Le vécu d’errance comme résonance entre conflit actuel et historique chez le sujet douloureux chronique

Abstract

Context

The narrative of the chronic pain patient is often centered on factual elements, particularly their social reality and treatment journey. Therefore, it is essential to consider social issues to determine how these fit into the psychological care of chronic pain patients and allow a better understanding of their challenges.

Objective

Identify the processes by which the experience of a social problem such as medical wandering reactivates forms of psychic withdrawal already presents to face the violent encounter with an invasive and frightening object.

Methods

Clinical research interviews. Analysis of a case study.

Results

The diagnostic wandering and social journey for the recognition of disability experienced by chronic pain patients generate massive reactive suffering but can also reactivate forms of subjective withdrawal and traumatic experiences.

Interpretations

Psychotherapeutic follow-up can help the patient to perceive rebellion as both a social act and a psychic movement, enabling them to escape from the experience of passivity and helplessness generated by trauma, the diagnostic wandering journey, and the threat of exclusion imposed by the pain.