness of language, Psychoanalytic dimensions of cognition, Brain imaging methodology Notable examples: Marcus Raichle's 'Visualizing the Mind' (Scientific American, April 1994); Noun 'hammer' and its multiple verb associations; 'Before Practice/After Practice' brain imaging illustration
A Summary Comparison of Psychoanalytic Paradigms *(p.252+)*
This concluding chapter presents a structured three-way comparison of psychoanalytic paradigms — a common caricature of classical Freudian practice, a contemporary eclectic approach (combining object relations, ego psychology, and relational/intersubjective models), and the Lacanian approach for the treatment of neurosis — across multiple axes: the analyst's role, the theory of transference and countertransference, the theory of conflict, the mode of intervention, and the general model of the mind.
The eclectic/relational model is critiqued on multiple grounds: by aligning with prevailing norms of reality and functionality, analysts subtly coerce the analysand toward their own worldview; attempts to 'reparent' or 'reeducate' collapse the therapeutic relationship into an ego-to-ego identification in which the analysand's observing ego is encouraged to become more like the analyst's — producing only conscious, intellectual recognition rather than structural change; and countertransference disclosure, valorized in relational approaches, is treated by Lacan as a failure of neutrality. Against this, the Lacanian alternative proposes the analyst as the support of the Other — the place of the unconscious — animated not by desire for particular outcomes but by 'analytic desire': the desire for the work itself to continue. The L schema and its four-person structure (subject, ego, Other, object) replace the two-person dyad, with the ego treated not as the ally of analytic work but as 'structured like a symptom' — the mental illness of man. Transference is reframed not as a therapeutic bond to cultivate but as productive distortion, occurring across all three registers (imaginary, symbolic, real), with the analyst's task being to assist the analysand in subjectivizing — making their history genuinely their own — rather than merely reconstructing or correcting it.
Key concepts: Psychoanalytic paradigms comparison, Analytic desire, L schema (four-person structure), Ego as obstacle, Subjectivization, Transference across three registers Notable examples: Freud's case of Dora; The Rat Man (intersubjectivity); Analyst as 'reparenting' vs. Lacanian structural position; L schema diagram
Main interlocutors
- Jacques Lacan, Écrits
- Jacques Lacan, Seminar VI (Desire and Its Interpretation)
- Jacques Lacan, Seminar X (Anxiety)
- Jacques Lacan, Seminar XI (Four Fundamental Concepts)
- Jacques Lacan, Seminar XVII
- Jacques Lacan, Seminar XX (Encore)
- Sigmund Freud, Beyond the Pleasure Principle
- Sigmund Freud, Studies on Hysteria
- Sigmund Freud, The Interpretation of Dreams
- Michel Foucault, History of Sexuality
- Hegel, Phenomenology of Spirit
- Shakespeare, Hamlet
- Wilhelm Reich (character analysis)
- Michael Balint (dyadic approach)
- Sándor Ferenczi
- Karl Jaspers
- Deleuze and Guattari, Anti-Oedipus
- Luce Irigaray
- Jacques-Alain Miller
- Paul Feyerabend
- Thomas Kuhn
- Alan Sheridan (translator of Lacan)
- Jorge Alemán
- Anthony Wilden
Position in the corpus
Against Understanding, Volume 1 sits at a productive intersection within the Lacanian corpus: it is simultaneously a work of clinical theory, a contribution to translation studies, a piece of Lacanian literary criticism, and a comparative paradigm analysis. Its closest neighbors are Fink's own earlier books — A Clinical Introduction to Lacanian Psychoanalysis (1997) and The Lacanian Subject (1995) — which laid the theoretical groundwork this volume now applies across a wider range of domains. Readers new to Fink should ideally approach Against Understanding after those two texts, since the present volume assumes familiarity with the basic Lacanian framework (the three registers, structural diagnosis, the subject, desire, jouissance) and builds on it rather than re-explaining it systematically. Within the broader Lacanian corpus, it shares ground with Darian Leader's clinical writings on symptom and speech, with Ellie Ragland's psychoanalytic literary criticism, and with the tradition of clinical case presentation in the École de la Cause Freudienne. On the side of translation theory and ethics, it is unique in the corpus: no other Lacanian work devotes comparable attention to the practical and ethical dimensions of rendering Lacan into English.\n\nFor readers in the broader Lacanian-Žižekian tradition who have encountered Lacan primarily through cultural criticism (Žižek, Salecl, Copjec), this volume will be a productive corrective, since Fink explicitly and repeatedly contests the wholesale application of clinical concepts to cultural analysis and insists on grounding Lacanian theory in its clinical home. After Against Understanding, Volume 1, readers are directed naturally to Against Understanding, Volume 2 (which develops further clinical cases and a critique of masochistic practice) and to Lacan's own Écrits (in Fink's translation) and seminars, particularly Seminars VI, X, XI, and XX, all of which are engaged substantively here. The volume would repay comparison with Seminar XI's account of the four fundamental concepts and with the tradition of Lacanian ethics developed in Seminar VII, neither of which receives extended treatment here but each of which forms part of the background against which the book's clinical ethics are intelligible.
Canonical concepts deployed
- Imaginary register
- Symbolic register
- Real register
- Jouissance
- Desire
- Demand
- Drive (death drive)
- Objet petit a
- Symptom
- Unconscious
- Repression and foreclosure
- Subject supposed to know
- Transference
- Identification
- Name-of-the-Father (paternal function)
- Signifier
- Fantasy
- Clinical structures (neurosis, psychosis, perversion)
- Alienation and separation
- Méconnaissance (misrecognition)