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The neuropsychoanalytic theory of repression as premature automatization is a major clinical contribution of neuropsychoanalysis. One of its clinical implications is that psychoanalysis works with (declarative) derivatives of the repressed to gradually automatize new non-declarative action plans that better meet one’s needs. This supposes a certain link between the repressed and its derivatives. However, the way derivatives are linked to the repressed has not been elaborated. Here, I propose a consilience between hierarchical cognitive control (instantiated in basal ganglia-prefrontal cortex loops) and the fantasy (as developed in Lacanian psychoanalysis). I claim that this structure provides the link between the premature automatized repressed and derivatives. Specifically, higher-order, abstract (non-declarative) rule systems govern the contextual selection of actions to achieve a goal-state. For premature automatized action plans, which have a generalized status and confidence, the abstract rule system in which they are nested is commensurately generalized, even though it  does not work . This approach emphasizes how prematurely automatized motor plans are nested within a structuring hierarchy that effects their instantiations across various interpersonal and fantasmatic scenes.

Extending the theory of premature automatization: The fantasy as an abstract rule in hierarchical cognitive control