Jürg Zünd : voir/faire voir l’espace

IF 0.6 4区 医学 Q4 PSYCHIATRY
Philippe Veysset (Professeur agrégé de philosophie)
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引用次数: 0

Abstract

Goals

By extending the analysis of a case identified by Ludwig Binswanger, the Jürg Zünd case, using a philosophical reading inspired by phenomenology, we strive to show that the patient – this is what gives meaning to his disorder – attempts to display the relevance (failure of reason) as well as the limits (reason remains operative) of a doctrine that was made familiar to him by his psychiatrist: existential analysis, notably its representation of space and language. This aims to illustrate the dangers posed by too insistent a dialogue between patient and caregiver when this patient is associated with diagnosis and therapy. Finally, it is a question of better marking the remaining gap between the practical field and the experiential field. The patient has renounced the rationality of her actions but continues to subscribe to that of her experience, the only means of “proof” remaining to her.

Method

Extend the psychiatrist's analysis by establishing a correspondence between the symptoms of the illness and the validations/refutations of this same analysis. The main danger of the analysis carried out here is a hyper-rationalization of mental disorder, but if, in the mental disorder, no element of reason remains, no psychiatry can see the light of day either. It is, however, clear that the simple failure of reason cannot be enough to put the scientific exploitation of mental disorder into perspective. We can therefore only follow the author in his frequent references to the fundamental texts of phenomenology. We could say that our analysis is experimental in nature.

Results

An in-depth analysis of the case shows that there is indeed a link between the patient's system of attitude and behavior and a desire to test the relevance of the phenomenological analysis applied by the caregiver to the patient.

Discussion

In the third Critique, known as the Faculty of Judgment, Kant strives to restore to a reason invalidated in its pure use a path, a field of sensitive expression that, spanning understanding and language, allows this reason to “say itself”, but this behavior is in turn struck by impotence, due to its antinomic structure. Only the body, left out of Kantian analysis, allows reason to find its balance because it is already in itself penetrated, corseted, steeped in reason, but also, by the same token, crushed by this reason, a reason which, by overwhelming the only means of expression that remains to it, overinvests this body and makes itself inaudible again. It will therefore be necessary to return the body to itself, free it from the influence of reason, reify it and, at the same time, allow to reappear what, perhaps, remains in the man of reason: madness, weak reason inhabiting a weakened body. To contradict reason is to speak it out loud, in the experience of its almost although never quite definitive loss, suspended as it is on its own memory. From being the object of clinical inquiry, madness thus becomes its criterion. It establishes its own regime of proof, proof, which, of course, cannot be administered by means of language that is now disqualified.

Conclusion

Madness has its say in the failure of reason, a failure already thwarted by the disabling examination to which it has been subjected by the Kantian-inspired critical doctrine, which strives to “reason” a reason that exceeds its rights.
Jurg Zund:看到/让我们看到空间
通过对路德维希·宾斯旺格(Ludwig Binswanger)所确定的j rg z病例的扩展分析,使用受现象学启发的哲学阅读,我们努力表明患者-这是赋予他的疾病意义的东西-试图展示他的精神科医生熟悉的学说的相关性(理性的失败)以及局限性(理性仍然有效):存在分析,特别是它对空间和语言的表征。这是为了说明的危险过于坚持病人和护理人员之间的对话,当这个病人是与诊断和治疗。最后,这是一个更好地标记实践领域和经验领域之间剩余差距的问题。病人已经放弃了她行为的合理性,但继续认同她的经验,这是她剩下的唯一“证明”手段。方法通过建立疾病症状与同一分析的验证/反驳之间的对应关系来扩展精神科医生的分析。这里进行的分析的主要危险是对精神障碍的过度合理化,但是,如果在精神障碍中,没有任何理性元素存在,精神病学也无法看到光明。然而,很明显,单纯的理性失败不足以让人们正确看待对精神障碍的科学利用。因此,我们只能跟随作者对现象学基本文本的频繁引用。我们可以说,我们的分析本质上是实验性的。结果对该病例的深入分析表明,患者的态度和行为系统与测试护理人员对患者应用的现象学分析的相关性的愿望之间确实存在联系。在被称为判断力的《第三批判》中,康德努力恢复一个在纯粹使用中无效的理性的路径,一个跨越理解和语言的敏感表达领域,允许这个理性“说自己”,但由于其反律法结构,这种行为反过来又受到无能为力的打击。只有被排除在康德分析之外的身体,才允许理性找到它的平衡,因为它本身已经被理性渗透、束缚、浸透了,但同样地,它也被这个理性压垮了,这个理性压倒了它唯一的表达方式,过度包裹了这个身体,使它自己又听不见了。因此,有必要使身体回归自身,使其摆脱理性的影响,使其具体化,同时,允许重新出现可能留在理性人身上的东西:疯狂,虚弱的理性居住在虚弱的身体里。反对理性就是大声地说出它,在经历它几乎虽然从来没有完全确定的损失时,暂停在它自己的记忆中。因此,疯癫从临床研究的对象变成了临床研究的标准。它建立了自己的证明制度,当然,这种证明不能通过现在不合格的语言来管理。疯狂在理性的失败中有自己的发言权,这种失败已经被康德启发的批判主义所挫败,这种批判主义试图“推理”一个超出其权利的理性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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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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