"I studied as an undergraduate at Columbia College from 1973 to 1976 and then as a graduate student at the University of Michigan from 1976 to 1982. At Columbia, I studied philosophy, psychology and music. At the University of Michigan, I did my doctoral studies in Clinical Psychology. When I compose, I forget about my work as psychoanalyst, and I forget about my work as composer when I work as psychoanalyst. I keep them very separated. Nonetheless, I cannot deny that there is of course a deep relation between composing music and psychoanalysis, even if, superficially, they would seem very different. Both are methods of treating the Real, that is, both are ways of treating the 'excess' that was mentioned before. (Here I make reference to my personal experience of psychoanalysis, not my practice as psychoanalyst which is quite another matter). In this respect, one may say that composing music and undergoing psychoanalysis are both ways for subjects to create "sinthômes" for themselves. For Lacan, the construction by a subject of a "sinthôme" , as opposed to a symptom, involves the creation of an original and somewhat efficacious way to treat the Real that determines them. Another way to put this is as Scelsi did, that is, composing and undergoing psychoanalysis are both possible 'paths towards transcendence'."
The text is taken from the book "MusiPoeSci" where Gerard answers questions from the musicologist Leopoldo Siano.