In Analysis最新文献

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.

Context

Objective

Methods

Results

Interpretations

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.

Context

The work of the clinical psychologist in pediatric hospitals aims to promote the subjective appropriation of the experience by the child, by ensuring a feeling of continuity and security. It is particularly important to ensure the quality of the relation between subject, entourage, and caregivers. However, a certain amount of violence exists in the relation between caregiver and patient. We suggest that beyond the violence of caregiving itself, there is an “over-violence” (Tomkiewicz, 1991) which risks undermining the patient's feeling of security.

Objectives

We believe that this over-violence arises when caregivers are confronted with intolerable experiences in the face of the vital risk incurred by the patient. This article aims to examine the emergence of this over-violence and its modes of expression.

Method

This work is based on several situations encountered in different pediatric wards, based on three cases of adolescent patients who put their caregivers in difficulty and required the intervention of hospital psychologists to understand the issues at hand.

Results

Through these different clinical cases we identify two mechanisms of over-violence. First, encroachment, in the form of excessive control of patients’ behavior, which echoes the control that exists over the bodies of sick children. second, rejection, as an attempt to evacuate that which is violent, despite the needs of the patient, sometimes justified by the imperative of freeing hospital beds for other patients. We also identify the effects of a paradoxical over-violence in the oscillation between these two poles.

Discussion

Faced with potential death and the anxiety it arouses, caregivers confronted with violent affects deploy unconscious defense mechanisms that can undermine the professional-patient relationship and can produce over-violence in care. Faced with this phenomenon, reflecting together as a team allows for the regulation of affects and promotes temperance in the professional-patient relationship. Psychologists practicing in somatic hospitals are instrumental in the setting up and maintaining of spaces for regulation or analysis of professional practice in services in which psychological care is not the primary task.