Pub Date : 2024-12-01Epub Date: 2024-11-28DOI: 10.1016/j.inan.2024.100491
Ella Schlesinger PhD (Docteur en psychopathologie et psychologie clinique et en anthropologie) , Liviu Poenaru PhD (Doctor in Psychopathology, Clinical Psychology, Federal Psychotherapist ASP)
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This article aims to open a debate on how our contemporary societal context, both psychically and structurally, shapes the essential institution that is the public hospital.
Objectives
To achieve this, the authors start with a clinical construction that allows them to highlight the hypercomplexity of the situations encountered daily by those who inhabit these spaces, including patients, their relatives, and the diverse healthcare providers. Following this, they focus on the unique role of the institutional psychologist who is referenced to psychoanalysis.
Method
The situation that opens this text, providing both its starting point and framework, is a clinical fiction. This narrative is composed of fragments from real, recurrently observed situations in our practice, supervision, and research settings – in other words, from foundational cases (Fustier, 2020). We align ourselves with a Freudian tradition, adopting the principle of analytical construction, positing that this situation is an initial level of interpretation of the hypercomplexity we aim to explore throughout this text.
Results
The hypercomplexity observed and described in this clinical fiction led us to formulate numerous hypotheses and highlight the essential presence of psychoanalysis in hospitals. Psychoanalysis offers the necessary perspective to elaborate and impart meaning to otherwise unthinkable situations.
Interpretations
From the conjunction of subjective experiences of somatic illness to the institutional issues unique to hospitals – intersected by the divergent representations of healthcare professionals – we emphasize the unique position of the psychodynamically oriented psychologist within this complex system.
{"title":"D’une institution à l’autre : de l’hypercomplexité de l’hôpital à la place singulière des psychologues institutionnels référés à la psychanalyse","authors":"Aurélie Maurin Souvignet, Delphine Peyrat-Apicella","doi":"10.1016/j.inan.2024.100459","DOIUrl":"10.1016/j.inan.2024.100459","url":null,"abstract":"<div><h3>Context</h3><div>This article aims to open a debate on how our contemporary societal context, both psychically and structurally, shapes the essential institution that is the public hospital.</div></div><div><h3>Objectives</h3><div>To achieve this, the authors start with a clinical construction that allows them to highlight the hypercomplexity of the situations encountered daily by those who inhabit these spaces, including patients, their relatives, and the diverse healthcare providers. Following this, they focus on the unique role of the institutional psychologist who is referenced to psychoanalysis.</div></div><div><h3>Method</h3><div>The situation that opens this text, providing both its starting point and framework, is a clinical fiction. This narrative is composed of fragments from real, recurrently observed situations in our practice, supervision, and research settings – in other words, from foundational cases (Fustier, 2020). We align ourselves with a Freudian tradition, adopting the principle of analytical construction, positing that this situation is an initial level of interpretation of the hypercomplexity we aim to explore throughout this text.</div></div><div><h3>Results</h3><div>The hypercomplexity observed and described in this clinical fiction led us to formulate numerous hypotheses and highlight the essential presence of psychoanalysis in hospitals. Psychoanalysis offers the necessary perspective to elaborate and impart meaning to otherwise unthinkable situations.</div></div><div><h3>Interpretations</h3><div>From the conjunction of subjective experiences of somatic illness to the institutional issues unique to hospitals – intersected by the divergent representations of healthcare professionals – we emphasize the unique position of the psychodynamically oriented psychologist within this complex system.</div></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100459"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142420550","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 : 2024-09-01Epub 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":"2024-09-01","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 : 2024-09-01Epub 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":"2024-09-01","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}
Pub Date : 2024-09-01Epub Date: 2024-09-09DOI: 10.1016/j.inan.2024.100455
S. Bergheimer , G. Patiño-Lakatos , C. Lindenmeyer
Context
While interdisciplinarity in psychoanalysis is nowadays instituted in relation to the humanities, social sciences and health (Freud, 1913; Ottavi et al., 2021), few researches have discussed the interest and the limits of the intersection of psychoanalysis with other scientific fields.
Objective
As psychoanalytically oriented researchers in psychology, what about our possible exchanges with, for example, robotics, physics, acoustics, engineering? What can we learn from it?
Method
In this article, we unfold these questions based on our insertion from the stages of the creation of an experimental vibrotactile mediation object for shared musical practice, within the framework of the Staccato project (ANR, 2019). We will reflect on the place of the psychoanalytical approach in this project by identifying the contributions and effects of interdisciplinarity upstream, i.e. in the preparation and implementation of the research.
Results
As a first result of this research, we propose the co-construction of a methodology which allows to clarify and open up the potential contributions identified by the upstream work. The methodology is an interdisciplinary product which, subsequently, makes possible an analysis of the data and results in an interdisciplinary manner and linked to these identified potential contributions.
Interpretations
Interdisciplinarity not only allows for an enrichment of the research questions, but also constitutes a step forward in the reflections on the contours of the research and the possibilities of its realisation. Indeed, the interdisciplinary approach refers to a methodological work which implies, inevitably, a clear epistemological positioning while being multiple (because referring to the various disciplines involved in the project). The possibility of an interdisciplinary dialogue in this framework is linked to an initial intra-disciplinary work, an effort, for each discipline, of conceptualisation and definition of a clear and rigorous theoretical positioning allowing, in a second time, its sharing. One of the limits is our positioning in this research: we note the ambiguity of being, as clinicians, researchers in a non-clinical position. This double positioning is difficult to separate, i.e. our experience and position as clinicians in other settings inevitably colours our relationship to the research and our place in the project, as well as our analyses. This aspect, if we can put it to work in an intra-disciplinary way, is sometimes reminded to us by colleagues from other disciplines. In this context, interdisciplinarity can also be a reminder of our position as researchers.
{"title":"Apports et effets de l’approche psychanalytique dans une recherche interdisciplinaire","authors":"S. Bergheimer , G. Patiño-Lakatos , C. Lindenmeyer","doi":"10.1016/j.inan.2024.100455","DOIUrl":"10.1016/j.inan.2024.100455","url":null,"abstract":"<div><h3>Context</h3><p>While interdisciplinarity in psychoanalysis is nowadays instituted in relation to the humanities, social sciences and health (Freud, 1913; Ottavi et al., 2021), few researches have discussed the interest and the limits of the intersection of psychoanalysis with other scientific fields.</p></div><div><h3>Objective</h3><p>As psychoanalytically oriented researchers in psychology, what about our possible exchanges with, for example, robotics, physics, acoustics, engineering? What can we learn from it?</p></div><div><h3>Method</h3><p>In this article, we unfold these questions based on our insertion from the stages of the creation of an experimental vibrotactile mediation object for shared musical practice, within the framework of the Staccato project (ANR, 2019). We will reflect on the place of the psychoanalytical approach in this project by identifying the contributions and effects of interdisciplinarity upstream, i.e. in the preparation and implementation of the research.</p></div><div><h3>Results</h3><p>As a first result of this research, we propose the co-construction of a methodology which allows to clarify and open up the potential contributions identified by the upstream work. The methodology is an interdisciplinary product which, subsequently, makes possible an analysis of the data and results in an interdisciplinary manner and linked to these identified potential contributions.</p></div><div><h3>Interpretations</h3><p>Interdisciplinarity not only allows for an enrichment of the research questions, but also constitutes a step forward in the reflections on the contours of the research and the possibilities of its realisation. Indeed, the interdisciplinary approach refers to a methodological work which implies, inevitably, a clear epistemological positioning while being multiple (because referring to the various disciplines involved in the project). The possibility of an interdisciplinary dialogue in this framework is linked to an initial intra-disciplinary work, an effort, for each discipline, of conceptualisation and definition of a clear and rigorous theoretical positioning allowing, in a second time, its sharing. One of the limits is our positioning in this research: we note the ambiguity of being, as clinicians, researchers in a non-clinical position. This double positioning is difficult to separate, i.e. our experience and position as clinicians in other settings inevitably colours our relationship to the research and our place in the project, as well as our analyses. This aspect, if we can put it to work in an intra-disciplinary way, is sometimes reminded to us by colleagues from other disciplines. In this context, interdisciplinarity can also be a reminder of our position as researchers.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"8 2","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542360624000325/pdfft?md5=4a05654f3c170c8c0d25ebccdb72c1af&pid=1-s2.0-S2542360624000325-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163385","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 : 2024-09-01Epub Date: 2024-08-26DOI: 10.1016/j.inan.2024.100453
Isabelle Basset
In a specialized care facility, encounters with subjects with archaic pathologies involve a specific counter-transference to this mésinscription clinical. Creativity supports this context in order to organize the containment function of clinical psychologist, towards patients and caregivers. This article deals with therapeutic mediation with contemporary dance and its analytics foundations. Starting from the institutional problematic and extreme clinical stakes, it explores the symbolic process of transformation of the physical experience of the subject. Choosing a narrative style preserves the sensitivity of this experiment. The author's institutional experience underpins her clinical-theoretical approach. Joseph's case, whose mésinscription seemed incorporated, describes the evolution of his subjective appropriation of the movement. This story demonstrates that recourse to a sensitive experience can help to free us when an institutional clinic initially seems inaccessible to elaboration. It supports the need to seek out an analytical exploration that can provide an original, symbolized response to today's all-pervasive performance injunctions.
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Pub Date : 2024-09-01Epub Date: 2024-10-07DOI: 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
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