"下周,我将出狱"。监狱中久经考验的心理疗法

IF 0.6 4区 医学 Q4 PSYCHIATRY Evolution Psychiatrique Pub Date : 2024-06-06 DOI:10.1016/j.evopsy.2024.05.003
Elise Pelladeau (Maître de conférences HDR en psychologie clinique et psychopathologie)
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引用次数: 0

摘要

本文旨在描述在心理治疗工作的最后阶段,宣布出狱是如何促成链接工作的,并说明其中涉及的转移模式。更具体地说,我们要研究的是,在宣布出狱之初,心理治疗中的 "幻觉时间性 "的命运和功能。结果在这篇文章中,我们想说明的是,作为对监禁打击的一种否定,刑满释放会在预期和冲动实现之间影响受试者的幻想生活。讨论在我们看来,若埃尔在访谈过程中调动的防御似乎与我们特别相关,因为它们压迫驱动力的方式是为张力的上升服务的,从而产生了一种从被动极到主动极的逆转效果,甚至在访谈的时间里也是如此。在我们看来,这种时间性过度依赖于 "出去 "和 "待在 "之间的风险阈值,似乎是在人为地划定轮廓,就像许多幻想中的停止点一样,迫使表象系统倾向于具有手淫功能的幻觉循环。结论如果我们从鲁西永(Roussillon)上述著作的角度出发,将象征化视为一种通过支配而实现主体化的体验,那么我们就不难看出,在梦境的诱惑时刻,或至少在试图 "幻化 "出路的时刻,治疗环境的斜坡是如何充当幻觉十字路口的。这种幻觉空间的支持--从时间的循环性到幻想的时间性--在我们看来,似乎得益于奇亚瓦蒂尼(Ciavaldini)所描述的相互牵制,甚至在治疗过程中的转移表现也是如此。因此,作为 "墙外 "的 "会话之外",将考验由统治之外的路径所打造的精神堡垒的坚固性。
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« La semaine prochaine, je serai sorti ». La psychothérapie à l’épreuve du temps en milieu carcéral

Objective

The aim of this article is to describe the way in which the announced release from prison precipitates the work of linking in the final stages of psychotherapeutic work, and to illustrate the transferential modalities involved. More specifically, we examine the fates and functions of what we propose to call a “hallucinatory temporality” in psychotherapy, at the dawn of the announcement of release from prison.

Method

To illustrate our ideas, we will use the case of Joël, who has been detained in custody for armed robbery, and is in a state of legal recidivism. This patient was receiving weekly psychotherapy in prison and had been seen in a care unit in the few months prior to his release.

Results

In this article, we wanted to illustrate the way in which release from prison, as a negative of the shock of imprisonment, can affect the subject's fantasy life, between anticipation and impulse realization.

Discussion

The defenses mobilized by Joël during the interview seemed to us to be particularly relevant in the way in which they pressed on the drive in the service of the rise in tension, thus producing an effect of reversal from the passive pole to the active pole, even in the time of the session. This temporality, over-invested in its risk thresholds between getting out and staying in, seemed to us to draw artificial contours like so many fantasmatic stopping points to force the representational system in favor of a hallucinatory circulation with masturbatory functions.

Conclusion

If, from the perspective of Roussillon's work cited above, we conceive of symbolization as an experience of subjectivation through domination, it is easy here to see how the ramparts of the therapeutic setting can act as a hallucinatory crossroads, at the tempting moment of dreaming, or at least trying to “hallucinate” the way out. The support of this hallucinatory space – from temporal circularity to fantasmatic temporality – seems to us to benefit from the inter-holding put to work and described by Ciavaldini, even in its transferential manifestations in the session. Beyond the session, as “beyond the wall”, would thus put to the test the solidity of the psychic rampart fashioned by a path other than that of domination.
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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.
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