Evolution Psychiatrique最新文献

{"title":"Aux mânes de Constance Pascal. À propos de… « Constance Pascal. Une pionnière de la psychiatrie française (1877–1937) » de Felicia Gordon","authors":"Michel Caire (Psychiatre hospitalier honoraire, Docteur en histoire à l’E.P.H.E. (Paris-Sorbonne))","doi":"10.1016/j.evopsy.2024.11.005","DOIUrl":"10.1016/j.evopsy.2024.11.005","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 2","pages":"Pages 362-367"},"PeriodicalIF":0.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090534","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 psychiatrie est-elle prédisposée au scientisme ?","authors":"Philippe Amarilli (psychiatre des hôpitaux, ex-chef de clinique, ex-maître de conférences associé à l’ULP Strasbourg)","doi":"10.1016/j.evopsy.2024.10.007","DOIUrl":"10.1016/j.evopsy.2024.10.007","url":null,"abstract":"<div><h3>Objective</h3><div>The author explores the risk of essentializing pathological entities, over time and in particular nowadays, and reflects on psychiatry's potential predisposition to scientism.</div></div><div><h3>Method</h3><div>The author revisits the foundations of psychiatry through the study of several major authors who have had an epistemological reflection on the order of psychiatric discourse (Foucault, Lacan, Swain, Lantéri-Laura, Dowbiggin, etc.).</div></div><div><h3>Results</h3><div>Psychiatric logic is characterized by the emergence of a subjective position of exteriority to insanity on the one hand, and, on the other hand, the postulate of an organicity of the morbid process inherent to medical logic, even before any psychiatric knowledge is constituted.</div></div><div><h3>Discussion</h3><div>The author emphasizes the uniqueness of psychiatry within the medical field, in that it has undergone considerable institutional and social development, even though the promise of future knowledge that would fully establish its legitimacy did not materialize during that time.</div></div><div><h3>Conclusion</h3><div>The author sees a predisposition to scientism in this assumption of taking a medical approach to mental suffering, combined with a quest for legitimacy within that same field. He concludes that the psychiatric entities that are developing deserve to be questioned in light of the specificities of psychiatric discourse.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 1","pages":"Pages 161-168"},"PeriodicalIF":0.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159055","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":"Une histoire médicale et philosophique de l’esprit moderne. À propos de…« L’âme machine. L’invention de l’esprit moderne » de Georges Makari","authors":"Yann Craus","doi":"10.1016/j.evopsy.2024.11.001","DOIUrl":"10.1016/j.evopsy.2024.11.001","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 1","pages":"Pages 169-175"},"PeriodicalIF":0.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159021","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":"Du désir parental de consulter au risque de la maltraitance infanto-juvénile","authors":"Emmanuel de Becker (Psychiatre infanto-juvénile, Psychothérapeute)","doi":"10.1016/j.evopsy.2024.11.004","DOIUrl":"10.1016/j.evopsy.2024.11.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This contribution proposes to address different aspects of parental posture as regards the decision to seek help (or not) for their child, whether for a physical and/or mental health issue, in order to identify some possible ways of helping the professional. To do this, we will explore different scenarios of the parent's “desire” to consult a medical-psycho-social worker, whose repercussions can result in a situation of child abuse.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;At the risk of being schematic, we propose to group into seven categories the possible postures used by the parent when consulting, or not consulting, a professional for any reason. We accept the arbitrary nature of this classification. It should be noted that each table presented at the moment of the initial professional/parent(s)/child contact can switch from one category to another according to the evolution of several parameters, whether they are individual, relational, or contextual.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result&lt;/h3&gt;&lt;div&gt;We will focus on two specific cases that reflect the adult's massive anxieties towards the child, which can lead to the parent's development of delusions about the child, or a more or less elaborate process of using the state of the young person for a defined purpose. Thus, we will present, on the one hand, situations of parental alienation syndrome (PAS) and, on the other hand, situations in which parents “create” symptoms in their children, whose paradigm is represented by Munchausen syndrome by proxy (MSP).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Behind the desire to seek professional help and the parent's concern for the child, there are sometimes hidden situations of parental inadequacy that are difficult to identify. Thus, let us keep in mind the hypothesis of child abuse, when we question the ins and outs of a consultation approach that gives rise to puzzlement, to a disconcerting parental concern… Let us also point out that we evoke these entities by taking as paradigmatic the case of a mother calling on the professional; it is obvious that many situations concern fathers, certainly when it comes to processes of alienation. In any event, it seems to me useful, from the point of view of relevant support for the child and his or her entourage, to address as precisely as possible the relational context encountered. Understanding without judgment is usually the first step in any care and support intervention. Otherwise, the professional is threatened with being merely an actor immersed (in)-voluntarily, (un)-consciously, in a hypothetically abusive system. Ultimately, we have to be careful when we consider that a child is being used as a tool, because there are many situations…&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;One of the risks for the professional is to take at face value the parent's primary request without taking the time to explore the ins and outs of the process. The child in this case is the object of a consultation, no","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 2","pages":"Pages 302-320"},"PeriodicalIF":0.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090383","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 psychothérapie psychanalytique des psychoses selon Gaetano Benedetti : illustrations au travers de quelques situations cliniques","authors":"Christophe Chaperot (Psychiatre, Chef de service)","doi":"10.1016/j.evopsy.2024.10.005","DOIUrl":"10.1016/j.evopsy.2024.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>The psychotherapy of psychotic patients is the subject of much debate and discussion, with two underlying factors: firstly, the fear of making situations worse rather than better, and secondly, the need to flush out the underlying ideologies likely to aggravate the implicit discrimination of patients under the mask of benevolence, which in reality is rejectionist. Roughly speaking, there are three main approaches: containment of jouissance, which allows the patient to elaborate (with the risk of psychic sclerosis); cognitive remediation, with the risk of ideological normalization; and finally immersion in the psychotic world (with the risk of propping up delirium and the suffering it brings about). In this paper, I will discuss this third possibility, drawing on the thinking of Gaetano Benedetti, and consequently on a psychoanalytical basis. It is neither a question of proselytizing Benedetti's thought, nor of ostracizing other approaches.</div></div><div><h3>Method</h3><div>The main principles of Benedetti's thinking will be taken up again, at the same time as I propose clinical illustrations from my own practice. A brief reminder of the difference between psychoanalysis and psychotherapy will be offered, as well as the impossibility of psychoanalysis with a psychotic patient, which is why my title refers to “psychoanalytic psychotherapy”.</div></div><div><h3>Result</h3><div>It appears that Benedetti's theses, and the praxis that follows from them, do not concern all psychotic patients or all psychoanalysts; they require a kind of special nature that Freud was already talking about in his day. The crucial point is, on the one hand, “positivization” (considering that the delusional patient is telling the truth because it is his reality). The other aspect concerns an attitude of “partial identification”, i.e. identifying with the patient in her psychosis and working in solidarity with her on the basis of his truth.</div></div><div><h3>Discussion</h3><div>Psychoanalytic psychotherapy of psychotic patients using (partial) identification can be an interesting way of gaining access to the patient's most intimate psychopathological mechanisms, in order to offer help as an architect rather than an archaeologist (in Freud's sense of the typical cure).</div></div><div><h3>Conclusion</h3><div>Benedetti has devised a way of approaching psychosis that may prove useful in a number of cases, while putting the possibility of success into perspective. Success results in the construction of an undecidable structure combining unconscious elements of the patient and others of the analyst as a result of identification effects causing a form of unconscious hybridization.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 2","pages":"Pages 185-195"},"PeriodicalIF":0.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090537","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":"Index des auteurs","authors":"","doi":"10.1016/S0014-3855(24)00122-1","DOIUrl":"10.1016/S0014-3855(24)00122-1","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages 857-858"},"PeriodicalIF":0.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721930","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":"Index des mots-cles","authors":"","doi":"10.1016/S0014-3855(24)00123-3","DOIUrl":"10.1016/S0014-3855(24)00123-3","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages 859-867"},"PeriodicalIF":0.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721929","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":"CV2 - editorial board","authors":"","doi":"10.1016/S0014-3855(24)00107-5","DOIUrl":"10.1016/S0014-3855(24)00107-5","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Page CO2"},"PeriodicalIF":0.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721998","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":"Stephen Maas, Possible Confusion, 2013","authors":"Norbert Godon (Artiste, conférencier)","doi":"10.1016/j.evopsy.2024.10.004","DOIUrl":"10.1016/j.evopsy.2024.10.004","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages 849-851"},"PeriodicalIF":0.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721928","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":"Deleuze and Guattari as readers of Freud","authors":"Loreline Courret (Docteure en philosophie)","doi":"10.1016/j.evopsy.2024.10.001","DOIUrl":"10.1016/j.evopsy.2024.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this article is to show that the critique of the place and function of the Oedipus complex in Freudian psychoanalysis implies a critique of Freudian aesthetics.</div></div><div><h3>Method</h3><div>We will first propose a reconstruction of what Deleuze and Guattari take from Freudian aesthetics, namely an aesthetics of form, centered on the theater, and starting from Freud's experience as a spectator of Sophocles’ <em>Oedipus Rex</em>. In a second movement, we will try to identify what Deleuze and Guattari intend to propose to replace this aesthetic of form, and which they name “schizophrenic literature,” situate in the short story rather than in the theater, and explicitly referring to delirium.</div></div><div><h3>Results</h3><div>This strategic reconstruction allows us to formulate a hypothesis: that Freud would have implicitly made the theater the matrix of subjectivity, first in its aesthetics, but also in his individual aesthetic experiences and his preferences for a certain type of literary work.</div></div><div><h3>Discussion</h3><div>This systematic reading of Freudian “creative writing” theory challenges the concept of sublimation as the point of doctrine that rests on the selection of an “Oedipal” corpus and type of art. If the aesthetics of the form can be located in Freud's biography as a “literary effect” whose aesthetic pleasure is found in the economy of the spectator's projections onto the objects on stage, the aesthetics of the formless that is expressed by “schizophrenic literature” mobilizes a violence proper to the sublime: it is not definitively formalizable, and calls for very different feelings that transfigure the coordinates of an aesthetic experience.</div></div><div><h3>Conclusion</h3><div>This schizophrenic tendency of literature leads to an ecological approach to the psychic, attentive to a context where the distinction between nature and culture is never clear.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages e61-e72"},"PeriodicalIF":0.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721926","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}