Evolution Psychiatrique最新文献

{"title":"Création, créativité, sublimation","authors":"Clément Fromentin (Psychiatre) , Olivier Douville (Psychanalyste, Maître de conférences des Universités)","doi":"10.1016/j.evopsy.2023.10.004","DOIUrl":"10.1016/j.evopsy.2023.10.004","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 479-481"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135763543","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":"Schizophrénie et psychose chez Jean Oury","authors":"Jean-Louis Feys (psychiatre, médecin-chef CP)","doi":"10.1016/j.evopsy.2023.09.008","DOIUrl":"10.1016/j.evopsy.2023.09.008","url":null,"abstract":"<div><h3>Objectives</h3><p>Institutional psychotherapy remains an important current of thought for anyone working in hospitals or in institutions with patients suffering from psychiatric problems. Jean Oury is the main figure of this current and he always maintained that all the ideas and notions of institutional psychotherapy could only be thought of in conjunction with a daily practice centered on psychosis in general and on schizophrenia in particular. It therefore seemed interesting to us to try to summarize Oury's definition and conception of psychosis and schizophrenia.</p></div><div><h3>Method</h3><p>The value of our contribution is relative: Oury never wanted to give lectures on the subject and he refused the academic discourse. His style and his mainly oral teaching do not lend itself to a somewhat academic summary. Nevertheless, it seemed to us that the exercise was worth it. Based on numerous quotations, we wanted to synthesize Jean Oury's position.</p></div><div><h3>Findings</h3><p>The nosology on which Oury relies is borrowed from classical psychiatry and is, in our opinion, not the most appropriate for a clinical practice that advocates reception and encounter.</p></div><div><h3>Discussion</h3><p>For the future of institutional psychotherapy, it is undoubtedly important to dissociate all the recommendations of the movement to heal the institution from the nosology on which they are based.</p></div><div><h3>Conclusion</h3><p>Only institutional psychotherapy has taught us to try to heal care institutions and to fight against the natural tendency of these places to segregation and caregiver-patient power relations. But a clinical practice of reception and encounter deserves better than a nosology borrowed from classical psychiatry.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 2","pages":"Pages 205-225"},"PeriodicalIF":0.6,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139297270","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":"Approche historique des épreuves projectives par le jeu au décours du XXe siècle","authors":"","doi":"10.1016/j.evopsy.2023.09.007","DOIUrl":"10.1016/j.evopsy.2023.09.007","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this article consists in presenting the historical and epistemological analysis of the various psychological currents at the origin of the creation of the various play-based projective tests during the 20th century in Europe. The historical and conceptual sources of these proofs being fragmentary, an analysis of the archives proved necessary in order to grasp the nature of their differences and their common elements. The psychodynamic analysis of the child's motives for playing, along with their traces in the adolescent and in the adult, make it possible to think about the different modes of apprehension of the analysis of play according to the tests’ creators. The different objectives of these creators are analyzed in order to perceive the theoretical background that motivated their creations.</p></div><div><h3>Method</h3><p>The presentation of the Scenotest to autistic children and the various interpretative possibilities led me to return to the historical sources of the different contexts of the creation of play-based tests: The World Test, The Village Test, The Imaginary Village Test, The Scenotest. The quest for expression through play is constantly questioned according to different concepts in order to access humans’ modes of psychic and perceptual functioning. However, we can observe common elements in the approach to the investment of space and time, which we propose to analyze. The updating of the links between the various creators and researchers leads to an examination of a shared foundation for the various play-based projective tests under discussion, differences in treatment of the material, as well as their implementation. The contribution for each version of the play tests is recorded in the analysis of the diversification of methods.</p></div><div><h3>Results</h3><p>The results attest to a common goal centered on the spatial treatment of constructions and what they reveal of the unconscious of each one as well as their links to the collective. Admittedly, research projects take on different colors depending on the creators. There is no shared method: each creator deploys his personal method of analyzing the creation of individual and collective living spaces, circulation spaces. However, we have grouped together several common elements: - None of the test creators make a link with Freudian infantile sexuality. - The focus is on the action of the game, which is used to decipher the qualities of constructions, even strategies to distribute the constructions. - The observation and analysis of the modes of projection of spatial representations are common. However, the motor expression of affect is not noted as an index of psychic economy. The qualities of the affects present in the modes of assembly of the constructions, from the child to the adult, are not analyzed. - The superposition of the diagnostic and therapeutic approach is one of the common elements; the same tools are used in differ","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 3","pages":"Pages 560-577"},"PeriodicalIF":0.6,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139292327","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":"Sur la crise psychique : considération inactuelle","authors":"Thomas de Castelbajac (Docteur en philosophie, psychologue clinicien, psychanalyste) ,&nbsp;Pierre Paini (Psychiatre)","doi":"10.1016/j.evopsy.2023.09.005","DOIUrl":"10.1016/j.evopsy.2023.09.005","url":null,"abstract":"<div><h3>Objectives</h3><p>As the concept of crisis has permeated all disciplinary fields, it has become less intelligible. This phenomenon is also valid in psychiatry, on account of the usage of the concept in relation with different realities. Thus, our present case study takes interest in what the psychic crisis is, so as to clarify how it appears for individual subjects through its various manifestations, whose heterogeneity has an undeniable clinical interest.</p></div><div><h3>Methodology</h3><p>In an attempt to provide a granular definition of the psychic crisis, we will first put forth a historical and etymological study. Then, based on a system of psychoanalytical references supplied with contributions from philosophy and particularly from phenomenology, we will address in what way any psychic crisis comes as a critical reaction to an encounter with the real, which appears as a discontinuity, an event for the subject.</p></div><div><h3>Results</h3><p>We theorize that the internal disruption caused by the psychic crisis phenomenon, which tears apart the subject's representations, stems from its unique operating mode by means of the language use to interact with the surrounding world. The subject going through a crisis, and accompanied by health care professionals, will be guided to a decision that aims at creating a new livable mode following the downfall of their former objective certainty.</p></div><div><h3>Debate</h3><p>Hence, we believe any psychic crisis unravels the subject as a being to themselves. However, such an epiphany is not harmless, which is why the health care professional plays an even greater role in this instance. Running counter to current practices, the health care professional must not hinder the psychic crisis when it arises, but, instead, make space for any uniquely subjective creation that is likely to come forth.</p></div><div><h3>Conclusion</h3><p>We advocate for the emergence of a new mode of being, of dealing with the world, while facilitating the subject's fashioning of their own dynamic narrative, of the crisis they are going through. We believe, indeed, that such are the ethical prerequisites of care, with regard to the psychic crisis.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 2","pages":"Pages 177-188"},"PeriodicalIF":0.6,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135411772","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":"Esquisse pour une psychopathologie psychanalytique de l’environnement","authors":"Julie Chevalier (Psychologue clinicienne, docteure en psychologie clinique et psychopathologie)","doi":"10.1016/j.evopsy.2023.09.003","DOIUrl":"10.1016/j.evopsy.2023.09.003","url":null,"abstract":"<div><h3>Objectives</h3><p>The environment is a concept that allows us to re-examine classical psychoanalytic psychopathology, starting with the nature of the symptom and the processes that structure it, then the notions of the normal and the pathological. This article thus proposes the main axes of a psychoanalytic psychopathology of the environment in an intersubjective dimension.</p></div><div><h3>Method</h3><p>We carry out a singular reading and analysis of Donald W. Winnicott's theories on the environment and the concepts related to it, in particular dependence, the self, aggressiveness, and repair. Then we describe their complementarities and their breaks with Anglo-Saxon theories, as developed by Sándor Ferenczi, Melanie Klein, and Michael Balint.</p></div><div><h3>Results</h3><p>There are different types of failures depending on whether the environment impinges affectively and bodily on the needs of the infant through seduction, torment, or disappearance. What matters is the moment of dependence during which they take place, generating either potentially a psychotic or manic-depressive organization at the moment of absolute dependence, or potentially an antisocial organization at the moment of relative dependence. The failures of the environment (Winnicott) can thus be considered complementary to the paranoid-schizoid and depressive positions (Klein), as well as to the concepts of ocnophilia and philobatism (Balint).</p></div><div><h3>Discussion</h3><p>The concept of environment also shows how motor skills constitute an important intersubjective experience in the construction of the self. In parents, this manifests itself above all in ordinary holding; in infants, in the aggressiveness at the origin of their spontaneous gestures, both destructive and creative, then becoming more broadly restorative in the family and social environments. Regression to dependence may become necessary for the exploration of primary experiences inherent to the individual-environment dyad, and may also have a function of intersubjective reintegration.</p></div><div><h3>Conclusion</h3><p>This sketch for a psychoanalytic psychopathology of the environment is therefore relevant for interpreting the sufferings of the self as intersubjective “disorders” and for analyzing clinical cases of regression to dependence in the analytic situation.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 1","pages":"Pages 148-162"},"PeriodicalIF":0.6,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135605963","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":"Sortir de la « mortification » institutionnelle par le collectif ? Héritage clinique et politique de Fernando Ulloa","authors":"Lucia Bley (Psychologue clinicienne, Docteure en Psychanalyse et Psychopathologie)","doi":"10.1016/j.evopsy.2023.08.003","DOIUrl":"10.1016/j.evopsy.2023.08.003","url":null,"abstract":"<div><h3>Objectifs</h3><p>L’article propose de découvrir l’œuvre et le parcours clinique et politique de Fernando Ulloa, référence incontournable de l’analyse institutionnelle en Argentine, et ses échos avec le mouvement de la psychothérapie institutionnelle en France.</p></div><div><h3>Méthode</h3><p>Par une étude de ses œuvres et de ses interventions dans la sphère universitaire, psychanalytique et politique, nous montrons comment le travail de Fernando Ulloa interroge les violences qui parcourent les institutions de soin ainsi que la notion de collectif.</p></div><div><h3>Résultats</h3><p>Son effort constant pour articuler psychanalyse et politique résonne avec les violences que traverse le soin psychique actuel en France, questionne notre rapport aux dogmes théoriques et propose de concevoir l’éthique analytique comme celle d’un « être psychanalyste » dans l’instant, et non comme identité.</p></div><div><h3>Discussion</h3><p>En replaçant l’enjeu social au cœur du travail clinique et en intriquant les dimensions thérapeutiques et didactiques, l’œuvre de Fernando Ulloa est fortement imprégnée de celle de Pichon Rivière, dont il fut l’un des principaux élèves, et de ses « groupes opératifs ». En effet, son travail de psychanalyste auprès de ce qu’il nomme les « numérosités sociales » vise à contribuer à l’émergence d’une pensée critique collective. Son engagement pour la justice sociale et sa lutte pour les Droits de l’Homme le mènent à théoriser la notion de « culture de mortification », une certaine tonalité de la souffrance institutionnelle contemporaine. Il montre comment le collectif et la « tendresse » sont deux voies de sortie de cette mortification.</p></div><div><h3>Conclusion</h3><p>L’héritage clinique et politique de Fernando Ulloa est de nous aider à interroger notre engagement dans la clinique et à penser ce qui soigne l’institution et ceux qui la pratiquent.</p></div><div><h3>Introduction</h3><p>The article proposes to explore the work as well as the clinical and political career of Fernando Ulloa, an essential reference for institutional analysis in Argentina. It will also address links with the movement for institutional psychotherapy in France.</p></div><div><h3>Method</h3><p>Through a study of his works and his lectures in the academic, psychoanalytical, and political sphere, we show how Fernando Ulloa's work interrogates the violence that runs through healthcare institutions as well as the notion of “collective elaboration.”</p></div><div><h3>Results</h3><p>By putting the social issue at the heart of clinical work and by interweaving the therapeutic and didactic dimensions, the work of Fernando Ulloa is strongly inspired by that of Pichon Rivière, of whom he was one of the main students, and of the latter's “group operatives”. Indeed, his work as a psychoanalyst with what he calls “social numerosity” aims to contribute to the emergence of collective critical thought. His commitment to social justice and his fight for human rig","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 1","pages":"Pages 138-147"},"PeriodicalIF":0.6,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135347049","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":"Psychopathologie des psychoses dissociatives et Topique du clivage","authors":"Frédérique Debout-Cosme (Psychologue clinicienne, Maîtresse de Conférences en psychopathologie et psychodynamique du travail)","doi":"10.1016/j.evopsy.2023.08.002","DOIUrl":"10.1016/j.evopsy.2023.08.002","url":null,"abstract":"<div><h3>Objectif</h3><p>L’article vise à soutenir une conception métapsychologique permettant de critiquer le modèle déficitaire de la psychose en psychiatrie. Cette critique visant l’héritage de la pensée kraepelinienne et passant par la discussion des apports d’E. Bleuler et H. Ey s’articule autour de la distinction entre les notions de « déficit » et de « défaut ».</p></div><div><h3>Méthode</h3><p>À partir d’un cas issu de sa clinique au sein d’une unité d’accueil familial thérapeutique pour adultes psychotiques, l’auteure revient à la théorie des psychoses dissociatives à partir du « travailler » et du « travail vivant » de ceux qui prennent soin de ces malades.</p></div><div><h3>Résultats</h3><p>En mobilisant la théorie laplanchienne de la genèse de la pensée et la topique du clivage de Christophe Dejours, l’auteure soutient l’idée que ce qui caractérise la psychose dissociative n’est pas le déficit mais l’inhibition.</p></div><div><h3>Discussion</h3><p>Cette inhibition touche les fonctions affectives et perceptives du corps. Elle représente une modalité défensive ne découlant pas d’un traumatisme mais d’un défaut de construction du corps érotique entraînant une économie pulsionnelle singulière appelée disruptive.</p></div><div><h3>Conclusion</h3><p>Ce défaut de construction n’est pas irréversible mais le traitement thérapeutique de ces patients nécessite–condition <em>sine qua non</em>–la mobilisation du corps érotique des soignants pour la mise au travail de soi sur soi du patient.</p></div><div><h3>Objective</h3><p>The article proposes a metapsychological conception allowing us to criticize the deficit model of psychosis in psychiatry. This criticism of the Kraepelinian heritage, through the discussion of the contributions of E. Bleuler and H. Ey, revolves around the distinction between the notions of “deficit” and “default.”</p></div><div><h3>Method</h3><p>From a case extracted from her clinical experience in a therapeutic foster care unit for psychotic adults, the author returns to the theory of dissociative psychosis from the “work” and “living work” of those who care for these patients.</p></div><div><h3>Results</h3><p>By mobilizing the Laplanchian theory of the genesis of thought and Christophe Dejours's topography of splitting, the author maintains that what characterizes dissociative psychosis is not deficit but inhibition.</p></div><div><h3>Discussion</h3><p>This inhibition affects the emotional and perceptual functions of the body. It represents a defensive modality not resulting from a trauma but from a defect in the construction of the erotic body leading to a singular instinctual economy, labeled disruptive.</p></div><div><h3>Conclusion</h3><p>This construction defect is not irreversible, but the therapeutic treatment of these patients requires–a sine qua non condition–the mobilization of the erotic body of the caregivers, in order for the patient to begin their own self-work.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 1","pages":"Pages 119-137"},"PeriodicalIF":0.6,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346856","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":"La perspective créatrice de l’autisme : le cas extraordinaire de l’autiste peintre Iris Grace","authors":"Myriam Chérel (Maître de conférence en psychopathologie clinique)","doi":"10.1016/j.evopsy.2023.07.008","DOIUrl":"10.1016/j.evopsy.2023.07.008","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this work is to examine the subjective relationship of autistic subjects to artistic creation, particularly graphic creation. More specifically, it examines the conditions under which graphic creativity can be an autistic subject's preferred means of directing the excess impulses that invade him or her into an out-of-body object, and thereby opening up the possibility of creating a multidimensional space for him- or herself.</p></div><div><h3>Method</h3><p>Critical analysis of the main theories in the scientific literature on the graphic abilities of autistic subjects. Confrontation of the hypotheses of a cognitive deficit and those of a psychodynamic current. We propose our theoretical development based on a case study. Psychodynamic study of the functions of art and, more generally, of creativity and inventiveness in autistic subjects.</p></div><div><h3>Results</h3><p>Painting allowed Iris Grace to build her relationship to the world, to her body, to others, and to speech, that is to say, to build a real subjective dynamic. Iris Grace's graphic creativity testifies to one autistic subject's preference for directing an invasive instinctual excess onto paper, into an out-of-body object, thereby allowing her to create a multidimensional space where libido, body, and link to the other were unfolded and complexified.</p></div><div><h3>Discussion</h3><p>The use of drawings, and their infinite details, allows us to see that artistic creation raises the question of writing. We develop the link with the use of computerized devices and their 3D software: certain autistic subjects prefer this mode of writing because the computer allows them to isolate, in details, the dimensions of the language. Each form, each place, each color, each detail, all these “Ones” lead us to consider that the work of autistic subjects is more about making a consistent whole out of these “Ones”. What clinical work with autistic people teaches us is how effective it is to bet on the strengths of each individual, even if they are first and foremost fixation, obsession, or focus. In this way, they can have some chance of being invested as an out-of-body object, enabling the creation of a multidimensional space. This is not to suggest that painting and/or drawing can be a therapy for every autistic person, or a particularly suitable form of art mediation.</p></div><div><h3>Conclusion</h3><p>Supporting the creativity of each autistic person in this way helps them to deal with excess jouissance, and to locate it on an edge, thus facilitating the regulation of libido and drives, thanks to the creation of a link and an openness to the world and to learning. In institutional care, it's a question of welcoming the autistic subject as he or she presents him- or herself, welcoming the real the subject has to deal with, and ensuring that his or her creation and inventiveness, whatever it may be, is increasingly cobbled together as a Borromean knot; in s","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 1","pages":"Pages 45-59"},"PeriodicalIF":0.6,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248430","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":"Disjonction entre image et identité : histoire et actualité du signe du miroir","authors":"Mickaël Peoc’h (Maître de conférences associé en psychopathologie clinique)","doi":"10.1016/j.evopsy.2023.04.007","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.04.007","url":null,"abstract":"<div><h3>Objective</h3><p>This article focuses on the “mirror sign” as an element of psychiatric semiology. Considered as a prodrome of schizophrenia during its description between 1927 and 1930, the article aims to shed light on its contemporary relevance, particularly with regard to changes in society concerning the subject's relationship to their image as well as the relationship to identity or self.</p></div><div><h3>Method</h3><p>After reviewing the history of the discovery and description of this sign, in order to shed light on its origins and on some essential elements, we take up the hypothesis of a link between a failure of the Lacanian “mirror stage” (stade du miroir) and the occurrence of the sign of the mirror. Links between original description, the frequency of body image disorders in psychosis, and the consequence of the mirror stage on symbolic identity are clarified. A few clinical fragments allow us to question the unfolding hypothesis.</p></div><div><h3>Results</h3><p>The mirror sign appeared at the beginning of the 20th century as a prognosis for schizophrenia. Alienists linked it to homosexuality, then considered pathological. It appears today that the clinical class of the disorders that can be referred to this sign emerges essentially from a disjunction between body image and identity. This sign can be heuristically put into perspective with the Lacanian statement unpacked in “<em>Le stade du miroir comme formateur de la fonction du Je</em>,” and with the hypothesis that the psychotic structure also offers subjects the possibility of non-standard symptomatic responses. The sign of the mirror and the subjective responses that result from it shed light on what it is that some subjects seeking to create, by working on their image, on their body, a new identity, to respond to an initial perceived disjunction between image and identity.</p></div><div><h3>Discussion</h3><p>If the sign of the mirror inspires a large number of subjective responses aimed at modifying the body to make it conform to a new identity, and thereby carrying viable neo-identity solutions, it is not experienced without some discomfort in most cases. Nothing makes it possible to predict its future, and the therapeutic action is limited to identifying this sign and supporting the possible elaborations of the subjects who aspire to produce a conjunction between image and identity.</p></div><div><h3>Conclusion</h3><p>One hundred years after its discovery, the mirror sign, is still an extremely relevant element of psychiatric semiology. It does not necessarily constitute a prodrome of schizophrenia, but it indicates a subjective difficulty in associating image with identity. The symptomatic response of the subject does not require the validation of the clinician; it is linked to a subjective malaise, which can be welcomed, whatever the outcome of this sign.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 3","pages":"Pages 407-421"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50203055","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":"Maltraitances sexuelles infantiles et répétition victimaire dans les relations conjugales à l’âge adulte","authors":"Justine Cesari (Psychologue clinicienne, Doctorante en Psychologie Clinique),&nbsp;Alicia Landbeck (Psychologue clinicienne, Chercheuse associée),&nbsp;Houari Maïdi (Psychologue clinicien, psychanalyste, Professeur de Psychologie clinique et psychopathologie),&nbsp;Rose-Angélique Belot (Psychologue clinicienne, Professeure de Psychologie clinique et psychopathologie)","doi":"10.1016/j.evopsy.2023.04.008","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.04.008","url":null,"abstract":"<div><h3>Aims</h3><p>In this article, we show the consequences of childhood sexual abuse on psychic development and its implication in victimary repetition in adulthood.</p></div><div><h3>Method</h3><p>The case study presented in this article is from a doctoral research project in psychology about the impact of early relationships on the experience of intimate partner violence in adulthood. This case appears emblematic of the rest of our population. The elements mentioned are anonymized and analyzed from a psychoanalytic perspective.</p></div><div><h3>Results</h3><p>The results show the conscious and unconscious consequences of childhood sexual abuse on the victims’ psychological development. Indeed, the psychic intrusion following early sexual abuse hinders the construction of the self and prevents the psychic instances from functioning properly. This intrusion also leads to repetition in violent intimate relationships. Oscillating between primary and secondary processes, the person can cut her/himself off from a part of her/his emotional life to avoid psychic and/or somatic disorganization.</p></div><div><h3>Discussion</h3><p>After experiencing early sexual trauma, even if the psychic apparatus is temporarily able to keep the traumatic elements far from the conscious mind, these elements still act in the unconscious. The work of shame and guilt, which are constitutive elements of moral masochism, lock the subject into a deadly repetition compulsion that can promote the experience of repetitive intimate partner violence (physical, psychological, sexual) in adulthood.</p></div><div><h3>Conclusion</h3><p>To prevent, detect, and care for women victims of childhood sexual abuse, it is necessary to consider their modalities of psychic functioning, the formation of their Self, and their ability to psychically transform the trauma they suffered.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 3","pages":"Pages 423-430"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50203056","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}