Doctors without patients

We consult experts to confirm what we've already decided. Modern medicine: technical validation of imaginary self-diagnoses.

Doctors without patients

Modern symptoms transform the very structure of medicine: we no longer find sick people seeking treatment but healthy subjects demanding optimization. The new epidemic consists of individuals who do not tolerate imperfect states and who categorically reject any sensation that does not coincide with their ideal of perfect functioning.

The traditional model of diagnosis and treatment collapses when the patient arrives with precise demands and technical knowledge about their internal states. Central paradox of our time: the more diagnostic instruments we develop, the less authority remains for those who should interpret them. Like someone who hires architects to follow exactly the plans they themselves have previously drawn.

Contemporary clinical practice receives subjects who seek not understanding but certification of an already established self-diagnosis. The real therapeutic challenge is not solving the symptom but reinstalling the question that this symptom tries to silence. How to transform demands for technical solutions into inquiries about the existential position that makes these solutions necessary?

Psychotherapy

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Chemistry of silence

We drug the body to silence what we don't know how to hear. Chemistry: provisional punctuation for biological texts no one taught us to read.

Chemistry of silence

Bodies speaking languages their owners cannot recognize. Where words fail, physical pain constructs cathedrals of precise and ordered symptoms that no dictionary translates. We search in pharmaceuticals and substances for interpreters of this incomprehensible monologue emerging from territories that predate language.

Psychic suffering without symbolic representation materializes in aching flesh, inflamed tissues, protesting organs. Paradoxically, the more sophisticated our medical diagnoses become, the less we understand these bodily hieroglyphics. Like archaeologists facing inscriptions from extinct civilizations, we accumulate data while deeper meaning remains sealed behind impenetrable walls.

Contemporary clinical practice receives these bodies suffering in pre-verbal dialects. The real challenge is not silencing symptoms but developing new grammars where pain finds translation without resorting to chemicals that mute the question. Between medicine that medicates and psychoanalysis that listens, these patients seek someone who can read the scores written in their cells.

Psychotherapy

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Liquid ideals

We consume our ideals until they are extinct. Addicted to the sacred in portable format, we have lost the distance that makes worship possible.

Liquid ideals

Objects have become solutions. Where once there existed unattainable ideals that guided us from the heights, we now consume pills, powders, and pixels that promise to deliver in digestible format what we once pursued as horizon: instant transcendence, packaged connection, identity with barcode. Addiction is not excess but chemical transformation of the ideal: from external compass to internal fuel.

Paradoxically, the more we attempt to materialize our ideals into tangible objects, the more their structuring function vanishes. Like someone trying to capture wind in jars: the very act of possession destroys what we intend to preserve. The void that addictive objects promise to fill expands precisely with each new acquisition that should reduce it.

Contemporary clinical practice receives exhausted consumers of liquid ideals that evaporate after each dose. The true analytic work consists of restoring the distance between subject and ideal, reintroducing impossibility as a constitutive dimension of desire. Addiction converts horizons into destinations; analysis returns horizons to their guiding but unreachable function.

Psychotherapy

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