Sistematización de la experiencia: Análisis diferencial sobre el diagnóstico de neurosis y psicosis desde el enfoque psicoanalítico en el centro de salud #4 “Mata Martínez” de Guayaquil-Ecuador en el periodo de mayo del 2023 a septiembre del 2023

Abstract

The objective of this investigative project is built with a qualitative comparative-correlational methodology, based on a bibliographic review of the psychoanalytic theories of Sigmund Freud and Jacques Lacan; field as the axis of experiential systematization, within the theoretical method due to its extensive investigative path among psychoanalytic authors and practice with a psychoanalytic clinical approach from an explanatory model, allowing the differential analysis of the symptomatic manifestations of the patient and their subjective functionality, being the structural diagnosis of the patient a determining element within the direction of the cure to be able to establish the possible methods of intervention according to the identification of the properties of the neurotic and psychotic clinical structures and their psychopathological development in the patient, resulting in the neurosis and psychosis go through stages of similar symptomatological expression, but the neurotic lacks the lack of the father's name in his symbolic register as a structuring mechanism of subjectivity, making a difference in the function of his coping tools known as symptoms and elementary phenomena, which in conclusion, can be identified through the analysis of a questionnaire developed as an investigative instrument; because although there is a symptomatic resemblance, the patient maintains a differential structuring unconscious truth, due to his subjective position in the face of castration anxiety, raising the fundamental need for a specific treatment that can be built from the interview, active listening and observation as research techniques.