The present study aims at mapping and interpreting the factors that stand out as relevant to personal change in Lacanian psychoanalytic therapy from a first-person perspective. Using interview data of participants’ personal accounts of their therapeutic journey, we applied (phenomenologically inspired) thematic analysis to gain insight into what they believed effectuated change. We provide a descriptive thematic account of what patients indicated as crucial to change. Second, we interpret the data within the context of Lacan’s seminal text “The Function and Field of Language and Speech in Psychoanalysis,” which provides a theory of change in psychoanalysis. We discerned five principal themes, each of which revolves around a single aspect of the therapeutic process. Participants indicated that they came to the therapy at a moment of crisis, experienced a surprising reframing, and that they had found somebody who paid close attention to their speech. Because of this, they also began to consider their speech and this helped them to see themselves in a new light. It helped them to reflect on what they really wanted. Participants indicated that such self-reflection was directly related to personal change. We situate these themes in terms of Lacan’s seminal text “Function and Field of Language and Speech in Psychoanalysis.” We observed reasonable coherence between the key themes discerned in our participants’ interview data, and the key points Lacan stresses in “Function and Field.”

中文翻译：

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仔细考虑拉康式谈话疗法：一项定性研究。

本研究旨在从第一人称的角度绘制和解释与拉康精神分析疗法中的个人变化相关的因素。使用参与者对其治疗过程的个人描述的访谈数据，我们应用（受现象学启发的）主题分析来深入了解他们认为实现改变的原因。我们提供了一个描述性的主题说明，描述了患者认为对改变至关重要的内容。其次，我们在拉康的开创性文本“精神分析中语言和言语的功能和领域”的背景下解释数据，该文本提供了一种精神分析变化的理论。我们发现了五个主要主题，每个主题都围绕着治疗过程的一个方面。参与者表示，他们是在危机时刻来到治疗的，经历了一次令人惊讶的重构，他们发现有人密切关注他们的演讲。正因为如此，他们也开始考虑自己的演讲，这有助于他们以新的眼光看待自己。它帮助他们反思他们真正想要什么。参与者表示，这种自我反思与个人变化直接相关。我们根据拉康的开创性文本“精神分析中语言和言语的功能和领域”来定位这些主题。我们观察到参与者访谈数据中辨别出的关键主题与拉康在“功能与场”中强调的关键点之间存在合理的连贯性。他们也开始考虑自己的演讲，这有助于他们以新的眼光看待自己。它帮助他们反思他们真正想要什么。参与者表示，这种自我反思与个人变化直接相关。我们根据拉康的开创性文本“精神分析中语言和言语的功能和领域”来定位这些主题。我们观察到参与者访谈数据中辨别出的关键主题与拉康在“功能与场”中强调的关键点之间存在合理的连贯性。他们也开始考虑自己的演讲，这有助于他们以新的眼光看待自己。它帮助他们反思他们真正想要什么。参与者表示，这种自我反思与个人变化直接相关。我们根据拉康的开创性文本“精神分析中语言和言语的功能和领域”来定位这些主题。我们观察到参与者访谈数据中辨别出的关键主题与拉康在“功能与场”中强调的关键点之间存在合理的连贯性。