Pub Date : 2024-09-01DOI: 10.1016/j.inan.2024.100460
Anne-Sophie Van Doren , Benoit Verdon
<div><h3>Context</h3><div>The clinical study of prostate cancer, particularly from a psychopathological perspective, remains relatively underexplored yet it serves as a site for serious and often lasting questioning of the erectile capacities of the penis, and thus potentially of the phantasmatic investments it is subject to. Moreover, this common cancer is particularly linked to the issue of aging, which radically tests the fragilities and narcissistic resources of patients. Power, performance, endurance, and counter-investment against passivity and depression become particularly acute issues in the relationship to oneself, to women, and to men. It then appears essential to delineate the psychological stakes of phallic demand in the articulation between the psychic reality of infantile sexuality and the external realities of aging, illness, and social representations.</div></div><div><h3>Objectives</h3><div>This study aims to understand how the traumatic experience of prostate cancer—an acute realization and embodiment of aging and vulnerability—reveals fault lines not only shaped by the primacy of the phallus but also reinforced by societal phallic logic, balancing constraints and ideals. It seeks to discern the fragilities and resources of male narcissism related to phallic demands and their implications. The primacy of the phallus and its associated infantile sexual theory are thus questioned in their organizing or disorganizing roles.</div></div><div><h3>Method</h3><div>The study is based on a multifaceted methodology: an examination of the taboo surrounding the representation of the male sex in painting, semi-structured interviews, and projective tests conducted with twenty men in their sixties who have been treated for prostate cancer. A case study allows for a thorough and heuristic articulation of theoretical and clinical questions.</div></div><div><h3>Results</h3><div>Honor and virility emerge as particularly significant narcissistic issues, contributing to a hypomanic masculinity that enables men to shift the stakes of various anxieties (death anxiety, passivity anxiety, and castration anxiety) into the form of another anxiety: a narcissistic death anxiety rooted in virility, the dread of no longer existing as a man in the eyes of others. At the intersection of social, psychosexual, and somatopsychic spheres, prostate cancer thus uncovers a taboo Achilles’ heel. This is composed of unconscious interactions and loyalties between the phallic demand (both internal and external) and a partial dependency on the sensory dimension of erection, necessitating a reevaluation of masculinity, the phallus, and erection independent of sensory perception.</div></div><div><h3>Interpretations</h3><div>Society reinforces the confusion between the sensory perception of erection and the sense of virility and masculine reassurance on a psychological level through a collective and cultural imagination that associates characteristics of power, endurance, and
{"title":"Le primat du phallus, talon d’Achille de l’appareil psychique ? Réflexions autour du cancer de la prostate","authors":"Anne-Sophie Van Doren , Benoit Verdon","doi":"10.1016/j.inan.2024.100460","DOIUrl":"10.1016/j.inan.2024.100460","url":null,"abstract":"<div><h3>Context</h3><div>The clinical study of prostate cancer, particularly from a psychopathological perspective, remains relatively underexplored yet it serves as a site for serious and often lasting questioning of the erectile capacities of the penis, and thus potentially of the phantasmatic investments it is subject to. Moreover, this common cancer is particularly linked to the issue of aging, which radically tests the fragilities and narcissistic resources of patients. Power, performance, endurance, and counter-investment against passivity and depression become particularly acute issues in the relationship to oneself, to women, and to men. It then appears essential to delineate the psychological stakes of phallic demand in the articulation between the psychic reality of infantile sexuality and the external realities of aging, illness, and social representations.</div></div><div><h3>Objectives</h3><div>This study aims to understand how the traumatic experience of prostate cancer—an acute realization and embodiment of aging and vulnerability—reveals fault lines not only shaped by the primacy of the phallus but also reinforced by societal phallic logic, balancing constraints and ideals. It seeks to discern the fragilities and resources of male narcissism related to phallic demands and their implications. The primacy of the phallus and its associated infantile sexual theory are thus questioned in their organizing or disorganizing roles.</div></div><div><h3>Method</h3><div>The study is based on a multifaceted methodology: an examination of the taboo surrounding the representation of the male sex in painting, semi-structured interviews, and projective tests conducted with twenty men in their sixties who have been treated for prostate cancer. A case study allows for a thorough and heuristic articulation of theoretical and clinical questions.</div></div><div><h3>Results</h3><div>Honor and virility emerge as particularly significant narcissistic issues, contributing to a hypomanic masculinity that enables men to shift the stakes of various anxieties (death anxiety, passivity anxiety, and castration anxiety) into the form of another anxiety: a narcissistic death anxiety rooted in virility, the dread of no longer existing as a man in the eyes of others. At the intersection of social, psychosexual, and somatopsychic spheres, prostate cancer thus uncovers a taboo Achilles’ heel. This is composed of unconscious interactions and loyalties between the phallic demand (both internal and external) and a partial dependency on the sensory dimension of erection, necessitating a reevaluation of masculinity, the phallus, and erection independent of sensory perception.</div></div><div><h3>Interpretations</h3><div>Society reinforces the confusion between the sensory perception of erection and the sense of virility and masculine reassurance on a psychological level through a collective and cultural imagination that associates characteristics of power, endurance, and","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100460"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.inan.2024.100461
S. Urgese
{"title":"L’espace atopique de la traduction : transdisciplinarités pluriprofessionnelles dans les institutions contemporaines de la mésinscription","authors":"S. Urgese","doi":"10.1016/j.inan.2024.100461","DOIUrl":"10.1016/j.inan.2024.100461","url":null,"abstract":"","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100461"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.inan.2024.100462
A.-S. Debue
{"title":"Penser, l’apanage du psy ? À propos de l’article « D’une institution à l’autre : de l’hypercomplexité de l’hôpital à la place singulière des psychologues institutionnels référés à la psychanalyse » de Aurélie Maurin Souvignet et Delphine Peyrat-Apicella","authors":"A.-S. Debue","doi":"10.1016/j.inan.2024.100462","DOIUrl":"10.1016/j.inan.2024.100462","url":null,"abstract":"","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.inan.2024.100457
Yann Hermitte
Context
An agitated thought can be interpreted in different ways meanings different therapeutic answers. When we say “frontal” we open a lot of different speeches who our own mind (theorical speech, health politics speeches…). And all of this mechanism agitates us more than the patient's symptoms.
Objectives
But this restlessness of thought catches our attention precisely because it is sufficiently imprecise to (re)open up a clinic that is not limited to a discourse. In an environment where theoretical approaches sometimes clash violently, we propose here a plural reading of the same symptom, and questioning of a hegemonic approach.
Method
With neurological and psychoanalytical literature and clinical practice, we will attempt to describe the multiple manifestations of an agitated thought, repetitive or inhibited. We will do so in the fields of neurology, child clinic and psychopathology in general.
Results
From normal neuronal functioning to brain damage, from cognitive dysfunction to the logic of the signifier, from disorder to symptom, an agitated thought can be shut down, blocked, regulated, interpreted, slowed down… The diversity of manifestations makes it difficult to adopt a single approach, and we must looking for different therapeutics solutions.
Interpretations
Restless thinking does not allow us to establish a differential diagnosis, define a psychopathological structure, or even obtain funding. As clinicians, we must be cautious about hoping for monolithic treatments, when the symptom remains plural.
{"title":"« Il est tellement frontal ». Regards croisés sur les pensées qui s’agitent","authors":"Yann Hermitte","doi":"10.1016/j.inan.2024.100457","DOIUrl":"10.1016/j.inan.2024.100457","url":null,"abstract":"<div><h3>Context</h3><p>An agitated thought can be interpreted in different ways meanings different therapeutic answers. When we say “frontal” we open a lot of different speeches who our own mind (theorical speech, health politics speeches…). And all of this mechanism agitates us more than the patient's symptoms.</p></div><div><h3>Objectives</h3><p>But this restlessness of thought catches our attention precisely because it is sufficiently imprecise to (re)open up a clinic that is not limited to a discourse. In an environment where theoretical approaches sometimes clash violently, we propose here a plural reading of the same symptom, and questioning of a hegemonic approach.</p></div><div><h3>Method</h3><p>With neurological and psychoanalytical literature and clinical practice, we will attempt to describe the multiple manifestations of an agitated thought, repetitive or inhibited. We will do so in the fields of neurology, child clinic and psychopathology in general.</p></div><div><h3>Results</h3><p>From normal neuronal functioning to brain damage, from cognitive dysfunction to the logic of the signifier, from disorder to symptom, an agitated thought can be shut down, blocked, regulated, interpreted, slowed down… The diversity of manifestations makes it difficult to adopt a single approach, and we must looking for different therapeutics solutions.</p></div><div><h3>Interpretations</h3><p>Restless thinking does not allow us to establish a differential diagnosis, define a psychopathological structure, or even obtain funding. As clinicians, we must be cautious about hoping for monolithic treatments, when the symptom remains plural.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100457"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.inan.2024.100463
Bernard Duplan
{"title":"Les psychologues référés à la psychanalyse : derniers garants de la vie psychique à l’hôpital. À propos de l’article « D’une institution à l’autre : de l’hypercomplexité de l’Hôpital à la place singulière des psychologues institutionnels référés à la psychanalyse » de Aurélie Maurin Souvignet et Delphine Peyrat-Apicella","authors":"Bernard Duplan","doi":"10.1016/j.inan.2024.100463","DOIUrl":"10.1016/j.inan.2024.100463","url":null,"abstract":"","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100463"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.inan.2024.100465
Laura Camacho
Context
The narrative of the chronic pain patient is often centered on factual elements, particularly their social reality and treatment journey. Therefore, it is essential to consider social issues to determine how these fit into the psychological care of chronic pain patients and allow a better understanding of their challenges.
Objective
Identify the processes by which the experience of a social problem such as medical wandering reactivates forms of psychic withdrawal already presents to face the violent encounter with an invasive and frightening object.
Methods
Clinical research interviews. Analysis of a case study.
Results
The diagnostic wandering and social journey for the recognition of disability experienced by chronic pain patients generate massive reactive suffering but can also reactivate forms of subjective withdrawal and traumatic experiences.
Interpretations
Psychotherapeutic follow-up can help the patient to perceive rebellion as both a social act and a psychic movement, enabling them to escape from the experience of passivity and helplessness generated by trauma, the diagnostic wandering journey, and the threat of exclusion imposed by the pain.
{"title":"Le vécu d’errance comme résonance entre conflit actuel et historique chez le sujet douloureux chronique","authors":"Laura Camacho","doi":"10.1016/j.inan.2024.100465","DOIUrl":"10.1016/j.inan.2024.100465","url":null,"abstract":"<div><h3>Context</h3><div>The narrative of the chronic pain patient is often centered on factual elements, particularly their social reality and treatment journey. Therefore, it is essential to consider social issues to determine how these fit into the psychological care of chronic pain patients and allow a better understanding of their challenges.</div></div><div><h3>Objective</h3><div>Identify the processes by which the experience of a social problem such as medical wandering reactivates forms of psychic withdrawal already presents to face the violent encounter with an invasive and frightening object.</div></div><div><h3>Methods</h3><div>Clinical research interviews. Analysis of a case study.</div></div><div><h3>Results</h3><div>The diagnostic wandering and social journey for the recognition of disability experienced by chronic pain patients generate massive reactive suffering but can also reactivate forms of subjective withdrawal and traumatic experiences.</div></div><div><h3>Interpretations</h3><div>Psychotherapeutic follow-up can help the patient to perceive rebellion as both a social act and a psychic movement, enabling them to escape from the experience of passivity and helplessness generated by trauma, the diagnostic wandering journey, and the threat of exclusion imposed by the pain.</div></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100465"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.inan.2024.100466
M. Ravit , R. Minjard , M. Jacquot
{"title":"Crise de la subjectivité dans les institutions : quand penser c’est faire. Un entretien avec Magali Ravit","authors":"M. Ravit , R. Minjard , M. Jacquot","doi":"10.1016/j.inan.2024.100466","DOIUrl":"10.1016/j.inan.2024.100466","url":null,"abstract":"","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100466"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-26DOI: 10.1016/j.inan.2024.100454
F. Maréchal
{"title":"Analyse de livre : Psychanalyse et neurobiologie : l’actuelle croisée des chemins de Bernard Brusset","authors":"F. Maréchal","doi":"10.1016/j.inan.2024.100454","DOIUrl":"10.1016/j.inan.2024.100454","url":null,"abstract":"","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100454"},"PeriodicalIF":0.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-26DOI: 10.1016/j.inan.2024.100452
Givre Philippe
{"title":"Fantasmes en trans-ition. À propos de l’ouvrage Devenirs trans de l’analyste","authors":"Givre Philippe","doi":"10.1016/j.inan.2024.100452","DOIUrl":"10.1016/j.inan.2024.100452","url":null,"abstract":"","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100452"},"PeriodicalIF":0.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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