The couch as a laboratory?: the knowledge-spaces of psychoanalysis between research, diagnosis and treatment

The debate about knowledge-production in sociology has pitted “internalist” accounts, which pay close attention to the places, practices, and tools of knowledge, against “externalist” accounts of institutions and fields. Using psychoanalysis as a case, this paper develops an approach that integrates these traditions by comparing the differentiation of places, tools and practices of knowledge production. The paper shows that, in a context in which other areas of practice increasingly differentiate research, diagnosis and treatment in spaces, tools, and professional roles, psychoanalysis invokes that differentiation rhetorically but refuses to differentiate its practice. Psychoanalysts insist on a specific setting – the couch and the psychoanalytic relationship – as central to all aspects of their knowledge-production but they do not adapt this space to pursue any of these purposes in their own right. This analysis explains some of the problems psychoanalysis has with its environment and the specific form divisions take within psychoanalysis. As an unusual case of non-differentiation, psychoanalysis highlights the role differentiation plays in other areas of knowledge-production