Void and narrative in the clinic of addictions: A theoretical proposal.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Pub Date : 2024-05-01 Epub Date: 2023-04-12 DOI:10.1177/13634593231167064
Clément Cimolaï, Vincent Bréjard
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引用次数: 0

Abstract

We propose a connection between the void and addiction via psychoanalysis and current developments in narration in the context of the psychoanalytic clinic. We maintain that the addicted subject is shaped in particular by a relationship to the void evolving from the disruptive effects of the narrative. Our modern era is marked by a parallel evolution towards an unbearable void, to be filled at all costs. The neo-liberal promise of 'filling' the void with consumer objects in turn feeds the illusion of a so-called freedom, based on alienation to the inseparable duos of growth/jouissance and productivism/consumerism. The void has a multidisciplinary heritage (philosophy, physics, art, psychology) underlining certain aspects of a dialectic of the void that fluctuates between nothing at all and everything as potential. Taking this dialectic into account allows us to construct a concept of the void centred around two types of void: a narrative void and an a-narrative void. We maintain that the toxic in addiction can be interpreted as a narco-narrative that is constructed upon an a-narrative void. The clinical implications and technical proposals are briefly explored as openings to a clinical consideration of the void in the field of addictology.

成瘾诊所中的虚无与叙事:理论建议。
我们通过精神分析和当前精神分析诊所的叙事发展,提出了空虚与成瘾之间的联系。我们认为,上瘾的主体尤其是由叙事的破坏性影响演变而来的空虚关系所塑造的。现代社会的特点是,人们不惜一切代价填补无法忍受的空虚。新自由主义承诺用消费品来 "填补 "空虚,这反过来又助长了所谓自由的幻觉,而这种自由是建立在与增长/享乐和生产/消费主义这不可分割的二元对立的异化基础之上的。虚无 "具有多学科的遗产(哲学、物理学、艺术、心理学),强调了 "虚无 "辩证法的某些方面。考虑到这一辩证法,我们可以围绕两种类型的虚空构建一个虚空概念:叙事性虚空和非叙事性虚空。我们认为,毒瘾中的毒可以被解释为一种叙事性空洞,而这种叙事性空洞是建立在一种叙事性空洞之上的。我们将简要探讨其临床影响和技术建议,作为成瘾学领域对空洞进行临床思考的开端。
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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
发文量
0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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