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Le narcissisme, entre mythologie et psychopathologie 神话和精神病理学之间的自恋
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-03-26 DOI: 10.1016/j.evopsy.2025.02.005
Jérémie André Doctorant (MD) (Médecin chef de clinique) , Régis Marion-Veyron (Maître d’enseignement et de recherche clinicien, Responsable de l’unité de psychiatrie de liaison, département des policliniques, Unisanté)

Objectives

Narcissism is distinguished from other contemporary psychiatric terms in that it refers both to a body of clinical and empirical research and to one of the most popular myths in our culture. The objective of this article is, on the one hand, to explore the nature of the link between the myth of Narcissus and narcissism, and on the other hand, from an epistemological perspective, to examine the various current definitions of narcissism.

Methods

Through a literature review, we offer an epistemological perspective on the link between the myth of Narcissus and narcissism, as well as on the various definitions of narcissism in Freudian theories, clinical practice, nosography, the trait model of personality, and everyday language.

Results

The term narcissism was coined in the 19th century to illustrate a clinical condition using the myth of Narcissus. With his seminal essay “On Narcissism: An Introduction”, Freud separated narcissism from the myth of Narcissus. In doing so, he provided an object of interest for 20th-century clinicians, who developed clinical theories of narcissism, seeking to define the function and etiology of behavior identified as narcissistic. With the publication of the DSM-III and the rise of psychological research on personality traits, a new perspective on narcissism emerged, focusing on describing and differentiating behaviors rather than explaining them. The use of narcissism in everyday language draws freely from these different conceptions, employing heuristic shortcuts and analogies.

Discussion

We distinguish three different uses of narcissism: an analogical use, primarily aimed at illustrating a clinical situation or behavior with the myth; a theoretical/clinical use, seeking to explain the nature of narcissistic behavior; and a descriptive use, focused on defining and differentiating narcissism from related disorders or traits. These three uses coexist and are the source of much confusion. The methodological differences between theoretical and descriptive approaches directly influence the very definition of narcissism, as illustrated by the notion of narcissistic vulnerability.

Conclusion

This article clarifies the complex interactions between the myth and narcissism, which contribute both to the richness of the concept and the difficulty in defining it. Nearly two thousand years before the Alternative Model of Personality Disorder in the DSM-5, which places identity disturbances and relational difficulties at the core of personality disorders, Ovid had already intuited that self-ignorance and the inability to love others could lead to great suffering.
自恋与其他当代精神病学术语的区别在于,它既涉及临床和实证研究,也涉及我们文化中最流行的神话之一。本文的目的一方面是探讨那喀索斯神话与自恋之间的联系的本质,另一方面,从认识论的角度审视当前对自恋的各种定义。方法通过文献综述,从认识论的角度探讨那喀索斯神话与自恋之间的联系,以及弗洛伊德理论、临床实践、医院诊断学、人格特质模型和日常语言中对自恋的各种定义。自恋这个词是在19世纪创造出来的,用来描述一种临床症状,用的是水仙的神话。在他的开创性论文《论自恋:导论》中,弗洛伊德将自恋与那喀索斯神话分开。在此过程中,他为20世纪的临床医生提供了一个感兴趣的对象,他们发展了自恋的临床理论,试图定义自恋行为的功能和病因。随着DSM-III的出版和人格特质心理学研究的兴起,一种新的自恋视角出现了,它侧重于描述和区分行为,而不是解释行为。在日常语言中,自恋的使用自由地借鉴了这些不同的概念,采用了启发式的捷径和类比。我们区分了自恋的三种不同用法:类比用法,主要目的是用神话来说明临床情况或行为;理论/临床应用,试图解释自恋行为的本质;还有一种描述性的用法,侧重于定义和区分自恋与相关障碍或特征。这三种用法同时存在,是许多混淆的根源。理论和描述方法之间的方法差异直接影响了自恋的定义,如自恋脆弱性的概念所说明的那样。本文阐明了神话与自恋之间复杂的相互作用,这既导致了这个概念的丰富性,又使其难以定义。将近两千年前,DSM-5中的人格障碍替代模型将身份障碍和关系困难置于人格障碍的核心,奥维德已经直觉地意识到自我无知和无法爱他人会导致巨大的痛苦。
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引用次数: 0
L’illusion nostalgique : d’une poétique du regret comme traitement de la perte 怀旧的幻觉:以遗憾的诗学处理损失
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2024-05-06 DOI: 10.1016/j.evopsy.2024.04.002
Kelly Poracchia (Psychologue clinicienne), Mohammed Ham (Professeur de psychopathologie psychanalytique et psychanalyste)

Aims

In melancholy, the subject experiences a fundamental disillusionment, marked by a breakdown of investments, which signals a ruin of the imagination. This flaw in the field of illusion implies an alteration of the relationship to the ideal, and the position of the subject is dominated by disbelief. Through this article, the authors question the way in which creation can create an illusion of the relationship with reality by capturing the subject from a nostalgic position.

Method

From a psychoanalytic reference, the authors first propose to analyze the subjectivizing dynamic of the illusion insofar as it supports the singular fiction and ensures a function of treating the original distress. Nostalgia is thus thought of as carrying illusions and is considered in its metapsychological status as an imaginary materialization of the lost object. The authors propose certain questions concerning the way in which the creation would capture the subject in a nostalgic relationship with the lost object, which would thus allow an illusion of the relationship with reality. A clinical case report is also presented in order to deepen the elaborations proposed in this article.

Results

Emerging on the edge of the void, the repetition of an act of creation seems to open the subject to a space of illusions within which the traces left by the object in its loss can resonate in the subject. The work of creation fills the void in the heart of the speaking being and inspires nostalgic regret that aspires to treat loss in a poetic way. The creation lends a voice to express the irreversible loss that animates the subject, and gives substance to the cry left suspended in melancholy. The creative process therefore seems caught up in a movement of nostalgic embalming, which exhumes the remains of the lost object and commemorates its loss.

Discussion

Although the nostalgic position can be thought of as a fantasmatic materialization of the object and can provoke a libidinal fixation of the subject to a lure object, which thus eclipses any external investment, the approach to nostalgia also seems to protect it from melancholic annihilation of desire.

Conclusion

By displaying a nostalgic position through an act of creation, inexpressible melancholic remorse gives way to ineffable nostalgic regret.
在忧郁中,主体经历了一种根本的幻灭,其标志是投资的崩溃,这标志着想象力的毁灭。幻觉领域的这种缺陷意味着与理想的关系的改变,主体的地位被怀疑所支配。在这篇文章中,作者质疑了创作可以通过从怀旧的角度捕捉主题来创造与现实关系的幻觉的方式。方法从精神分析的角度出发,作者首先提出分析幻觉的主体化动态,因为它支持单一的虚构,并确保治疗原始痛苦的功能。因此,怀旧被认为携带着幻想,在其元心理学地位上被认为是对失去的物体的想象性物化。作者提出了一些问题,关于创作的方式将捕捉主题与失去的对象的怀旧关系,从而允许与现实的关系的幻觉。为了加深本文的阐述,还提出了一份临床病例报告。结果出现在虚空的边缘,重复的创作行为似乎将主体打开到一个幻想的空间,在这个空间中,客体在失去时留下的痕迹可以在主体中产生共鸣。创作的作品填补了说话人内心的空白,激发了渴望以诗意的方式对待失去的怀旧遗憾。这一创作提供了一种声音来表达不可逆转的损失,使主题充满活力,并为忧郁的哭泣提供了实质内容。因此,创作过程似乎陷入了一种怀旧的防腐运动,挖掘出失去的物体的遗骸并纪念它的损失。虽然怀旧的位置可以被认为是对象的幻想物化,可以激发主体对诱惑对象的力比多固定,从而使任何外部投资黯然失色,但怀旧的方法似乎也保护它免受欲望的忧郁湮灭。结论通过一种创作行为表现出一种怀旧的立场,使难以言表的忧郁悔恨让位给难以言表的怀旧遗憾。
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引用次数: 0
L'école de Budapest : le retour. À propos de … « Les voix de Budapest » de Nicolas Geissmann 布达佩斯学校:回归。尼古拉·盖斯曼的《布达佩斯之声》
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-01-24 DOI: 10.1016/j.evopsy.2024.11.002
Pierre Delion (Professeur émérite de pédopsychiatrie, Praticien hospitalier honoraire, Psychanalyste)
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引用次数: 0
Une proposition neuropsychanalytique novatrice pour une psychologie sans téléologie. À propos de… « Les Coulisses du Cerveau. L’inconscient aux commandes » de Jean-Pol Tassin 一个创新的神经精神分析建议的心理学没有目的论。关于……《大脑的褶皱》。让-波尔·塔辛(Jean-Pol Tassin)
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-01-29 DOI: 10.1016/j.evopsy.2025.01.004
Ariane Bazan (Professeure des Universités, Directrice d’InterPsy (UR 200919245J))
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引用次数: 0
Réaménagements relationnels des co-victimes d’un féminicide 女性谋杀案共同受害者的关系重建
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-05-06 DOI: 10.1016/j.evopsy.2025.03.013
Soline Guyomar CandidatePhD, Suzanne Léveillée (Professeure)

Objectives

This study addresses the relational adjustments of individuals who have lost a loved one due to femicide. It explores how co-victims perceive the impact of femicide on their interpersonal relationships, by examining the social support provided by their close circle and various aid services.

Method

Semi-structured interviews were conducted to explore the psychological consequences and relational challenges faced by bereaved families. A thematic content analysis was carried out, allowing for an in-depth examination of the interview transcripts through the identification of key themes.

Results

The results highlight the relational challenges and psychological consequences experienced by families grieving after a femicide. The subjective nature of emotional bonds is emphasized, particularly through the testimony of participants. The findings reveal that co-victims of femicide experience significant relational changes after the tragedy, both within their social circle and with support services.

Discussion

This study enhances the understanding of family and interpersonal relationships in the context of femicide. The results emphasize the importance of social support in the grieving and rebuilding process, highlighting the essential role of close relations and professionals during these critical periods.

Conclusion

This article contributes to advancing discussions on the support of bereaved individuals after a violent death, while also addressing avenues for future research.
目的本研究探讨因杀害女性而失去亲人的个体的关系调整。它通过检查由其亲密圈子和各种援助服务提供的社会支持,探讨共同受害者如何看待杀害妇女对其人际关系的影响。方法采用半结构化访谈法,探讨丧亲家庭面临的心理后果和关系挑战。进行了专题内容分析,以便通过确定关键主题对采访笔录进行深入审查。结果研究结果突出了女性被杀后家庭所经历的关系挑战和心理后果。强调情感纽带的主观性,特别是通过参与者的证词。研究结果显示,杀害女性的共同受害者在悲剧发生后,无论是在社交圈内还是在支持服务中,都会经历重大的关系变化。本研究增进了对杀害女性背景下的家庭和人际关系的理解。研究结果强调了社会支持在悲伤和重建过程中的重要性,强调了亲密关系和专业人员在这些关键时期的重要作用。这篇文章有助于推进关于暴力死亡后对失去亲人的个人的支持的讨论,同时也为未来的研究指明了途径。
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引用次数: 0
Écriture de soi et identité narrative : quel apport pour le rétablissement de la personne âgée dépressive ? 自我写作和叙事身份:对抑郁老人的康复有什么帮助?
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-04-11 DOI: 10.1016/j.evopsy.2025.03.011
Ketty Steward (psychologue clinicienne, docteure en psychologie de l’université Paris 8) , Arnaud Plagnol (psychiatre, professeur de psychologie à l’université Paris 8) , Renald Asvazadourian (psychiatre, spécialiste de la psychiatrie du sujet âgé)

Aims

Based on Michel Foucault's notion of subjectivation through self-writing and Paul Ricœur's reworking of narrative identity, our aim is to clarify the clinical relevance of an autobiographical writing group for depressed seniors.

Method

After an analysis of Foucault's self-writing and its relationship to Ricœur's narrative identity, we illustrate its scope by studying the dynamics generated by the participation of an elderly depressive patient in an autobiographical writing group. The effects of the participation on depression were assessed using the Montgomery Asberg Depression Rating Scale, an observation grid of the group activity, a semi-directive interview held at the end of the program, and a series of remote clinical interviews.

Results

In addition to an improvement in mood, the way the person appropriated the writing process gives evidence of an experiential recovery, with a new meaning conferred to one's existence and an in-depth reconfiguration of the subjective universe.

Discussion

The concepts of self-writing and narrative identity are complementary in shedding light on the dynamics observed in the reported case. The data gathered from the person, who was not initially expected to embrace the invitation to write (lack of educational achievements, entrenched depression in a 70-year-old complicated by dependency), confirms the clinical potential of an approach based on self-writing within a group of elderly people.

Conclusion

The proposal of a structured writing activity, based on the conceptual contributions of Michel Foucault and Paul Ricœur, may prove fruitful in the recovery process for elderly people with depression, even if this can only be confirmed by the appropriation of the process within the person's lived experience.
基于米歇尔·福柯通过自我写作的主体化概念和保罗Ricœur对叙事身份的重构,我们的目的是澄清一个自传体写作小组对抑郁症老年人的临床相关性。方法在分析了福柯的自我写作及其与Ricœur叙事身份的关系之后,我们通过研究一位老年抑郁症患者参与自传体写作小组所产生的动态来说明其范围。研究人员利用蒙哥马利·阿斯伯格抑郁评定量表(Montgomery Asberg depression Rating Scale)、小组活动的观察网格、项目结束时的半指导性访谈以及一系列远程临床访谈来评估参与对抑郁的影响。结果:除了情绪的改善之外,这个人利用写作过程的方式提供了经验恢复的证据,赋予了一个人存在的新意义,并对主观世界进行了深入的重新配置。自我写作和叙事认同的概念是互补的,有助于揭示所报道案例中观察到的动态。从这个人身上收集到的数据证实了一种基于自我写作的方法在老年人群体中的临床潜力,这个人最初并没有被期望接受写作的邀请(缺乏教育成就,70岁的老人患有根深蒂固的抑郁症,并伴有依赖性)。基于米歇尔·福柯(Michel Foucault)和保罗·Ricœur概念性贡献的结构化写作活动的提议,可能在老年抑郁症患者的康复过程中证明是富有成效的,即使这只能通过在人的生活经验中占用这个过程来证实。
{"title":"Écriture de soi et identité narrative : quel apport pour le rétablissement de la personne âgée dépressive ?","authors":"Ketty Steward (psychologue clinicienne, docteure en psychologie de l’université Paris 8) ,&nbsp;Arnaud Plagnol (psychiatre, professeur de psychologie à l’université Paris 8) ,&nbsp;Renald Asvazadourian (psychiatre, spécialiste de la psychiatrie du sujet âgé)","doi":"10.1016/j.evopsy.2025.03.011","DOIUrl":"10.1016/j.evopsy.2025.03.011","url":null,"abstract":"<div><h3>Aims</h3><div>Based on Michel Foucault's notion of subjectivation through self-writing and Paul Ricœur's reworking of narrative identity, our aim is to clarify the clinical relevance of an autobiographical writing group for depressed seniors.</div></div><div><h3>Method</h3><div>After an analysis of Foucault's self-writing and its relationship to Ricœur's narrative identity, we illustrate its scope by studying the dynamics generated by the participation of an elderly depressive patient in an autobiographical writing group. The effects of the participation on depression were assessed using the Montgomery Asberg Depression Rating Scale, an observation grid of the group activity, a semi-directive interview held at the end of the program, and a series of remote clinical interviews.</div></div><div><h3>Results</h3><div>In addition to an improvement in mood, the way the person appropriated the writing process gives evidence of an experiential recovery, with a new meaning conferred to one's existence and an in-depth reconfiguration of the subjective universe.</div></div><div><h3>Discussion</h3><div>The concepts of self-writing and narrative identity are complementary in shedding light on the dynamics observed in the reported case. The data gathered from the person, who was not initially expected to embrace the invitation to write (lack of educational achievements, entrenched depression in a 70-year-old complicated by dependency), confirms the clinical potential of an approach based on self-writing within a group of elderly people.</div></div><div><h3>Conclusion</h3><div>The proposal of a structured writing activity, based on the conceptual contributions of Michel Foucault and Paul Ricœur, may prove fruitful in the recovery process for elderly people with depression, even if this can only be confirmed by the appropriation of the process within the person's lived experience.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 3","pages":"Pages 385-398"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144779332","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}
引用次数: 0
« Un cerveau d’homme dans un corps de femme » : le problème du sexe « psychique » chez Valentin Magnan et Samuel Pozzi (1911) 《女人身体里男人的大脑》:瓦伦丁·马格南和塞缪尔·波齐的“心理”性问题(1911)
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-06-09 DOI: 10.1016/j.evopsy.2025.04.007
Mathias Winter
<div><h3>Objectives</h3><div>This article explores the history of medical and psychological expertise on sex/gender identity by studying the presentation of a case of “hermaphroditism” given by the psychiatrist Valentin Magnan and the surgeon Samuel Pozzi in 1911. It examines how these authors dealt with the discrepancy between the organic and psychosocial dimensions of sex, and it highlights the epistemological and ontological problems that emerge. The article also discusses the continuing echoes in current controversies in gender medicine.</div></div><div><h3>Methods</h3><div>Our study consists of an in-depth analysis of a presentation given to the French Academy of Medicine regarding a case of <em>“inversion du sens génital chez un pseudo-hermaphrodite féminin</em> [sexual inversion in a female pseudo-hermaphrodite]”. We conducted a detailed analysis of the minutes of the presentation, with the aim of revealing the internal logic, theoretical presuppositions, and metaphysical implications of the clinical judgements made by Magnan and Pozzi. Our primary sources include other texts by Magnan and his contemporaries on homosexuality and “sexual perversion”. Historical and epistemological studies of sex, sexuality, and hermaphroditism are used as secondary sources. Our theoretical framework draws mainly on the epistemological concepts of Kuhn and Bachelard.</div></div><div><h3>Results</h3><div>The clinical observations presented by Magnan opposed the patient's organic sex, which was, despite the presence of ambiguous genitalia, unambiguously female given the histology of the patient's gonads (ovaries), and the patient's psychological sex, which was defined as male based on both the patient's sexual attraction to women and the patient's psychological and moral characteristics. The psychiatrist's discourse suggested both symmetry and ontological equivalence between these two dimensions of sex. Overlooking the potential role of early gender assignment, education, and social environment on the patient's self-identification as male, Magnan proposed a naturalistic interpretation of the case, summed up by the expression “a male brain in a female body”. In his earlier writings on “sexual inversion”, Magnan frequently uses the above phrase and the reciprocal “female brain in a male body”, directly echoing Ulrichs’ famous “female soul in a male body”. However, in the context of the 1911 presentation, the use of this phrase appears to reflect an epistemological impasse, which results from the conjunction of the paradigms “hermaphroditism” and “sexual perversion”. In contrast, Pozzi avoided this impasse by proposing a theory that highlights the role of the patient's social environment and beliefs in the development of their sexual instinct and the formation of their identity. This theory draws on the psychological mechanism of suggestion as well as on Darwin's reflections on the domestication of animals. This perspective introduces an ontological hierarchy bet
本文通过研究1911年精神病学家瓦伦丁·马格南和外科医生塞缪尔·波齐提出的一个“雌雄同体”案例,探讨了医学和心理学关于性别/性别认同的专业知识的历史。它考察了这些作者如何处理性别的有机和社会心理维度之间的差异,并强调了出现的认识论和本体论问题。文章还讨论了性别医学在当前争议中的持续回响。方法我们的研究包括对一份提交给法国医学科学院的报告进行深入分析,该报告涉及“女性伪雌雄同体的性反转”。我们对报告的记录进行了详细的分析,目的是揭示马格南和波齐的临床判断的内在逻辑、理论前提和形而上学含义。我们的主要资料来源包括马格南及其同时代人关于同性恋和“性变态”的其他文本。历史和认识论研究的性别,性行为,和雌雄同体被用作次要来源。我们的理论框架主要借鉴了库恩和巴舍拉的认识论概念。结果Magnan提出的临床观察反对患者的生理性别,尽管存在模糊的生殖器,但考虑到患者性腺(卵巢)的组织学,患者的性器官性别是明确的女性,而患者的心理性别是根据患者对女性的性吸引力和患者的心理和道德特征定义为男性。精神病学家的话语暗示了这两个性别维度之间的对称和本体论上的对等。Magnan忽略了早期性别分配、教育和社会环境对患者自我认同为男性的潜在作用,提出了一种自然主义的解释,用“女性身体中的男性大脑”来概括。在马格南早期关于“性反转”的著作中,他经常使用上述短语和“男性身体里的女性大脑”的相互关系,直接呼应了乌尔里希著名的“男性身体里的女性灵魂”。然而,在1911年演讲的背景下,这个短语的使用似乎反映了认识论上的僵局,这是“雌雄同体”和“性变态”范式结合的结果。相反,Pozzi通过提出一种强调患者的社会环境和信仰在性本能发展和身份形成中的作用的理论,避免了这一僵局。这一理论借鉴了暗示的心理机制以及达尔文对动物驯化的思考。这种观点在有机性和心理性之间引入了一种本体论层次,至少在某些情况下,后者被比作一种幻觉。我们的研究通过揭示马格南和波齐的观点与性学和精神分析先驱们的观点之间的差距,有助于探索性和性别之间的历史区别。然而,我们也强调了一些认识论和本体论的问题,仍然普遍存在于当代性别医学。特别是,这些都可以在性别认同的本质主义和环境主义方法之间的持续对立中找到,在关于医学诊断在性别重新分配中的地位的辩论中,以及在关于青少年性别不安的社会传染作用的争论中。关于性别的医学和心理学专业知识仍然植根于从19世纪晚期的性医学领域继承下来的认识论矩阵。由此产生的内在局限性要求我们对性别认同的本体论进行深入反思。
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引用次数: 0
L’Acte de naissance de la phénoménologie psychiatrique – la traduction du Procès-verbal de la 63e assemblée de l’Association Suisse de psychiatrie 《精神现象学的诞生法案》——瑞士精神病学协会第63届会议纪要的翻译
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-09-01 Epub Date: 2025-05-14 DOI: 10.1016/j.evopsy.2025.04.005
Florestan Delcourt (Psychologue, Doctorant en Psychologie) , Jacques Auxenfants (Traducteur) , Caroline Gros (Psychanalyste, Docteure en Philosophie)

Objectives

Psychiatric phenomenology is a twentieth-century movement that, after a quiet period, is experiencing a major resurgence in both research and clinical spheres. While people often erroneously cite Karl Jaspers, in 1912, as the source of the movement, initially Husserlian in origin, others, such as Pierre Bovet and Josef Parnas, date its appearance to 1922, at the 63rd Meeting of the Swiss Psychiatric Society. Given that the meeting's minutes did not exist in French, we undertook a translation.

Methods

After retrieving the text from the Swiss Archives of Neurology and Psychiatry, we translated it into French.

Results

Our translation of this meeting's minutes shows the contributions made by Ludwig Binswanger and Eugène Minkowski to the emergence of the as-yet unpublished movement. Furthermore, we can note that several historical figures in the field of psychiatry, such as Eugen Bleuler, not only attended the event, but also took part in it.

Discussion

In addition to the translation of the two psychiatrists’ presentations, the translation of the subsequent exchanges highlights the interest and suspicion that this philosophical movement elicited from the audience of psychiatrists. Some notions, such as intuition and experience, were discussed, and questions were raised regarding the links between this approach and other disciplines, such as psychiatry itself, aesthetics, and psychoanalysis.

Conclusion

Our translation provides insight into the founding of this movement, as well as into the challenges that, based on the meeting's minutes, seem to have provoked debate from the outset.
目的精神现象学是20世纪的一项运动,在沉寂了一段时间之后,在研究和临床领域都经历了一次重大的复苏。虽然人们经常错误地引用1912年的卡尔·雅斯贝斯(Karl Jaspers)作为运动的起源,最初起源于胡塞尔,但其他人,如皮埃尔·博韦(Pierre Bovet)和约瑟夫·帕纳斯(Josef Parnas),将其出现追溯到1922年瑞士精神病学学会第63届会议上。鉴于会议纪要没有法语版本,我们进行了翻译。方法从瑞士神经病学和精神病学档案中检索文本后,我们将其翻译成法语。我们对这次会议记录的翻译显示了路德维希·宾斯旺格和尤格伦·闵可夫斯基对尚未发表的运动的出现所做的贡献。此外,我们可以注意到精神病学领域的几位历史人物,如Eugen Bleuler,不仅出席了这次活动,而且还参与了这次活动。讨论除了翻译两位精神科医生的演讲外,随后的交流的翻译突出了精神科医生听众对这一哲学运动的兴趣和怀疑。讨论了一些概念,如直觉和经验,并提出了关于这种方法与其他学科(如精神病学本身、美学和精神分析)之间联系的问题。我们的翻译提供了对这一运动的建立的洞察,以及基于会议记录的挑战,似乎从一开始就引发了争论。
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引用次数: 0
CV2 - editorial board CV2 -编委会
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.1016/S0014-3855(25)00051-9
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引用次数: 0
Spécificités du transfert dans l’autisme. Du cas Dick à la psychanalyse contemporaine avec les autistes 自闭症中移情的特殊性。从迪克到当代自闭症精神分析
IF 0.6 4区 医学 Q4 PSYCHIATRY Pub Date : 2025-06-01 Epub Date: 2025-02-06 DOI: 10.1016/j.evopsy.2025.01.005
Myriam Chérel (Maître de conférence en psychopathologie clinique)

Objectives

The aim of this work is to examine the specific features of transference in autism and define the aim of analytic treatments with autistic patients.

Method

Based on a literature review of the pioneers of psychoanalysis with autistic children, their conceptions of autism, the richness of their clinical teachings, and the analytic treatments they proposed, we formulate the hypothesis of a specific type of transference in clinical work with autistic children and propose a treatment orientation based on the fact that the analyst centers their intervention on the child's spontaneous solution.

Results

We demonstrate that transference in autism is mediated by the autistic double. Through the double, the subject avoids exchange, protects himself/herself from the encounter with the Other, and constructs his/her autistic dynamic. From the clinician's point of view, agreeing to bear the image of a double favors the construction or deployment of a solution specific to the subject, enabling them to inscribe themselves in the world. From then on, the subject can establish his or her construction with the help of a partner. Witnessing and guaranteeing the autistic person's suppletive construction seems to be the major transferential function, while at the same time opposing any outbursts of the drives.

Discussion

Our re-reading of the Dick case shows that the particular status of the object for the autistic person is a reference point from which the treatment can be oriented. This case, like other clinical studies, highlights the specific functioning of autistic thought, its subjective dynamics and particular skills, an originality that requires specific treatment directions.

Conclusion

Analytical practice with autistic patients, as we see it, is based on the functions of the autistic edge: protection, equipping jouissance, opening up to knowledge. When it's not there from the outset, opposing the outbursts of jouissance seems one of the best ways to provoke its election. Tempering the child's jouissance is also the best way to encourage the unfolding of his or her subjective construction. For analysts who work with autistic people, we recommend allowing oneself to bear the image of a double in order to instill change in the immutable, and a gentle forcing towards a beyond of the double.
目的探讨自闭症患者移情的具体特征,确定自闭症患者分析治疗的目的。方法通过对自闭症儿童精神分析的先驱、他们对自闭症的概念、丰富的临床教学和他们提出的分析治疗方法的文献回顾,我们提出了自闭症儿童临床工作中特定类型移情的假设,并提出了基于分析师以儿童自发解决为中心的干预的治疗取向。结果自闭症的移情是由自闭症双元介导的。通过双重,主体避免交换,保护自己不与他者相遇,并构建他/她的自闭动态。从临床医生的角度来看,同意承担双重形象有利于构建或部署特定于受试者的解决方案,使他们能够将自己铭刻在世界上。从那时起,主体可以在同伴的帮助下建立自己的结构。见证和保证自闭症患者的补充建构似乎是主要的转移功能,同时反对任何冲动的爆发。我们对迪克案例的重读表明,自闭症患者的特定对象地位是治疗的参考点。像其他临床研究一样,这个案例强调了自闭症思维的特定功能,它的主观动态和特殊技能,一种需要特定治疗方向的独创性。结论自闭症患者的分析实践,正如我们所看到的,是基于自闭症边缘的功能:保护,装备欢爽,打开知识。当它从一开始就不存在时,反对欢爽的爆发,似乎是刺激它当选的最好方法之一。调和孩子的欢爽也是最好的方式来鼓励展开他或她的主观建构。对于与自闭症患者一起工作的分析师,我们建议允许自己承担双重形象,以便在不可变的事物中灌输变化,并温和地强迫自己超越双重。
{"title":"Spécificités du transfert dans l’autisme. Du cas Dick à la psychanalyse contemporaine avec les autistes","authors":"Myriam Chérel (Maître de conférence en psychopathologie clinique)","doi":"10.1016/j.evopsy.2025.01.005","DOIUrl":"10.1016/j.evopsy.2025.01.005","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this work is to examine the specific features of transference in autism and define the aim of analytic treatments with autistic patients.</div></div><div><h3>Method</h3><div>Based on a literature review of the pioneers of psychoanalysis with autistic children, their conceptions of autism, the richness of their clinical teachings, and the analytic treatments they proposed, we formulate the hypothesis of a specific type of transference in clinical work with autistic children and propose a treatment orientation based on the fact that the analyst centers their intervention on the child's spontaneous solution.</div></div><div><h3>Results</h3><div>We demonstrate that transference in autism is mediated by the autistic double. Through the double, the subject avoids exchange, protects himself/herself from the encounter with the Other, and constructs his/her autistic dynamic. From the clinician's point of view, agreeing to bear the image of a double favors the construction or deployment of a solution specific to the subject, enabling them to inscribe themselves in the world. From then on, the subject can establish his or her construction with the help of a partner. Witnessing and guaranteeing the autistic person's suppletive construction seems to be the major transferential function, while at the same time opposing any outbursts of the drives.</div></div><div><h3>Discussion</h3><div>Our re-reading of the Dick case shows that the particular status of the object for the autistic person is a reference point from which the treatment can be oriented. This case, like other clinical studies, highlights the specific functioning of autistic thought, its subjective dynamics and particular skills, an originality that requires specific treatment directions.</div></div><div><h3>Conclusion</h3><div>Analytical practice with autistic patients, as we see it, is based on the functions of the autistic edge: protection, equipping jouissance, opening up to knowledge. When it's not there from the outset, opposing the outbursts of jouissance seems one of the best ways to provoke its election. Tempering the child's jouissance is also the best way to encourage the unfolding of his or her subjective construction. For analysts who work with autistic people, we recommend allowing oneself to bear the image of a double in order to instill change in the immutable, and a gentle forcing towards a beyond of the double.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 2","pages":"Pages 261-274"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090549","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}
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Evolution Psychiatrique
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