In Analysis最新文献

{"title":"Dedans et hors les murs : l’espace comme enveloppe. Comparaison de deux dispositifs groupaux à médiation pour enfants","authors":"J. Violon ,&nbsp;É. Jacquet","doi":"10.1016/j.inan.2023.100337","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100337","url":null,"abstract":"<div><h3>Context</h3><p>The article is situated in the field of group psychotherapy for children and refers to psychoanalytical metapsychology. It presents two clinical experiments around two group therapeutic interventions that question, each in their own way : being “inside” and “outside” the walls, the problematic of space as a psychic envelope and the related therapeutic processes.</p></div><div><h3>Objectives</h3><p>The authors set out to develop and comment several clinical sequences, comparing the two therapeutic devices.</p></div><div><h3>Method</h3><p>It is based on evidence from practice, i.e. evaluating the psychic processes at work in this clinical experimentation.</p></div><div><h3>Results</h3><p>Based on sensorimotricity, the “non-human” dimension of the space of the therapeutic framework and the “human” groupality would participate in the process of constitution-reconstitution of psychic envelopes, allowing the emergence of narrativity through playing and through progression in space.</p></div><div><h3>Conclusion</h3><p>The centrifugal and centripetal motility identified in these two therapeutic groups, as well as the spatial representations implemented in support of movement and its temporal organization, serve as a basis for the subjective appropriation by narrativity.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100337"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les unités de soins spécialisés Alzheimer : une seconde peau psychique ?","authors":"V. Insardi ,&nbsp;C. Racin ,&nbsp;A. Thévenot","doi":"10.1016/j.inan.2023.100335","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100335","url":null,"abstract":"<div><h3>Context</h3><p>Based on our clinical experience in gerontopsychiatry and on psychoanalytical concepts, we wish to discuss the therapeutic effects of specialized Alzheimer care units on the subjects they accommodate.</p></div><div><h3>Objectives</h3><p>In the context of a public health problem, these units have developed particular characteristics and aims, in order to attempt to respond. Their therapeutic role is not self-evident and it can be effective only under certain conditions. Through this reflection, we attempt to identify the operators of the processes of changes in psychic functioning and to understand which conditions allow them to be deployed. When these conditions are absent, these units can crystallize certain excesses, whether at the institutional or the individual level.</p></div><div><h3>Method</h3><p>This reflexion is based on the concept of the « Moi-Peau » (the Self-Skin or the Skin-Self), here used to clarify the functions of symbolization and interface, but also their toxic effects when the counter-transference invades the relationship. When these special care units function as a transitional area, they can support the psychological dynamics of symbolization and exchanges in demented subjects, and can bring about therapeutic effects on behavioral disorders. When this transitionality is not effective, these units become a place of confinement where the balance between life and death is lost, which can lead to the intensification of the dementia process and the loss of relational links.</p></div><div><h3>Results</h3><p>This reflection opens up avenues of research, both qualitative and quantitative, on the functioning of these units, which are bound to develop in response to the increasing number of people suffering from dementia ias the population ages.</p></div><div><h3>Conclusion</h3><p>It's the way in which these units are invested that allows them to have their therapeutic character. Therefore, it's necessary to develop knowledge about how Alzheimer units are investing in order to adjust care strategies to the characteristics of this population and to support people with dementia and behavioral problems.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100335"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enveloppes psychiques précoces : la difficulté d’être contenant auprès d’un bébé en retrait relationnel","authors":"A. Beaulieu","doi":"10.1016/j.inan.2023.100339","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100339","url":null,"abstract":"<div><h3>Context</h3><p>Autism spectrum disorder (ASD) results from a complex interaction between innate factors of the infant and their environment. Many risk factors have been identified. The difficulties in physical organization of at-risk children can allow us to identify the most fragile infants at birth. The baby in relational withdrawal can teach us about the part played by the infant in the weaving of early psychic envelopes. Research on babies who have become autistic children demonstrates disturbances in their motor skills, from their general movements to difficulties with body organization. The infant's sensorimotor difficulties hinder the expression of subjectivity. They also have an impact on the parents’ ability to interpret the signs coming from the baby. It is difficult for a parent to be the receptacle of the intentions of a baby who does not seem to be addressing its parent. An accompaniment of the parents supports them in their capacity to provide a secure “container” for their baby. A transdisciplinary team ensuring the continuity of the group psychic envelope may be necessary to establish harmony between the baby and their environment.</p></div><div><h3>Objectives</h3><p>The goal of early post-natal care is to support parents so that they feel they are the receptacle to the baby's intentions. We want the baby to be able to actively engage in the relationship with its parent from the first months of its life, despite any sensorimotor difficulties that may be present.</p></div><div><h3>Method</h3><p>In this theoretical reflection on the difficulties of containment with a baby in relational withdrawal, we develop the theoretical-clinical bases which underlie our work as care providers. We focus here mainly on supporting parents in the containing function they occupy as the organizing center of their baby's instinctual life.</p></div><div><h3>Results</h3><p>The result targeted by this treatment is the entry of the baby into goal-directed movement towards the other from 4 months, as evaluated by the Préaut grid, within the framework of a pleasant relationship of shared pleasure. We promote the establishment of a relationship in which the parent can both perceive the signs emitted by their baby while being attentive to their own internal experience. Particular attention is paid to joint listening. From this theoretical-clinical base stems the current practice of a transdisciplinary team and two ongoing research projects.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100339"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enveloppes et pulsions dans la clinique infantile : analyse de la psychothérapie d’un bébé sourd","authors":"A. de Clerck ,&nbsp;M. Fernandes-Veloso ,&nbsp;C. Favrot-Meunier ,&nbsp;E. Parlato-Oliveira","doi":"10.1016/j.inan.2023.100336","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100336","url":null,"abstract":"<div><p>This article is part of a doctoral thesis in psychopathology and psychoanalysis that deals with the study of the emergence of the subject in deaf babies. In clinical practice with infants, we seek to articulate the psychoanalytical field of envelopes with that of the theory of drives. We present a clinical analysis of the psychoanalytical psychotherapy of a 15-month-old baby, born with extreme prematurity, deafness, and associated disorders. The sessions of this psychotherapy were filmed by a co-therapist. This article is based on the micro-analysis of these films, and on the tension created between our different theoretical references. We note the entanglement of the looping of the drive circuit with the constitution of the envelopes, and demonstrate how the envelope comes to constitute a therapeutic lever for this baby. This reflection, carried out at the crossroads of two psychoanalytic approaches, allows us to return to Freudian psychoanalytic concepts that shed light on the question of the emergence of the subject.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100336"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La compulsion de répétition et le processus de recouvrement : approches transdisciplinaires des enveloppes psychiques","authors":"P. Béraud","doi":"10.1016/j.inan.2023.100332","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100332","url":null,"abstract":"<div><h3>Context</h3><p>It is from our clinical practice in the “High Security Inpatient Unit” that we have been confronted with the compulsion to repeat and more specifically with the repetition of violent or even murderous acts.</p></div><div><h3>Objectives</h3><p>In order to be able to think through fear in the transference, in the encounter with these patients, whose psychic arrangements fall within the field of psychosis, as well as the intrusion of both the physical and psychic envelopes that results from it, we have been interested in art and astrophysics. By proceeding in this way by analogy, we can modelize a topical representation of the psychic apparatus.</p></div><div><h3>Method</h3><p>This article proposes a transdisciplinary exploration of psychic envelopes in the case of Mr. N. – following the methodology of the single case, to think through the symbolization of violent action and of what we have termed the covering process.</p></div><div><h3>Results</h3><p>The aim here, in a qualitative approach, is to highlight the violent act starting from a double articulation between psychoanalysis and art, on the one hand, and psychoanalysis and astrophysics, on the other, in order to think through the work of symbolizing treatment by covering traumas as a fight against psychic dissolution. In doing so, it allows us to envisage a covering process in successive, superimposed envelopes, one might say, as many attempts to neutralize the affect of terror.</p></div><div><h3>Interpretations</h3><p>These transdisciplinary perspectives lead us to conceptualize a primordial psychic material at the confines of the “figurable” and the “symbolizable,” thus allowing us to think about the extensions of psychoanalysis and illuminate the psychopathological formations falling within the field of extreme suffering in the domains of subjects’ narcissism and identity.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100332"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’enveloppe charnelle et le corps du moi","authors":"J. Rogozinski ,&nbsp;S. Kristensen","doi":"10.1016/j.inan.2023.100341","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100341","url":null,"abstract":"","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100341"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jeu de rôle et fiction interactive : l’interactivité au service de la subjectivation","authors":"C. Boulay","doi":"10.1016/j.inan.2023.100333","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100333","url":null,"abstract":"<div><h3>Context</h3><p>Tabletop role-playing games (TTRPG) have shown their relevance in play and narrative therapy. However, they have been little studied in the psychodynamic field although their characteristics make them a particularly interesting mediation in adolescents’ psychotherapy.</p></div><div><h3>Objectives</h3><p>The aim of this article is to specify the characteristics of role-playing games, and to define how they revive symbolization and the identity construction process.</p></div><div><h3>Method</h3><p>We will rely on the notions of interactivity and intercreativity to define the characteristics of TTRPG, and their interactions with some of the fundamental therapeutic processes. We will draw on a psychoanalytical approach as well as a ludological and narratological one to define this mediation.</p></div><div><h3>Results</h3><p>Interactivity and intercreativity directly influence the processes of immersion in game and fiction. They also influence identification with the character embodied by the player. The interaction between these different ingredients supports processes of psychic transformation.</p></div><div><h3>Conclusion</h3><p>Interactivity is a fundamental element in the emergence of agentivity. It is therefore a particularly interesting ingredient in adolescent therapy. Moreover, recourse to other theoretical fields appears necessary when envisioning a TTRPG psychotherapeutic mediation.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100333"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"De la symbolisation imagée au squiggle photographique","authors":"Déborah LEROUX","doi":"10.1016/j.inan.2023.100334","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100334","url":null,"abstract":"<div><h3>Context</h3><p>In the clinical accompaniment of non-verbal patients and/or those with limited capacities for symbolization, we find that the regular analytical “talking cure” has its limits. To counter this, the author proposes to develop a new therapeutic mediation based on the photographic act that could possibly replace, or at least complete, verbal exchanges. This article shows how the photographic medium can be mobilized within analytical cure.</p></div><div><h3>Aims</h3><p>This article questions how the photographic act can put the processes of the unconscious to work, unfold the singularity of the subject's speech, and how it can catalyze the transformation of the latter throughout the therapeutic process.</p></div><div><h3>Method</h3><p>It is first of all a question of rethinking the usual mediation of <em>photolanguage</em>, which offers “ready-to-use” representations. The author then presents a new mediation, called <em>photonafshy</em>, based on the photographic act. The subject himself produces his photographic images, which constitute a real open door to the preconscious and unconscious universe of the subject, far “beyond words.” The photographic images thus created, although relying on external perceptions, unconsciously solicit and transform internal archaic images. Clinical cases are analyzed to understand this phenomenon. The author then updates the squiggle technique – a set of drawings for two invented by Winnicott – by using the photographic medium instead of drawing.</p></div><div><h3>Results</h3><p>The new technique of the “photographic squiggle” sets up a semiotic field between two signifying presences that are the photos of the patient and of the analyst, and creates a shared game of symbolic and intersubjective exchanges that facilitates access to the most archaic layers of the pathic sensitivity. In this moment of photographic creativity, the subject can regress into a state of fluidity and experimental non-integration where the functions of gesture and gaze become, once again, modalities of being, as they are for babies at an archaic state.</p></div><div><h3>Conclusions</h3><p>“Photographic speech” can be considered a substitute for linguistic speech and is thus a relevant tool for clinical work with non-verbal patients. <em>Photonafshy</em>, a new therapeutic mediation using photography, proposes an approach to the photographic technè as a semiosis accompanying the therapeutic history, but also respecting the dimension of the suffering body. This approach allows us to go as far as possible in this state of regression in the confrontation with anxiety, in the most sustained, supportive, enveloping way possible and at the same time in the finest and most adjusted way.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100334"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enveloppe charnelle : quelles frontières ? À propos de l’article « L’enveloppe charnelle et le corps du moi » de Jacob Rogozinsky et Stefan Kristensen","authors":"M. de Luca","doi":"10.1016/j.inan.2023.100342","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100342","url":null,"abstract":"<div><p>The author proposes from the article by de Stefan Kristensen and Jacob Rogozinsky Carnal envelope: Which borders? About the article “The carnal envelope and the body of the self” a reflection on the use of analogy as an epistemological specificity of psychoanalysis as it unfolds in the concepts of skin-ego, body-self, psychological envelopes and carnal envelopes. Moreover, she proposes a derivation of these concepts in scarification and severe Hikikomori withdrawal behaviors in adolescence, where the stakes and the border work are particularly solicited in trophic or on the contrary particularly deleterious forms.</p></div>","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100342"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enveloppe charnelle et corps du Moi-avatar. À propos de l’article « L’enveloppe charnelle et le corps du moi » de Jacob Rogozinsky et Stefan Kristensen","authors":"M. Haza-Pery","doi":"10.1016/j.inan.2023.100344","DOIUrl":"https://doi.org/10.1016/j.inan.2023.100344","url":null,"abstract":"","PeriodicalId":100661,"journal":{"name":"In Analysis","volume":"7 1","pages":"Article 100344"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50192650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}