In Analysis最新文献

Context

In this theoretical article, the authors discuss the possibilities of a post-oedipal psychoanalysis and a beyond the notion of sexual difference.

Objective

The aim is to question a certain form of bipartite thinking present in psychoanalytical theory, in order to integrate current clinical problematics.

Method

Within the framework of a theoretical exploratory work based on a literature review, the notion of sexual difference is subjected to criticism by crossing studies on gender and sexualities with a reading of the Oedipus complex.

Results

A psychoanalysis situated in its theoretical-clinical elaboration could thus allow a queered psychoanalysis; being situated then means assuming the political dimension of concepts and their effects on praxis.

Interpretation

The thesis defended is that psychoanalysis can de-referentialize the notion of sexual difference from its theory without losing its identity. Not necessarily doing without, but making it more complex.

Context

This article prolongs questions raised in the author's doctoral thesis. It engages with contemporary psychoanalytical research that questions the psychic modalities that organize the relationship to time and the subjective inscription of temporality, within the framework of the processes that begin at the time of puberty. These processes operate, in fact, as fertile moments of reorganization and psychic organization of the relationship to time of individuals.

Objective

Based on the psychoanalytical works carried out since Freud as well as his own elaborations, the author underlines the importance of considering the Oedipus complex in its double valence, as a psychic organizer of the difference between the sexes and between the generations - this second valence having been very often left in the background compared to the first one. This psychoanalytic reading of the Oedipus complex, in its dual register, is set against other perspectives (gender studies and the historical study of myths).

Method

Starting from the fundamental texts in the Freudian corpus and completing them with contributions from contemporary psychoanalysis, and illustrating this with a clinical vignette, the author underlines the heuristic value of recourse to the Oedipal myth as a representation of subjective and inter-subjective temporal organization.

Results

In the wake of contemporary psychoanalytical research, the author's work demonstrates the interest of thinking about the place of the Oedipus complex as a psychic organizer of the relationship to time – the psychic modalities of investment in time appearing, in themselves, as organizers of psychic life. This is done from a complementarian perspective, which does not exclude other approaches to the problem.

Conclusions

This reflection invites us to think about the complexity of the Oedipal myth in order not to reduce it to its gendered dimension. If social and societal evolutions, as well as the anthropological context, must lead us to reexamine the value of our conceptual tools and their limits, the Oedipus complex as a nodal organizer must be grasped here in all its dimensions – sexual and temporal. As the author's reflections draw on clinical work with juvenile psychopathology, they deserve to be completed and discussed in the light of other complementary fields.

Context

This article traces the history of my efforts to understand how binary gender signifiers organise the otherness of sexuality; to analyse the tension of bearing the tension of sexuality with regard to the regulation of affect and the theory of recognition.

Objectives

The core of this work has been an effort to establish a place in intersubjective and relational thought for sexuality.

Method

To do this, I locate the origins of our stance toward sexual arousal in experiences of the early mother-child dyad and following the traces of this model into gender complementarity.

Results

The clinical sequelae of early dysregulation should be noted: the effects of unacknowledged distress, abandonment and overstimulation on adult sexuality. We have explored how the inability to tolerate sexual arousal and the affect of arousal, the “overflow”, reflects the failures of the mother-baby relationship. The marks of these failures are apparent when they emerge in the clinical staging of transference-countertransference.

Interpretations

The constant tension between intrapsychic fantasy and intersubjective procedural work in the transferential matrix should be emphasised. The interweaving of these two layers is visible in the fantasies that – at once – mask and reveal the intersubjective failures of regulation and recognition. These fantasies are shaped by the gender metaphors used to deal with the enigmatic message.

Context

The article is situated in the field of group psychotherapy for children and refers to psychoanalytical metapsychology. It presents two clinical experiments around two group therapeutic interventions that question, each in their own way : being “inside” and “outside” the walls, the problematic of space as a psychic envelope and the related therapeutic processes.

Objectives

The authors set out to develop and comment several clinical sequences, comparing the two therapeutic devices.

Method

It is based on evidence from practice, i.e. evaluating the psychic processes at work in this clinical experimentation.

Results

Based on sensorimotricity, the “non-human” dimension of the space of the therapeutic framework and the “human” groupality would participate in the process of constitution-reconstitution of psychic envelopes, allowing the emergence of narrativity through playing and through progression in space.

Conclusion

The centrifugal and centripetal motility identified in these two therapeutic groups, as well as the spatial representations implemented in support of movement and its temporal organization, serve as a basis for the subjective appropriation by narrativity.

Context

Based on our clinical experience in gerontopsychiatry and on psychoanalytical concepts, we wish to discuss the therapeutic effects of specialized Alzheimer care units on the subjects they accommodate.

Objectives

In the context of a public health problem, these units have developed particular characteristics and aims, in order to attempt to respond. Their therapeutic role is not self-evident and it can be effective only under certain conditions. Through this reflection, we attempt to identify the operators of the processes of changes in psychic functioning and to understand which conditions allow them to be deployed. When these conditions are absent, these units can crystallize certain excesses, whether at the institutional or the individual level.

Method

This reflexion is based on the concept of the « Moi-Peau » (the Self-Skin or the Skin-Self), here used to clarify the functions of symbolization and interface, but also their toxic effects when the counter-transference invades the relationship. When these special care units function as a transitional area, they can support the psychological dynamics of symbolization and exchanges in demented subjects, and can bring about therapeutic effects on behavioral disorders. When this transitionality is not effective, these units become a place of confinement where the balance between life and death is lost, which can lead to the intensification of the dementia process and the loss of relational links.

Results

This reflection opens up avenues of research, both qualitative and quantitative, on the functioning of these units, which are bound to develop in response to the increasing number of people suffering from dementia ias the population ages.

Conclusion

It's the way in which these units are invested that allows them to have their therapeutic character. Therefore, it's necessary to develop knowledge about how Alzheimer units are investing in order to adjust care strategies to the characteristics of this population and to support people with dementia and behavioral problems.

Context

Autism spectrum disorder (ASD) results from a complex interaction between innate factors of the infant and their environment. Many risk factors have been identified. The difficulties in physical organization of at-risk children can allow us to identify the most fragile infants at birth. The baby in relational withdrawal can teach us about the part played by the infant in the weaving of early psychic envelopes. Research on babies who have become autistic children demonstrates disturbances in their motor skills, from their general movements to difficulties with body organization. The infant's sensorimotor difficulties hinder the expression of subjectivity. They also have an impact on the parents’ ability to interpret the signs coming from the baby. It is difficult for a parent to be the receptacle of the intentions of a baby who does not seem to be addressing its parent. An accompaniment of the parents supports them in their capacity to provide a secure “container” for their baby. A transdisciplinary team ensuring the continuity of the group psychic envelope may be necessary to establish harmony between the baby and their environment.

Objectives

The goal of early post-natal care is to support parents so that they feel they are the receptacle to the baby's intentions. We want the baby to be able to actively engage in the relationship with its parent from the first months of its life, despite any sensorimotor difficulties that may be present.

Method

In this theoretical reflection on the difficulties of containment with a baby in relational withdrawal, we develop the theoretical-clinical bases which underlie our work as care providers. We focus here mainly on supporting parents in the containing function they occupy as the organizing center of their baby's instinctual life.

Results

The result targeted by this treatment is the entry of the baby into goal-directed movement towards the other from 4 months, as evaluated by the Préaut grid, within the framework of a pleasant relationship of shared pleasure. We promote the establishment of a relationship in which the parent can both perceive the signs emitted by their baby while being attentive to their own internal experience. Particular attention is paid to joint listening. From this theoretical-clinical base stems the current practice of a transdisciplinary team and two ongoing research projects.

This article is part of a doctoral thesis in psychopathology and psychoanalysis that deals with the study of the emergence of the subject in deaf babies. In clinical practice with infants, we seek to articulate the psychoanalytical field of envelopes with that of the theory of drives. We present a clinical analysis of the psychoanalytical psychotherapy of a 15-month-old baby, born with extreme prematurity, deafness, and associated disorders. The sessions of this psychotherapy were filmed by a co-therapist. This article is based on the micro-analysis of these films, and on the tension created between our different theoretical references. We note the entanglement of the looping of the drive circuit with the constitution of the envelopes, and demonstrate how the envelope comes to constitute a therapeutic lever for this baby. This reflection, carried out at the crossroads of two psychoanalytic approaches, allows us to return to Freudian psychoanalytic concepts that shed light on the question of the emergence of the subject.

Context

It is from our clinical practice in the “High Security Inpatient Unit” that we have been confronted with the compulsion to repeat and more specifically with the repetition of violent or even murderous acts.

Objectives

In order to be able to think through fear in the transference, in the encounter with these patients, whose psychic arrangements fall within the field of psychosis, as well as the intrusion of both the physical and psychic envelopes that results from it, we have been interested in art and astrophysics. By proceeding in this way by analogy, we can modelize a topical representation of the psychic apparatus.

Method

This article proposes a transdisciplinary exploration of psychic envelopes in the case of Mr. N. – following the methodology of the single case, to think through the symbolization of violent action and of what we have termed the covering process.

Results

The aim here, in a qualitative approach, is to highlight the violent act starting from a double articulation between psychoanalysis and art, on the one hand, and psychoanalysis and astrophysics, on the other, in order to think through the work of symbolizing treatment by covering traumas as a fight against psychic dissolution. In doing so, it allows us to envisage a covering process in successive, superimposed envelopes, one might say, as many attempts to neutralize the affect of terror.

Interpretations

These transdisciplinary perspectives lead us to conceptualize a primordial psychic material at the confines of the “figurable” and the “symbolizable,” thus allowing us to think about the extensions of psychoanalysis and illuminate the psychopathological formations falling within the field of extreme suffering in the domains of subjects’ narcissism and identity.