By Rosa López
I have witnessed the history of Santiago Castellanos in psychoanalysis from the beginning, so I could verify directly how his passage medical discourse analytical discourse. I do not think that this process has been simple, or as the result of a progression in training, it really is a qualitative as evidenced by the book before us today the table.
Why say this?, Because "being a doctor" is something that gives a strong identity that involves a position on the deep-rooted disease, based on the desire to heal. I wish that initially seems very laudable, but it has its serious drawbacks because sometimes prevails over the truth of what is at stake in human suffering, unknown, and cutting off the pace.
know the figure of the physician, standing at the place of love, holds the know with a kind of omnipotence that one is beyond question. There are many jokes about this feature, remember one that said: "What is the difference between a doctor of God?. That God does not believe medical ... "
But we also know, and every day, the doctor feels helpless as the check every day how their knowledge is not sufficient to account for the complexity of what does not go in speaking beings.
these doctors is divided in its function, sensitive to the uniqueness of each patient, determined that the inability of the practice did not lead to the exercise of power, which they can open this book an important horizon. 
But it's not exactly written a book for doctors, is a book for psychoanalysts, as being the result of extensive research in the work of Freud, and particularly that of Lacan, provides a systematic organization of knowledge of psychoanalysis on the body, a great value to psychoanalysts insist. Wody could paraphrase Allen in "Everything You Wanted to Know About Sex", but it seems rather familiar. How to say otherwise? Make a study of the text and get a full picture of the places in which Lacan talks about body language, illness or pain. Of course, each of these appointments can go deeper and deeper, in that sense there is no completeness possible, but if I'm not mistaken they are all collected. Therefore, it is a formidable study guide on the subject. But only that it is also very explanatory. us agree that an understanding of Lacan's not easy and requires mastery of important psychoanalytic language. But even when we used to Lacanian signifiers and know the basics of his teaching, always have the impression of not knowing how to articulate certain concepts with others, or you do not find clear how to reconcile theory with practice. Santiago Castellanos
has achieved and I say this honestly, not only because it is a good friend, but for the effect of clarification that has occurred to me. So many times I read these words of Lacan and yet after reading book understand them better than before.
Why do I mention all the time not so much to Lacan and Freud? Is due to a particular perception of my reading. For my taste, I insist on this, the first part of the book devoted to Freud is interesting and explanatory, but it has the same force as the second dedicated to the teaching of Lacan. There is a turning point in the text of Santiago begins to take flight and take off, then raising a desire to continue with the reading, highlight each paragraph, note taking and finally get some sort of satisfaction.
In this last part are presented the developments of the teaching of Jacques Alain Miller, with whom Santiago Castellanos gives us Differential clinical rigorous on the body, from the neurotic symptoms, to psychosomatic phenomena and events culminating in the body's own psychosis.
I have not mentioned what I believe is the hallmark of "The pain and body language": the abundance of clinical cases.
Notice how it begins: "A few years after starting work in medicine came to me a young actress is suffering from severe pain in the knee that prevented him from walking and working ...". Started directly, without preamble, with a clinical case with words Freud: the doctor who the beautiful hysterical gets to work on the psychic cause. After this boot so the foot of the clinical encounter for the rest of the book, how the theory is illustrated with cases permanently.
In the second chapter borrows a patient of Freud's famous Von Elizabeth R (true paradigm of what is now termed "fibromyalgia"), and the chapter on psychosomatic phenomena is an extensive review of the testimony Montribo Patrik Pass, but the rest of the examples come from his own clinic.
addition to the case of the beautiful actress, if I may so call it Santiago, I've tried the rest of the clinical illustrations, happened to comment briefly.
2) The 68 year old woman diagnosed with fibromyalgia, very medicated for years, and last but not least the worst victim of therapies, they offered interpretations like this: "What happens is a viral disease, a son and separation. " That "melange" of causes! That confusion on the subject!.
A case of iatrogenic medical and psychotherapeutic, worse than the other.
3) The woman who could not swallow and the specialist endoscopy makes it a differential diagnosis on the spot by saying that what we have is a "bolo hysterical" and adds "no worry, I myself have suffered a bolus hysterical. " A nice example that shows how physicians now not only do not ignore the hysterical symptoms, but are sympathetic to them, most perplexing of the patient. 4) Man of the 24 jars of urine, that following the medical demand had made the huge effort to count the enjoyment of the body in 24 clearly labeled vials to see how clinical assistant was going to mix them, measuring the total liquid and then throw it away. Being a manic depressive, the agitation of the patient's reaction was immediate. 5) The woman goes silent pain in the body to the symptom analytic that allows questioning about their femininity, their sexuality and relationship. Case which clearly verify the effects of psychoanalytic listening that put the sign in place. In this case, the author weaves an answer on the question open for medical statistics revealing that fibromyalgia is a disease of women.
"havoc with relationships are a constant partner in the clinic of fibromyalgia." "The demand for love on female sexuality occupies a unique role in relation to the male." "The enjoyment female has no stable location sexuation male." Are phrases that I draw the text that demonstrates that psychoanalysis is a discourse that women could think like no other. 
6) But not all affected in fibromyalgia want to leave this signifier that gives an identity and consent to sexual cause analysis, as illustrated by another patient 57 years after a period of one year preliminary interviews displayed their difficulties experience sexual pleasure and decides not to continue treatment. 7) There is another case in which not only verifies the rapid therapeutic effects, but what is more important, that were preserved over time. Effects that emerge after a hard work in which the subject has to bring into play how pain and enjoyment oscillate between the relationship with the mother and the love of men. The speech makes a turn and the subject happens to mention the pain to speak of love, so in the fifth interview manages to establish with precision the knot that is muddled. 8) But not all are successful in psychoanalysis, as well as those subjects who did not consent to treatment because they want to know anything about the truth are those who may become worse. To illustrate the great difficulties of the clinic, James brings a case in which after the diagnosis of fibromyalgia is psychosomatic phenomena masking severe and profound depressive symptoms, allowing you to enter the Lacanian theory on the psychosomatic.
9) In the field of psychosis is an example that is like the icing on the cake. The case of the illusionist. This is a middle-aged man with hypochondriacal fears for years has been quite unsuccessful behavioral therapy and thanks to the analysis gets to build a know-how which allows it to enjoy peace of invasive suffering.
10) Finally Gonzala 45 years illustrates a clinical question that probably only psychoanalysts can grasp, as seems to contain a paradox. When the subject is very scarce resource symbolic (psychosis not well-formed delusions) fibromyalgia is itself a resource to continue attached to Another (Centre for Health, experts etc). One possible way to make life livable. So it's "consent as a lesser evil, that the patient can perform these routes with the least possible iatrogenic."
* Comment made at the launch of "The pain and body language" in Madrid.
(from THE COMPASS Weekly PRS Madrid n º 176, January 29, 2010)
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