Pub Date : 2023-12-01DOI: 10.1016/j.evopsy.2023.10.003
Clément Fromentin (Psychiatre)
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Pub Date : 2023-12-01DOI: 10.1016/S0014-3855(23)00153-6
{"title":"Index des mots-cles","authors":"","doi":"10.1016/S0014-3855(23)00153-6","DOIUrl":"https://doi.org/10.1016/S0014-3855(23)00153-6","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0014385523001536/pdfft?md5=9a30b078090276d5cfa7e09c1af3e1be&pid=1-s2.0-S0014385523001536-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138484261","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 : 2023-12-01DOI: 10.1016/j.evopsy.2023.10.002
Sophie Meiran (Psychologue clinicienne, Doctorante), Frédéric Vinot (Maître de Conférences HDR en Psychologie Clinique)
Aims
This article addresses the issue of wandering in Alzheimer's disease from a psychoanalytic point of view, taking into account the importance of the spatial dimension in psychic dynamics.
Method
After having presented wandering from a behavioral point of view, it is discussed from a metapsychological perspective, making use of A. & G. Haddad's concept of the “viatoric drive” and as well as J. Lacan's reflections on “the wandering of the journey” and “the wandering of desire.” The clinical vignette of Mr. M. in a workshop of therapeutic mediation through art helps us illustrate the unconscious psychic movements at play in walking.
Results
Three subjective markers emerge: wandering reveals the subject's difficult in orienting himself in both physical and psychological space, demonstrating a form of excitation that is not supported by the viatoric drive; “the wandering of the journey” makes it possible to relocate the place of the Other in the Imaginary; “the wandering of desire” incites the subject to repetition through the play of the drives.
Discussion
Neurodegenerative disease is an obstacle to wandering. Art-therapy workshops can help Alzheimer's patients with the reorganization of wandering, where unconscious knowledge would prevail over the excitation of ambulation, thus suggesting, for the subject, the possibility of a structuring “elsewhere.”
Conclusion
Thinking of mediated workshops as places of creation for the subject opens up the possibility of inhabiting one's wandering, considered as expressions of a journey and of desire.
{"title":"A Lacanian Perspective on Wandering and the Drives in Alzheimer's Disease","authors":"Sophie Meiran (Psychologue clinicienne, Doctorante), Frédéric Vinot (Maître de Conférences HDR en Psychologie Clinique)","doi":"10.1016/j.evopsy.2023.10.002","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.10.002","url":null,"abstract":"<div><h3>Aims</h3><p>This article addresses the issue of wandering in Alzheimer's disease from a psychoanalytic point of view, taking into account the importance of the spatial dimension in psychic dynamics.</p></div><div><h3>Method</h3><p>After having presented wandering from a behavioral point of view, it is discussed from a metapsychological perspective, making use of A. & G. Haddad's concept of the “viatoric drive” and as well as J. Lacan's reflections on “the wandering of the journey” and “the wandering of desire.” The clinical vignette of Mr. M. in a workshop of therapeutic mediation through art helps us illustrate the unconscious psychic movements at play in walking.</p></div><div><h3>Results</h3><p>Three subjective markers emerge: wandering reveals the subject's difficult in orienting himself in both physical and psychological space, demonstrating a form of excitation that is not supported by the viatoric drive; “the wandering of the journey” makes it possible to relocate the place of the Other in the Imaginary; “the wandering of desire” incites the subject to repetition through the play of the drives.</p></div><div><h3>Discussion</h3><p>Neurodegenerative disease is an obstacle to wandering. Art-therapy workshops can help Alzheimer's patients with the reorganization of wandering, where unconscious knowledge would prevail over the excitation of ambulation, thus suggesting, for the subject, the possibility of a structuring “elsewhere.”</p></div><div><h3>Conclusion</h3><p>Thinking of mediated workshops as places of creation for the subject opens up the possibility of inhabiting one's wandering, considered as expressions of a journey and of desire.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138484219","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 : 2023-12-01DOI: 10.1016/j.evopsy.2023.09.002
Renaud Evrard (Psychologist, associate professor in psychology) , Marianne Dollander (Psychologist, associate professor in psychology) , Evelyn Elsaesser (Independent researcher) , Callum Cooper (Senior lecturer) , David Lorimer (Programme director) , Chris Roe (Professor)
{"title":"Erratum to: “Exceptional necrophanic experiences and paradoxical mourning: Studies of the phenomenology and the repercussions of frightening experiences of contact with the deceased” [Evol Psychiatr 2021;86:e1–e24]","authors":"Renaud Evrard (Psychologist, associate professor in psychology) , Marianne Dollander (Psychologist, associate professor in psychology) , Evelyn Elsaesser (Independent researcher) , Callum Cooper (Senior lecturer) , David Lorimer (Programme director) , Chris Roe (Professor)","doi":"10.1016/j.evopsy.2023.09.002","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.09.002","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0014385523001160/pdfft?md5=9c4da87907f7650902377b137cbd12bd&pid=1-s2.0-S0014385523001160-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138484259","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 : 2023-12-01DOI: 10.1016/j.evopsy.2023.07.005
Nathan Eulry (Étudiant en Master 2 psychologie clinique et psychopathologie, modèles psychodynamiques, démarches diagnostiques et thérapeutiques à Nancy–université de Lorraine), Renaud Evrard Psychologue clinicien, maître de conférences HDR en psychologie à l’université de Lorraine (Nancy), Claude Berghmans (Psychologue clinicien en libéral et consultant, docteur en psychologie, Membre associé du laboratoire InterPsy, axe Psyché)
Objectives
Every year, lightning strikes between 200 and 500 people in France. Although the medical side of keraunopathology is well documented and explored, the psychological experience of lightning victims is still very little studied. However, despite publications concerning the depressive and anxiety-provoking potential of being “struck by lightning,” the examination of life stories before, during, and after the electric discharge is almost non-existent. The aim of our study is to trace some of the clinical and phenomenological coordinates of this phenomenon by drawing on a number of fictional and non-fictional accounts, including those of people who also describe this moment as a near-death experience.
Method
After reviewing the current neurological and psychopathological knowledge about keraunopathology, we will look at the close link that usually exists between victims’ stories and mythology or fiction. Then, we will review some stories that can be found in non-fictional literature and that link near-death experiences and fulguration. Finally, and to support our proposal from a psychodynamic and phenomenological point of view, we will look at the original clinical case of Athéna and try to understand how a stormy day could have reshaped her life, her thinking, and her relationship to the world.
Results
The psychic dimension of lightning appears to be central to the treatment of its victims. We observe that, beyond the direct medical and even psychopathological after-effects, the psychical reorganization attributed to lightning has repercussions on the emotional, cognitive, perceptual, spiritual, and social levels. Moreover, these upheavals introduce a hesitation in the psychodynamic diagnosis of the subject. Thus, what may appear to be the decompensation towards mystical delusion of a psychotic organization could in reality be only a mystical attitude rooted in a neurotic structure.
Discussion
Psychological support for people with mental illness requires a multidisciplinary approach that takes their complexity into account. Knowing how to find ways of understanding while avoiding any hasty categorizations remains essential. Moreover, beyond the reflection necessary for the treatment of the person experiencing the exceptional, lightning gives the opportunity to rethink certain classic models of the near-death experience. Paradoxically, this mortal threat, which occurred at the speed of light, seems to be richly subjectivized by the subjects, in a temporality that is clearly out of sync with physical time.
Conclusions
Further work will be needed to complete the beginning of the reflection that we have outlined in this article. It must be supported by similar descriptions in order to form a solid conceptualization, whether of keraunopathology or of the near-death experience in a broader sense. Despite the rarity of the phenomeno
{"title":"Le temps d’un éclair : les fulgurés, entre médecine et clinique des expériences exceptionnelles","authors":"Nathan Eulry (Étudiant en Master 2 psychologie clinique et psychopathologie, modèles psychodynamiques, démarches diagnostiques et thérapeutiques à Nancy–université de Lorraine), Renaud Evrard Psychologue clinicien, maître de conférences HDR en psychologie à l’université de Lorraine (Nancy), Claude Berghmans (Psychologue clinicien en libéral et consultant, docteur en psychologie, Membre associé du laboratoire InterPsy, axe Psyché)","doi":"10.1016/j.evopsy.2023.07.005","DOIUrl":"10.1016/j.evopsy.2023.07.005","url":null,"abstract":"<div><h3>Objectives</h3><p>Every year, lightning strikes between 200 and 500 people in France. Although the medical side of keraunopathology is well documented and explored, the psychological experience of lightning victims is still very little studied. However, despite publications concerning the depressive and anxiety-provoking potential of being “struck by lightning,” the examination of life stories before, during, and after the electric discharge is almost non-existent. The aim of our study is to trace some of the clinical and phenomenological coordinates of this phenomenon by drawing on a number of fictional and non-fictional accounts, including those of people who also describe this moment as a near-death experience.</p></div><div><h3>Method</h3><p>After reviewing the current neurological and psychopathological knowledge about keraunopathology, we will look at the close link that usually exists between victims’ stories and mythology or fiction. Then, we will review some stories that can be found in non-fictional literature and that link near-death experiences and fulguration. Finally, and to support our proposal from a psychodynamic and phenomenological point of view, we will look at the original clinical case of Athéna and try to understand how a stormy day could have reshaped her life, her thinking, and her relationship to the world.</p></div><div><h3>Results</h3><p>The psychic dimension of lightning appears to be central to the treatment of its victims. We observe that, beyond the direct medical and even psychopathological after-effects, the psychical reorganization attributed to lightning has repercussions on the emotional, cognitive, perceptual, spiritual, and social levels. Moreover, these upheavals introduce a hesitation in the psychodynamic diagnosis of the subject. Thus, what may appear to be the decompensation towards mystical delusion of a psychotic organization could in reality be only a mystical attitude rooted in a neurotic structure.</p></div><div><h3>Discussion</h3><p>Psychological support for people with mental illness requires a multidisciplinary approach that takes their complexity into account. Knowing how to find ways of understanding while avoiding any hasty categorizations remains essential. Moreover, beyond the reflection necessary for the treatment of the person experiencing the exceptional, lightning gives the opportunity to rethink certain classic models of the near-death experience. Paradoxically, this mortal threat, which occurred at the speed of light, seems to be richly subjectivized by the subjects, in a temporality that is clearly out of sync with physical time.</p></div><div><h3>Conclusions</h3><p>Further work will be needed to complete the beginning of the reflection that we have outlined in this article. It must be supported by similar descriptions in order to form a solid conceptualization, whether of keraunopathology or of the near-death experience in a broader sense. Despite the rarity of the phenomeno","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128872102","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 : 2023-12-01DOI: 10.1016/j.evopsy.2023.07.006
Maryse Manginot (Interne en psychiatrie) , Bernard Kabuth (Professeur) , Fabienne Ligier (Professeur)
Objectives
In France, 10% of the population's 13,700,000 minors are recognized as abused, and 50% of abused minors are under the age of 2. Article 19 of the International Convention on the Rights of the Child obliges States to protect children against all forms of violence, hence the concern, in France, for efficient justice and the least possible impact on minors presumed to be victims during proceedings. Legal proceedings conducted by investigators, and in particular those hearings of minors presumed to be victims, can be a trying time. To ensure that the conditions for giving evidence are as untraumatizing as possible, an experiment involving the accompaniment of minors by a courthouse dog (CHD) was begun in Cahors in 2019 and was extended to other towns such as Orléans. This accompaniment by a CHD, inspired by an initiative developed in the United States in 2012, can take place during all stages of the legal process. Currently, France is the only European country to experiment with this accompaniment. Before proposing a systematization of the use of CHD, it is necessary to assess the feelings of those involved in this accompaniment, particularly those of the victims, which is the aim of this study.
Method
This study is multicentric (conducted in Orléans and Cahors), retrospective, and descriptive. Data were collected in 2021 using hetero-questionnaires proposed to the minors and focusing on their behaviors and feelings (n = 111), before presentation of the CHD; during the presence of the CHD; and at the end of the hearing. The feelings of the interviewers, caregivers, and other professionals were also collected.
Results
Before the CHD presentation, 60% of the minors were worried and 17% were smiling. After the hearing and on departure, in the presence of the dog: 4.5% were still showing signs of anxiety and 27% were smiling. The CHD had a calming effect on all those involved, too. It did not disrupt the course of the hearings. The CHD guaranteed total neutrality, did not induce any suggestibility, and was able to position himself with the minors in a discreet, gentle, and effective manner.
Discussion
The triangular relationship – juvenile, investigator, CHD – appears to be beneficial for all involved, according to the testimonies of both juveniles and professionals. The CHD is a catalyst for the minors’ attention, a protector in the face of the unknown; it seems to encourage the freeing of speech and establishes a calming dynamic. Physical and visual contact with the CHD had a reassuring effect. For the investigators, who were generally meeting the minor for the first time, the CHD was appreciated as a real support, as a working partner and a neutral positive reinforcer, as investigators must exercise their profession according to a legal approach of absolute neutrality that does not necessarily correspond to the needs of the tra
{"title":"Accompagnement du chien d’assistance judiciaire auprès de mineur(e)s présumé(e)s victimes. Étude pilote menée en France en 2021","authors":"Maryse Manginot (Interne en psychiatrie) , Bernard Kabuth (Professeur) , Fabienne Ligier (Professeur)","doi":"10.1016/j.evopsy.2023.07.006","DOIUrl":"10.1016/j.evopsy.2023.07.006","url":null,"abstract":"<div><h3>Objectives</h3><p>In France, 10% of the population's 13,700,000 minors are recognized as abused, and 50% of abused minors are under the age of 2. Article 19 of the International Convention on the Rights of the Child obliges States to protect children against all forms of violence, hence the concern, in France, for efficient justice and the least possible impact on minors presumed to be victims during proceedings. Legal proceedings conducted by investigators, and in particular those hearings of minors presumed to be victims, can be a trying time. To ensure that the conditions for giving evidence are as untraumatizing as possible, an experiment involving the accompaniment of minors by a courthouse dog (CHD) was begun in Cahors in 2019 and was extended to other towns such as Orléans. This accompaniment by a CHD, inspired by an initiative developed in the United States in 2012, can take place during all stages of the legal process. Currently, France is the only European country to experiment with this accompaniment. Before proposing a systematization of the use of CHD, it is necessary to assess the feelings of those involved in this accompaniment, particularly those of the victims, which is the aim of this study.</p></div><div><h3>Method</h3><p>This study is multicentric (conducted in Orléans and Cahors), retrospective, and descriptive. Data were collected in 2021 using hetero-questionnaires proposed to the minors and focusing on their behaviors and feelings (<em>n</em> <!-->=<!--> <!-->111), before presentation of the CHD; during the presence of the CHD; and at the end of the hearing. The feelings of the interviewers, caregivers, and other professionals were also collected.</p></div><div><h3>Results</h3><p>Before the CHD presentation, 60% of the minors were worried and 17% were smiling. After the hearing and on departure, in the presence of the dog: 4.5% were still showing signs of anxiety and 27% were smiling. The CHD had a calming effect on all those involved, too. It did not disrupt the course of the hearings. The CHD guaranteed total neutrality, did not induce any suggestibility, and was able to position himself with the minors in a discreet, gentle, and effective manner.</p></div><div><h3>Discussion</h3><p>The triangular relationship – juvenile, investigator, CHD – appears to be beneficial for all involved, according to the testimonies of both juveniles and professionals. The CHD is a catalyst for the minors’ attention, a protector in the face of the unknown; it seems to encourage the freeing of speech and establishes a calming dynamic. Physical and visual contact with the CHD had a reassuring effect. For the investigators, who were generally meeting the minor for the first time, the CHD was appreciated as a real support, as a working partner and a neutral positive reinforcer, as investigators must exercise their profession according to a legal approach of absolute neutrality that does not necessarily correspond to the needs of the tra","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114817926","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 : 2023-12-01DOI: 10.1016/j.evopsy.2023.04.006
Yvonne François Marie-Sainte (Docteur en psychanalyse et psychopathologie. Psychologue clinicienne, psychothérapeute)
Objective
The metapsychology of musical creation elaborated from the direct clinical approach of the musician-artist is rarely explored within the psychoanalytical literature. The aim of this article is to explain how clinical listening to musicians allows us to posit some specificities related to musical creation and to suggest the need to elaborate a particular practice of listening. In doing so, clinicians can respond in an adapted way to the requests for psychic care that are addressed to them. This subject calls for interdisciplinarity: identity and practice of musical art, theories and practices of the analytical clinical practice. In view of this complexity and amplitude, this essay also aims to be synthetic and circumscribed.
Method
The article is based on a selection of works by Freud and D. Anzieu dedicated to artistic creation. From our intra-textual critical reading, correspondences are established. Other theoretical contributions are inserted in filigree in our proposal as a complement. All of this is articulated with our clinical observations resulting from psychotherapeutic work with conservatory-trained professional musicians.
Results
Freud expressed his distance and reservations concerning the understanding of musical art and this position is generally thought of in terms of a-musicality. However, the weaving of his research associated with that of D. Anzieu, as well as the metapsychology of music and the collection of our clinical data, allow us to identify the particularities of the psychic reality involved in musical creation. It is a question of almost constant and neuralgic anxieties. These last ones relate, on the one hand, to the mechanisms of regression constituting one of the psychic properties of music, which stems from the status of sound as an extension of the intra-uterine environment, and on the other hand, to the mechanisms of psychic dissociation strongly mobilized in performance situations. The musical training frequently committed to in childhood, even early childhood, and the repression, denial, or revelation of its socio-affective context by the musician-patients received in my consultation complete this clinical picture. These particularities shed analytical light on the nature of the complaint and symptoms at work in certain musicians. They also inform the encounter between the clinician and the musician, precisely the transferential dimension, when this is loaded with resistance. Moreover, it appears that the treatment of psychological suffering is most often oriented in the first instance towards supportive psychotherapy, within the framework of adapted devices, without ruling out the possibilities of analytical psychotherapy and a typical cure. One of the therapeutic stakes would consist essentially in regulating the anxieties of loss relating to the movements of constant coming and going between the mechanisms of dissociation of the self a
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Pub Date : 2023-12-01DOI: 10.1016/j.evopsy.2023.08.004
Anne Brun (Professeur de psychopathologie et de Psychologie clinique à l’Université Lumière Lyon 2, Psychanalyste SPP)
Objectives
This article delves into an understanding of the figures of the body in the creative process of Georges Perec's autobiographical work, “W or the Memory of Childhood,” as well as “A Man Asleep.” It seeks to examine how the shadow of Perec's parents, who disappeared during his early childhood, cast itself upon his body and his writing, resonating with Freud's famous expression to define melancholy: “the shadow of the object has fallen upon the ego.” Drawing inspiration from Didier Anzieu's work on the “Body of the Work,” this article aims to define the role played by the shadow of the object that falls upon the body in the creative process of contemporary works. Additionally, it aims to explore an interpretative key for Perec's work and creative processes in general. This exploration takes place in light of the evolving paradigms of current psychoanalytic interpretation, focusing on the crucial representation of the object's absence, as opposed to other modes of interpretation.
Methodology
The method employed for “listening” to literary texts draws inspiration from clinical psychoanalysis. This article proposes an examination of “W or the Memory of Childhood” and “A Man Asleep” through the lens of psychoanalytic practice with patients who, like Perec, claim to lack childhood memories and show signs of being marked by significant losses and/or traumas during their early years. Contemporary clinical practice often encounters states of subjective withdrawal that numerous forms of contemporary art attempt to represent. The interaction between a psychoanalytic approach to Perec's work and psychoanalytic clinical work can shed light on certain particularities of the creative process. The focus will be on listening to the sensory impressions conveyed in the text and the writer's associations stemming from his bodily experiences as a child.
Results
This contribution puts forth the hypothesis of the role played in the creative process by incorporative identification. The shadow of Perec's parents’ bodies is particularly evident in the autobiographical fiction of “W,” where the writing portrays a body fragmented into shattered islands – memories and body parts crushed, wrecked, and petrified. These enigmatic traces of object presence gradually gain coherence as we progress in our reading. According to this perspective, the writing is unconsciously driven to “disincorporate,” so to speak, the petrified objects within the writer, attempting to emerge from psychic petrification. In “A Man Asleep,” another autobiographical fiction related to the author's late adolescence, the shadow of what did not take place with the object inhabits the narrative. This text encourages the psychoanalyst, particularly in clinical practice with patients suffering from chronic depression, to try to release the patients from melancholic incorporations, enabling them to break free from petrification
目的探讨乔治·佩雷克自传体作品《童年的记忆》和《一个睡着的人》创作过程中对身体形象的理解。它试图研究Perec的父母的影子，他们在他的童年早期就消失了，是如何投射到他的身体和他的写作上的，与弗洛伊德对忧郁的著名定义产生共鸣:“对象的影子落在了自我身上。”本文从Didier Anzieu关于“作品的身体”的作品中获得灵感，旨在定义落在身体上的物体阴影在当代作品创作过程中所扮演的角色。此外，它旨在探索Perec的工作和一般创作过程的解释性关键。这种探索是根据当前精神分析解释的不断发展的范式进行的，重点是对象缺席的关键表征，而不是其他解释模式。方法“听”文学文本的方法从临床精神分析学中获得灵感。这篇文章提出通过精神分析实践的视角，对“童年记忆W”和“一个睡着的人”进行检验，这些患者和Perec一样，声称自己缺乏童年记忆，并在早年表现出重大损失和/或创伤的迹象。当代临床实践经常遇到许多当代艺术形式试图表现的主观退缩状态。Perec工作的精神分析方法与精神分析临床工作之间的相互作用可以揭示创作过程的某些特殊性。重点是倾听文本中传达的感官印象，以及作者小时候身体经历的联想。结果本研究提出了整合认同在创造过程中所起作用的假设。佩雷克父母身体的影子在《W》的自传体小说中表现得尤为明显，小说描绘了一个支离破碎的身体——记忆和身体部位被碾碎、毁坏、石化。随着我们阅读的进展，这些物体存在的神秘痕迹逐渐获得了连贯性。根据这种观点，写作被无意识地驱使着“瓦解”，也就是说，作家体内的石化物体，试图从精神的石化中出现。在另一部与作者青春期晚期有关的自传体小说《一个睡着的人》(A Man Asleep)中，没有发生在对象身上的事情的阴影笼罩着叙事。本文鼓励精神分析学家，特别是在治疗慢性抑郁症患者的临床实践中，努力将患者从忧郁的结合中解放出来，使他们摆脱僵化，恢复精神生活。在Perec的两本书的创作过程中，以及在聆听边缘问题患者的过程中，目的是在幻觉感觉的序列中识别一种联想形式，就像源于原始象征形式的形式能指一样。这些能指以某种方式叙述了与客体关系的初始形态。这种基于身体形象和整合认同所起作用的创造性过程的分析，开启了一种关于精神分析方法的讨论，该方法以治疗过程中缺席的象征化理论化为中心，特别是在分析师的在场/缺席中。这种方法可以促进哀悼母亲的过程。乔治·佩雷克的自传体作品与某些声称没有童年记忆的病人的分析性倾听产生了共鸣。聆听空白、抹去或湮灭体验的一种方式，包括从主观性中撤出的区域，包括注意物体的阴影是如何落在病人身上的。分析工作包括尝试将完全不同的身体体验与与物体相关的记忆片段编织在一起，本质上是将患者早期对物体的依恋历史中的感官印象重新置于语境中。因此，无论是在写作还是在治疗中，创造性行为的动力都涉及到一种内在的约束，即赋予根植于身体的创伤经历以形式和意义。
{"title":"L’ombre est tombée sur le corps : Georges Perec","authors":"Anne Brun (Professeur de psychopathologie et de Psychologie clinique à l’Université Lumière Lyon 2, Psychanalyste SPP)","doi":"10.1016/j.evopsy.2023.08.004","DOIUrl":"10.1016/j.evopsy.2023.08.004","url":null,"abstract":"<div><h3>Objectives</h3><p>This article delves into an understanding of the figures of the body in the creative process of Georges Perec's autobiographical work, “W or the Memory of Childhood,” as well as “A Man Asleep.” It seeks to examine how the shadow of Perec's parents, who disappeared during his early childhood, cast itself upon his body and his writing, resonating with Freud's famous expression to define melancholy: “the shadow of the object has fallen upon the ego.” Drawing inspiration from Didier Anzieu's work on the “Body of the Work,” this article aims to define the role played by the shadow of the object that falls upon the body in the creative process of contemporary works. Additionally, it aims to explore an interpretative key for Perec's work and creative processes in general. This exploration takes place in light of the evolving paradigms of current psychoanalytic interpretation, focusing on the crucial representation of the object's absence, as opposed to other modes of interpretation.</p></div><div><h3>Methodology</h3><p>The method employed for “listening” to literary texts draws inspiration from clinical psychoanalysis. This article proposes an examination of “W or the Memory of Childhood” and “A Man Asleep” through the lens of psychoanalytic practice with patients who, like Perec, claim to lack childhood memories and show signs of being marked by significant losses and/or traumas during their early years. Contemporary clinical practice often encounters states of subjective withdrawal that numerous forms of contemporary art attempt to represent. The interaction between a psychoanalytic approach to Perec's work and psychoanalytic clinical work can shed light on certain particularities of the creative process. The focus will be on listening to the sensory impressions conveyed in the text and the writer's associations stemming from his bodily experiences as a child.</p></div><div><h3>Results</h3><p>This contribution puts forth the hypothesis of the role played in the creative process by incorporative identification. The shadow of Perec's parents’ bodies is particularly evident in the autobiographical fiction of “W,” where the writing portrays a body fragmented into shattered islands – memories and body parts crushed, wrecked, and petrified. These enigmatic traces of object presence gradually gain coherence as we progress in our reading. According to this perspective, the writing is unconsciously driven to “disincorporate,” so to speak, the petrified objects within the writer, attempting to emerge from psychic petrification. In “A Man Asleep,” another autobiographical fiction related to the author's late adolescence, the shadow of <em>what did not take place</em> with the object inhabits the narrative. This text encourages the psychoanalyst, particularly in clinical practice with patients suffering from chronic depression, to try to release the patients from melancholic incorporations, enabling them to break free from petrification","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135706072","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 : 2023-12-01DOI: 10.1016/S0014-3855(23)00152-4
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