关于心理危机:非现实的思考

IF 0.6 4区 医学 Q4 PSYCHIATRY Evolution Psychiatrique Pub Date : 2023-11-04 DOI:10.1016/j.evopsy.2023.09.005
Thomas de Castelbajac (Docteur en philosophie, psychologue clinicien, psychanalyste) , Pierre Paini (Psychiatre)
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引用次数: 0

摘要

目标 随着危机概念渗透到各个学科领域,它变得越来越难以理解。这一现象在精神病学中也同样存在,因为这一概念的使用与不同的现实情况有关。因此,我们本案例研究关注的是什么是心理危机,以便通过其各种表现形式来阐明它是如何出现在个体受试者身上的,这些表现形式的异质性无疑具有临床意义。然后,我们将根据一套精神分析参考文献系统,并结合哲学,尤其是现象学的研究成果,探讨心理危机是如何作为一种批判性反应出现在与现实的相遇中的,而这种相遇对于主体来说则是一种不连续性,一种事件。经历危机的主体在专业医护人员的陪伴下,会在原有客观确定性的基础上做出决定,以创造一种新的宜居模式。然而,这种顿悟并非无害,这就是为什么专业医护人员在这种情况下发挥着更大的作用。与当前的做法相反,当心理危机出现时,医护人员绝不能阻挠,而是要为可能出现的任何独特的主观创造留出空间。 结论我们主张出现一种新的存在模式,即与世界打交道的模式,同时促进主体对他们正在经历的危机进行自己的动态叙述。我们相信,这就是心理危机护理的道德前提。
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Sur la crise psychique : considération inactuelle

Objectives

As the concept of crisis has permeated all disciplinary fields, it has become less intelligible. This phenomenon is also valid in psychiatry, on account of the usage of the concept in relation with different realities. Thus, our present case study takes interest in what the psychic crisis is, so as to clarify how it appears for individual subjects through its various manifestations, whose heterogeneity has an undeniable clinical interest.

Methodology

In an attempt to provide a granular definition of the psychic crisis, we will first put forth a historical and etymological study. Then, based on a system of psychoanalytical references supplied with contributions from philosophy and particularly from phenomenology, we will address in what way any psychic crisis comes as a critical reaction to an encounter with the real, which appears as a discontinuity, an event for the subject.

Results

We theorize that the internal disruption caused by the psychic crisis phenomenon, which tears apart the subject's representations, stems from its unique operating mode by means of the language use to interact with the surrounding world. The subject going through a crisis, and accompanied by health care professionals, will be guided to a decision that aims at creating a new livable mode following the downfall of their former objective certainty.

Debate

Hence, we believe any psychic crisis unravels the subject as a being to themselves. However, such an epiphany is not harmless, which is why the health care professional plays an even greater role in this instance. Running counter to current practices, the health care professional must not hinder the psychic crisis when it arises, but, instead, make space for any uniquely subjective creation that is likely to come forth.

Conclusion

We advocate for the emergence of a new mode of being, of dealing with the world, while facilitating the subject's fashioning of their own dynamic narrative, of the crisis they are going through. We believe, indeed, that such are the ethical prerequisites of care, with regard to the psychic crisis.

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来源期刊
CiteScore
0.70
自引率
50.00%
发文量
72
期刊介绍: Une revue de référence pour le praticien, le chercheur et le étudiant en sciences humaines Cahiers de psychologie clinique et de psychopathologie générale fondés en 1925, Évolution psychiatrique est restée fidèle à sa mission de ouverture de la psychiatrie à tous les courants de pensée scientifique et philosophique, la recherche clinique et les réflexions critiques dans son champ comme dans les domaines connexes. Attentive à histoire de la psychiatrie autant aux dernières avancées de la recherche en biologie, en psychanalyse et en sciences sociales, la revue constitue un outil de information et une source de référence pour les praticiens, les chercheurs et les étudiants.
期刊最新文献
CV2 - editorial board Laure Tixier, Ornemental plants Dysphorie épistémologique et trans-psychiatrie Armature-opératoire et tristesse fluide chez des sujets transgenres : d’une seconde peau à un Moi-peau corsets Institutional psychotherapy put to the test by the health crisis. Clinical reflection at the heart of a public psychiatric service
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