Pub Date : 2024-07-23DOI: 10.1016/j.evopsy.2024.07.003
Romuald Jean-Dit-Pannel (Psychologue clinicien-psychothérapeute, Professeur des universités)
Goals
I develop my hypothesis of a two different corsets, the second skin and the ego-skin corset, which respectively prevent or deploy according to the psychic reappropriations of the subjects, specially transgender subjects.
Method
My practice as a clinical psychologist-psychotherapist and my research with transgender subjects led me to wonder about a metapsychology of the corset. I expose here two clinical cases.
Results
Two cases in particular led me to think about an authentic depressive capacity that I call here sadness-fluid or fluidity of sadness by analogy to gender-fluid, the fluidity of gender.
Discussion
Also, I reflect on the operative armature that can impose itself throughout the transition process, by the diversity of experiences, stories, and resources found in the subject's different environments.
Conclusion
The therapeutic needs of trans subjects in their journeys and their reflections lead us to consider the needs to loosen, to untie certain ties. This uncorsetting favors a reflexive fluidity, so that the subject can evolve in an authentic ego-skin corset where it belongs to itself.
目标我提出了两种不同紧身胸衣的假设，即第二层皮肤紧身胸衣和自我皮肤紧身胸衣，它们分别根据受试者（尤其是变性受试者）的心理再利用情况进行阻止或部署。方法我作为临床心理学家-心理治疗师的实践以及对变性受试者的研究让我对紧身胸衣的元心理学产生了好奇。我在这里揭示了两个临床案例。结果有两个案例特别让我想到了一种真实的抑郁能力，我在这里将其称为 "悲伤的流动性"（sadness-fluid）或 "悲伤的流动性"（fluidity of sadness），与 "性别的流动性"（gender-fluid，即性别的流动性）相类比。讨论此外，我还思考了在整个变性过程中，变性人在不同环境中的经历、故事和资源的多样性可能会给自己带来的影响。结论变性人在其变性过程中的治疗需求以及他们的反思让我们考虑到放松和解开某些束缚的需求。这种解开束缚的方式有利于反思的流动性，这样主体就能在属于自己的真实自我束缚中发展。
{"title":"Armature-opératoire et tristesse fluide chez des sujets transgenres : d’une seconde peau à un Moi-peau corsets","authors":"Romuald Jean-Dit-Pannel (Psychologue clinicien-psychothérapeute, Professeur des universités)","doi":"10.1016/j.evopsy.2024.07.003","DOIUrl":"10.1016/j.evopsy.2024.07.003","url":null,"abstract":"<div><h3>Goals</h3><p>I develop my hypothesis of a two different corsets, the second skin and the ego-skin corset, which respectively prevent or deploy according to the psychic reappropriations of the subjects, specially transgender subjects.</p></div><div><h3>Method</h3><p>My practice as a clinical psychologist-psychotherapist and my research with transgender subjects led me to wonder about a metapsychology of the corset. I expose here two clinical cases.</p></div><div><h3>Results</h3><p>Two cases in particular led me to think about an authentic depressive capacity that I call here sadness-fluid or fluidity of sadness by analogy to gender-fluid, the fluidity of gender.</p></div><div><h3>Discussion</h3><p>Also, I reflect on the operative armature that can impose itself throughout the transition process, by the diversity of experiences, stories, and resources found in the subject's different environments.</p></div><div><h3>Conclusion</h3><p>The therapeutic needs of trans subjects in their journeys and their reflections lead us to consider the needs to loosen, to untie certain ties. This uncorsetting favors a reflexive fluidity, so that the subject can evolve in an authentic ego-skin corset where it belongs to itself.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-17DOI: 10.1016/j.evopsy.2024.07.002
Matthieu Braun (psychiatrist, head of a university clinic - regional hospital assistant) , Christophe Chaperot (psychiatrist, head of department)
Objective
Patients suffering from complex psychiatric pathologies require multi-disciplinary care and, in the event of decompensation, may need to be hospitalized. Institutional psychotherapy approaches psychotic, existential and institutional crises as opportunities for clinical elaboration and the deployment of creativity. The health crisis linked to the Covid-19 pandemic has prompted us to rethink its effectiveness and its place within plural contemporary practices. It also offered the opportunity for an unprecedented anthropological reading. In this context, is institutional psychotherapy still a machine for producing “innovation”, for creating, or at least revealing, crises in order to overcome them?
Method
Key concepts from the field of institutional psychotherapy can be reexamined in the wake of the health crisis. In the aftermath of the pandemic, we propose an elaboration of what the pandemic has taught us about day-to-day practice, in a public psychiatric department oriented towards institutional psychotherapy. We will draw on a re-reading of clinical vignettes, interviews with caregivers and patients, and notes taken at department meetings during the pandemic.
Results
The major concepts of institutional psychotherapy may have some limitations, but they can be reinvented by the caregiver-client collective. During a crisis, collective failings and individual symptoms seem to reveal each other. The therapeutic club represents a stage on which to unfold and elaborate both group and individual issues.
Discussion
In this context, the symbolic framework, collectively instituted, and the culture of a service can present operative points of support for continuing care. They “put in crisis” the prejudices and implicit theories of the actors, and support new narratives and new ways of making sense.
Conclusion
In the aftermath of a crisis, the therapeutic club remains a space of conflict and intrigue, at the crossroads of collective and individual health crises.
{"title":"Institutional psychotherapy put to the test by the health crisis. Clinical reflection at the heart of a public psychiatric service","authors":"Matthieu Braun (psychiatrist, head of a university clinic - regional hospital assistant) , Christophe Chaperot (psychiatrist, head of department)","doi":"10.1016/j.evopsy.2024.07.002","DOIUrl":"10.1016/j.evopsy.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>Patients suffering from complex psychiatric pathologies require multi-disciplinary care and, in the event of decompensation, may need to be hospitalized. Institutional psychotherapy approaches psychotic, existential and institutional crises as opportunities for clinical elaboration and the deployment of creativity. The health crisis linked to the Covid-19 pandemic has prompted us to rethink its effectiveness and its place within plural contemporary practices. It also offered the opportunity for an unprecedented anthropological reading. In this context, is institutional psychotherapy still a machine for producing “innovation”, for creating, or at least revealing, crises in order to overcome them?</p></div><div><h3>Method</h3><p>Key concepts from the field of institutional psychotherapy can be reexamined in the wake of the health crisis. In the aftermath of the pandemic, we propose an elaboration of what the pandemic has taught us about day-to-day practice, in a public psychiatric department oriented towards institutional psychotherapy. We will draw on a re-reading of clinical vignettes, interviews with caregivers and patients, and notes taken at department meetings during the pandemic.</p></div><div><h3>Results</h3><p>The major concepts of institutional psychotherapy may have some limitations, but they can be reinvented by the caregiver-client collective. During a crisis, collective failings and individual symptoms seem to reveal each other. The therapeutic club represents a stage on which to unfold and elaborate both group and individual issues.</p></div><div><h3>Discussion</h3><p>In this context, the symbolic framework, collectively instituted, and the culture of a service can present operative points of support for continuing care. They “put in crisis” the prejudices and implicit theories of the actors, and support new narratives and new ways of making sense.</p></div><div><h3>Conclusion</h3><p>In the aftermath of a crisis, the therapeutic club remains a space of conflict and intrigue, at the crossroads of collective and individual health crises.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-19DOI: 10.1016/j.evopsy.2024.06.001
Sebur Kapu (Doctorant)
{"title":"Repenser la génétique de la schizophrénie à l’ère de la crise de la reproduction. À propos de… « Schizophrenia and Genetics: The End of An Illusion » de Jay Joseph","authors":"Sebur Kapu (Doctorant)","doi":"10.1016/j.evopsy.2024.06.001","DOIUrl":"10.1016/j.evopsy.2024.06.001","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-23DOI: 10.1016/j.evopsy.2024.05.002
Objective
Forensic clinical investigation frequently reveals the absence of shame in perpetrators of sexual violence while simultaneously victims seem overwhelmed by shame. We sought to understand this paradox by analyzing the dynamics of the introjection of shame in victims’ identification with the aggressor and of the injection of shame in the aggressor's projective identification with his victim.
Method
We focused on the case of Louis, a dismissed priest, sentenced for pedocriminal behavior. This case is part of a qualitative research project conducted on a population of 14 inmates of a Parisian prison and based on interviews structured around the individual's life story and analyzed with the Interpretative Phenomenological Analysis (IPA) methodology.
Results
We observe that behind Louis's apparent absence of shame, as with many of our research subjects guilty of sexual violence, there is, in fact, a great deal of unconscious shame, first introjected by the victim in the abuse suffered, and later injected in the victim in the abuse committed as a means to unload an unbearable shame.
Discussion
The introjection of the shame of the aggressor by his victim in the dynamic of Ferenczi's identification with the aggressor appears as a complement to the injection of shame by the aggressor into his victim through the dynamic of projective identification: both an ordinary projective identification in the form of a projective reversal of shame, and an operative projective identification in the form of perverse behaviors.
Conclusion
The communicating vessels of shame among perpetrators and victims of sexual violence, between injection and introjection, help us better understand the contagious characteristics of shame in the etiology of sexual violence.
{"title":"Les vases communicants de la honte chez les auteurs de violences sexuelles","authors":"","doi":"10.1016/j.evopsy.2024.05.002","DOIUrl":"10.1016/j.evopsy.2024.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>Forensic clinical investigation frequently reveals the absence of shame in perpetrators of sexual violence while simultaneously victims seem overwhelmed by shame. We sought to understand this paradox by analyzing the dynamics of the introjection of shame in victims’ identification with the aggressor and of the injection of shame in the aggressor's projective identification with his victim.</p></div><div><h3>Method</h3><p>We focused on the case of Louis, a dismissed priest, sentenced for pedocriminal behavior. This case is part of a qualitative research project conducted on a population of 14 inmates of a Parisian prison and based on interviews structured around the individual's life story and analyzed with the Interpretative Phenomenological Analysis (IPA) methodology.</p></div><div><h3>Results</h3><p>We observe that behind Louis's apparent absence of shame, as with many of our research subjects guilty of sexual violence, there is, in fact, a great deal of unconscious shame, first introjected by the victim in the abuse suffered, and later injected in the victim in the abuse committed as a means to unload an unbearable shame.</p></div><div><h3>Discussion</h3><p>The introjection of the shame of the aggressor by his victim in the dynamic of Ferenczi's identification with the aggressor appears as a complement to the injection of shame by the aggressor into his victim through the dynamic of projective identification: both an ordinary projective identification in the form of a projective reversal of shame, and an operative projective identification in the form of perverse behaviors.</p></div><div><h3>Conclusion</h3><p>The communicating vessels of shame among perpetrators and victims of sexual violence, between injection and introjection, help us better understand the contagious characteristics of shame in the etiology of sexual violence.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0014385524000653/pdfft?md5=213c199f6f0bb14ec8a6770c4e75afbc&pid=1-s2.0-S0014385524000653-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-17DOI: 10.1016/j.evopsy.2024.05.001
{"title":"Prix de l’Évolution psychiatrique Jean Garrabé 2024","authors":"","doi":"10.1016/j.evopsy.2024.05.001","DOIUrl":"10.1016/j.evopsy.2024.05.001","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-17DOI: 10.1016/j.evopsy.2024.04.005
Objective
This study presents a reflection on the inhabitation of a place and the constitution of a territorial Self,’ in the context of ‘country’ life and work. The hypothesis is then put forward of a possible ‘psychopathology of (de-)territorialization,’ according to which a ‘non-place,’ generator of meaninglessness, may be involved in a suicidal dynamics specifically linked to the territorial dimension of the Self and the impossible inhabitation of a place.
Method
The clinical and psychopathological aspects are examined from the perspective of the link between certain ‘traditional farmers’ and the place where they live, with regard to the reciprocal imprint between psyche and territory.
Results
This exploratory study will provide guidance for clinical research into the suffering of farmers who fall outside the scope of commonly identified ‘psycho-social disorders.’
Discussion
The limitations and impasses induced by dissociative or melancholic processes are related either to a failure of Presence, compromising the construction of a habitable world, i.e. one that can be territorialized, or to the hostility of a world that is resistant to the dynamics of a territorialization process, and therefore unfit to allow us to dwell in it.
Conclusion
These considerations open up an original perspective for qualitative research aimed at understanding the relationships between alteration of the territorial foundations of the Self and suicidal intentionality.
{"title":"Le « Soi territorial » et le suicide des agriculteurs : la solitude en un lieu inhabitable","authors":"","doi":"10.1016/j.evopsy.2024.04.005","DOIUrl":"10.1016/j.evopsy.2024.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>This study presents a reflection on the inhabitation of a place and the constitution of a territorial Self,’ in the context of ‘country’ life and work. The hypothesis is then put forward of a possible ‘psychopathology of (de-)territorialization,’ according to which a ‘non-place,’ generator of meaninglessness, may be involved in a suicidal dynamics specifically linked to the territorial dimension of the Self and the impossible inhabitation of a place.</p></div><div><h3>Method</h3><p>The clinical and psychopathological aspects are examined from the perspective of the link between certain ‘traditional farmers’ and the place where they live, with regard to the reciprocal imprint between psyche and territory.</p></div><div><h3>Results</h3><p>This exploratory study will provide guidance for clinical research into the suffering of farmers who fall outside the scope of commonly identified ‘psycho-social disorders.’</p></div><div><h3>Discussion</h3><p>The limitations and impasses induced by dissociative or melancholic processes are related either to a failure of Presence, compromising the construction of a habitable world, i.e. one that can be territorialized, or to the hostility of a world that is resistant to the dynamics of a territorialization process, and therefore unfit to allow us to dwell in it.</p></div><div><h3>Conclusion</h3><p>These considerations open up an original perspective for qualitative research aimed at understanding the relationships between alteration of the territorial foundations of the Self and suicidal intentionality.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S001438552400063X/pdfft?md5=9f9c23b67a159e8409146bd44f37267e&pid=1-s2.0-S001438552400063X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141052494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号