Abstract
It is certainly commonplace these days to observe that we are seeing patients with unusual and different symptoms, or that some kinds of symptoms or diagnoses previously thought rare are no longer quite so uncommon. These observations are certainly made by some clinicians of a sufficient age to have accumulated perspectives of decades of practice, but are also reflected in clinical literature in various places. In development of psychoanalysis, Freud adopted several of these psychiatric diagnoses, reformulating them in terms of psychic structure, but also keeping the numbers relatively limited—hysteria, obsessional neurosis, phobia, paranoia, traumatic neurosis, anxiety nervosa. A more subversive impact relates to the effects of this segregation on the clinicians themselves. This segregation of patients leads to a resultant segregation of clinicians, who are then called to task for their own segregated specialization. The key notion of the positions is that with postmodernity, people have witnessed a significant change in the basic identification in psychic and social structure.