Psychoanalytic work with autistic objects and affinities: A Lacanian approach

This paper examines the Lacanian psychoanalytic approach to understanding and working with autistic persons, with a specific focus on the insights of Jean-Claude Maleval. Building on recent developments in Lacanian theory and practice, we explore Maleval’s theoretical and clinical framework, with particular attention to the role of preferred objects and specific interests in the lives of autistic persons. Maleval argues against the conventional view of autistic withdrawal as a fundamental trait, proposing instead that it stems from an anxious response to the desire of the Other. He explains how autistic persons employ a retention of drive objects as a defense mechanism, especially by not “giving up their voice” in shared linguistic discourse. Additionally, Maleval highlights the concept of the autistic rim , wherein autistic objects or specific interests are singular subjective inventions that serve not only as protective measures against anxiety and intrusion but also as potential pathways to social connection. By placing Maleval’s ideas in dialogue with earlier thinkers like Leo Kanner and Francis Tustin, this paper underscores the evolution of psychoanalytic thought on autism. Finally, through the analysis of a clinical case study, it shows how Maleval’s insights can inform Lacanian analytic practice and open new possibilities for engaging with autistic persons.