Carole Pinel (Psychologue clinicienne, Docteur en psychologie, Enseignant-chercheur en psychologie clinique et psychopathologie)
{"title":"Élever le bricolage à la dignité du savoir-y-faire avec le symptôme","authors":"Carole Pinel (Psychologue clinicienne, Docteur en psychologie, Enseignant-chercheur en psychologie clinique et psychopathologie)","doi":"10.1016/j.evopsy.2023.06.004","DOIUrl":"10.1016/j.evopsy.2023.06.004","url":null,"abstract":"<div><h3>Aims</h3><p>This article proposes to question the dimension of “inventive craftwork” in clinical practice, and to open up the field of its complexity, by taking as a basis the singular elaborative work of several young people participating in workshops within a mental healthcare institution. If today the notions of the unconscious, subjectivity, the patients’ word, desire, enjoyment, and lust are reduced to the bare minimum, and if the neuroscientific approach might ultimately ignore the field of the unconscious as some debates suggest, we will expose other horizons : that of the value of the word, that of the “clinical at the bedside,” that of the function of the symptom, and that of inventive “craftwork” as a singular creation. We will insist on the following postulate : rather than considering a subject as deficient, we will, instead, consider them as a subject attempting to deal with their anxiety. Beyond the question of understanding, we will strive not to back down in the face of psychosis, thus following the recommendations of previous psychiatrists.</p></div><div><h3>Method</h3><p>First, we will move away from a deficitary approach, as it is commonly understood today, in order to restore to their rightful places the function of the symptom and the welcoming of a singular subjective “oddness.” We will rely on the words of the teenagers who participated in and with whom we worked in the offered creative workshops. This description will consist in highlighting the singular logic at work in each young person, and how each of them teaches us their own way of dealing with their symptom. We will propose to learn from the singular language of these subjects participating in the workshops to receive the inventive way in which they deal with the suffering they are facing. Then, we will revisit the questions of art, creation, and sublimation in the work of Sigmund Freud. If the inventor of psychoanalysis thinks of creation as illusory, as difficult to understand through analysis, as drawing on the child's play, or even as sublimation, by exploring these patients’ contributions, we will look at the works of several psychoanalysts who succeeded Freud, or who read him from different point of view. Donald Woods Winnicott worked extensively on the dimension of play and creativity in his clinical practice with children. He also looked at what he called the “creative lifestyle.” This author shifts from Freudian sublimation to opening the field of transitionality. In his Seminar on <em>the Ethics of Psychoanalysis</em> Jacques Lacan questioned the sublimation of and the destiny of the <em>trieb</em> by demonstrating how this destiny consists in elevating its primary goal to the rank of a shareable work. This literature review will allow us to question the dimension of creation within clinical practice. With the Freudian model alone not being able to account for the creative impulse, Jacques Lacan also proposed the concept of the sinthome, in the la","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 591-604"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117337986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renaud Evrard (psychologue, maître de conférences – HDR en psychologie) , Marianne Dollander (psychologue, maître de conférences en psychologie) , Evelyn Elsaesser (Independent researcher) , Callum Cooper (Senior lecturer) , David Lorimer (Programme director) , Chris Roe (Professor)
{"title":"Erratum à « Expériences exceptionnelles nécrophaniques et deuil paradoxal: études de la phénoménologie et des répercussions des vécus effrayants de contact avec les défunts » [Evol. Psychiatr. 86 (2021) 799–824]","authors":"Renaud Evrard (psychologue, maître de conférences – HDR en psychologie) , Marianne Dollander (psychologue, maître de conférences en psychologie) , Evelyn Elsaesser (Independent researcher) , Callum Cooper (Senior lecturer) , David Lorimer (Programme director) , Chris Roe (Professor)","doi":"10.1016/j.evopsy.2023.09.001","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.09.001","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Page 674"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0014385523001159/pdfft?md5=8e10810d49f84188ca4d3777b614278c&pid=1-s2.0-S0014385523001159-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138484258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jean Naudin (Psychiatre, Docteur en philosophie, Expert auprès des tribunaux, Chef de service à Marseille)
{"title":"Phénoménologie, expertise, méthode : comment les pratiquer avec douceur","authors":"Jean Naudin (Psychiatre, Docteur en philosophie, Expert auprès des tribunaux, Chef de service à Marseille)","doi":"10.1016/j.evopsy.2023.04.002","DOIUrl":"10.1016/j.evopsy.2023.04.002","url":null,"abstract":"<div><h3>Objectives</h3><p>This article aims to show how the forensic psychiatric examination reconstructs, by progressing gently from the facts and the intimate history of a life, a clinical practice which is specific to it.</p></div><div><h3>Method</h3><p>We set aside the theories that prevail in the medical and judicial domains in order to make the clinical phenomena appear as they occur in the subject's natural experience of the world. We practice this form of reduction beginning with the encounter with the patient, and relate it in this article by choosing a literary style (37 numbered paragraphs made up of a number of equal words), that is faithful to its subjective progression, made of gentleness, formalizations, and cuts showing the objective points of attachment to the solidity of the clinical.</p></div><div><h3>Results</h3><p>The clinical facts occur in the patient's lived world and in the common world, each one thought of as a reality of daily life and a reality of work, and which are co-constructed by institutions and culture. Our results are presented as clinical variations on the theme of the forensic psychiatric examination, highlighting the importance of the subject's inner history as well as the importance of his or her culture.</p></div><div><h3>Discussion</h3><p>This work shows how, by passing from the oral to the written form and then returning to the oral form at the time of the hearing, the expert witness does not so much describe the facts as he produces them, by placing them in direct relation with subjective experience: that of the perpetrator, that of the victim, and that of the expert himself. As a collection of stories, no fact, clinical or judicial, has any meaning in isolation. It only becomes worthwhile through the relationship that it makes present from various angles and points of view, characteristic of the plural realities that make up the co-construction of the expertise. The phenomenological method, by progressing gently, allows the facts to appear as they can make sense to each of the protagonists. A common horizon of values can then emerge from the discussion and the successive passages from oral to written form, which sheds light on the possibilities of discernment, choice, and responsibility that structure the missions entrusted to the expert witness.</p></div><div><h3>Conclusion</h3><p>Phenomenology brings to forensic psychiatry a rigorous method of progression on the philosophical level as well as on the clinical level. It can thus contributes to the progression of the judicial truth without draping the reality of the clinical facts with any cerebral mythology or any preconceived theory applied from the outside to the facts, to the subject's own experience, and to what links them.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 649-659"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121764485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Janet ultime. À propos de … « Les formes de la croyance » de Pierre Janet","authors":"Pascal Le Maléfan","doi":"10.1016/j.evopsy.2023.04.003","DOIUrl":"10.1016/j.evopsy.2023.04.003","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 670-673"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124658446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Houari Maïdi (Professeur de psychologie clinique et psychopathologie)
{"title":"Des structures cliniques selon Lacan. À propos de … « Les structures cliniques–Fondement et perspectives d’une doctrine lacanienne » de Miguel Sierra Rubio","authors":"Houari Maïdi (Professeur de psychologie clinique et psychopathologie)","doi":"10.1016/j.evopsy.2022.11.001","DOIUrl":"10.1016/j.evopsy.2022.11.001","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 667-669"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126425607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Jean Allouch (1939–2023) ou l’éloge de la psychanalyse","authors":"Clément Fromentin (Psychiatre)","doi":"10.1016/j.evopsy.2023.10.003","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.10.003","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 665-666"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0014385523001226/pdfft?md5=0661b2dfc6fc4e8bc4d07d9b3b864779&pid=1-s2.0-S0014385523001226-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138484257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sophie Meiran (Psychologue clinicienne, Doctorante), Frédéric Vinot (Maître de Conférences HDR en Psychologie Clinique)
{"title":"A Lacanian Perspective on Wandering and the Drives in Alzheimer's Disease","authors":"Sophie Meiran (Psychologue clinicienne, Doctorante), Frédéric Vinot (Maître de Conférences HDR en Psychologie Clinique)","doi":"10.1016/j.evopsy.2023.10.002","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.10.002","url":null,"abstract":"<div><h3>Aims</h3><p>This article addresses the issue of wandering in Alzheimer's disease from a psychoanalytic point of view, taking into account the importance of the spatial dimension in psychic dynamics.</p></div><div><h3>Method</h3><p>After having presented wandering from a behavioral point of view, it is discussed from a metapsychological perspective, making use of A. & G. Haddad's concept of the “viatoric drive” and as well as J. Lacan's reflections on “the wandering of the journey” and “the wandering of desire.” The clinical vignette of Mr. M. in a workshop of therapeutic mediation through art helps us illustrate the unconscious psychic movements at play in walking.</p></div><div><h3>Results</h3><p>Three subjective markers emerge: wandering reveals the subject's difficult in orienting himself in both physical and psychological space, demonstrating a form of excitation that is not supported by the viatoric drive; “the wandering of the journey” makes it possible to relocate the place of the Other in the Imaginary; “the wandering of desire” incites the subject to repetition through the play of the drives.</p></div><div><h3>Discussion</h3><p>Neurodegenerative disease is an obstacle to wandering. Art-therapy workshops can help Alzheimer's patients with the reorganization of wandering, where unconscious knowledge would prevail over the excitation of ambulation, thus suggesting, for the subject, the possibility of a structuring “elsewhere.”</p></div><div><h3>Conclusion</h3><p>Thinking of mediated workshops as places of creation for the subject opens up the possibility of inhabiting one's wandering, considered as expressions of a journey and of desire.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages e33-e43"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138484219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}