The art of observation: What does Jacques Lacan's mentor have to say?

IF 0.5 4区医学 Q4 PSYCHIATRY

Annales medico-psychologiques Pub Date : 2025-10-01 DOI:10.1016/j.amp.2025.05.003

Emmanuel Drouin , Marion Hendrickx

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引用次数: 0

Abstract

This article explores the fundamental importance of clinical observation in psychiatry by assessing a case report drafted by Gaëtan Gatian de Clérambault (1872–1934) in 1901, during his internship at the Sainte-Anne Asylum (Paris, France). The detailed observation of patient M.’s complex clinical picture illustrates the method based on questioning and observation developed by de Clérambault under the influence of his mentors [notably Valentin Magnan (1835–1916)]. This approach was characterized by meticulous attention to the details of the patient's behaviour and discourse and had a profound influence on the French school of psychiatry–particularly through its impact on Jacques Lacan (1901–1981). This article highlights the importance of clinical observation in psychiatry training and emphasizes the need to learn how to “look” before making a diagnosis. It argues that an approach based on close observation and apprenticeship is essential for maintaining the richness and depth of psychiatric practice, faced with the current trend towards the rapid categorization of mental disorders. The article closes by emphasizing the importance of preserving this legacy in contemporary psychiatric training and practice.

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观察的艺术：雅克·拉康的导师有什么要说的？

本文通过评估Gaëtan Gatian de clacimrambault(1872-1934) 1901年在法国巴黎圣安妮精神病院实习期间起草的一份病例报告，探讨了临床观察在精神病学中的根本重要性。对病人M.复杂的临床图像的详细观察，说明了de cl rambault在其导师（特别是Valentin Magnan(1835-1916)）的影响下发展起来的基于提问和观察的方法。这种方法的特点是对病人行为和话语细节的细致关注，对法国精神病学学派产生了深远的影响，尤其是对雅克·拉康（Jacques Lacan, 1901-1981）的影响。这篇文章强调了临床观察在精神病学培训中的重要性，并强调了在做出诊断之前学会如何“看”的必要性。它认为，面对当前精神障碍快速分类的趋势，基于密切观察和学徒制的方法对于保持精神病学实践的丰富性和深度至关重要。文章最后强调了在当代精神病学培训和实践中保留这一遗产的重要性。

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

Annales medico-psychologiques 医学-精神病学

CiteScore

1.30

自引率

33.30%

发文量

196

审稿时长

4-8 weeks

期刊介绍： The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.