Evolution Psychiatrique最新文献

{"title":"La formation aux médiations thérapeutiques par le désart : une éthique psychanalytique","authors":"Selim Sami (Docteur en psychologie clinique, Attaché temporaire d’enseignement et de recherche) ,&nbsp;Frédéric Vinot (Maître de Conférences, HDR, en Psychopathologie clinique – Professeur associé)","doi":"10.1016/j.evopsy.2023.03.001","DOIUrl":"10.1016/j.evopsy.2023.03.001","url":null,"abstract":"<div><h3>Aims</h3><p>This article discusses the place and function of psychoanalytic ethics in therapeutic mediation through art and in the training of therapists in the use of these tools.</p></div><div><h3>Method</h3><p>Starting from a difference between two French translations by P. Lacoue-Labarthe of Adorno's term <em>Entkunstung</em> (<em>désartification</em> and <em>désart</em>), it will be shown that <em>Entkunstung</em> as “disart” introduces a particular dimension that all improvisation summons and aims at: a practice without an object, art without a work. Yet, improvisation specifically concerns therapeutic mediation practices when they are oriented by psychoanalysis. So how can we think about <em>Entkunstung</em> in clinical practices that use <em>art</em> as a therapeutic mediation, and how can we train for it? To answer these questions, we explore psychic and transferential processes in university training workshops.</p></div><div><h3>Results</h3><p>In the training workshops for therapeutic mediation (here through music), we observe the deployment of several dimensions of <em>Entkunstung</em>: a dimension of <em>Entkunstung</em> in the Imaginary (the ruin of group idealization), in the Real (the impossible relationship with the instrument), and, finally, a symbolic dimension of <em>Entkunstung</em> (the insistence on the desire of the clinician-artist-trainer). These three dimensions appear as the Borromean coordinates of an orientation through <em>Entkunstung</em>.</p></div><div><h3>Discussion</h3><p>These training systems transmit much more than an approach to aesthetics or the application of leadership techniques referring to existing protocols. They represent a privileged stage for identifying and establishing the specificity of psychoanalytic ethics in mediation through art.</p></div><div><h3>Conclusion</h3><p>The notion of <em>Entkunstung</em> highlights the articulation of two positions that might at first appear contradictory but which can be reconciled: that of the clinician and that of the artist.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 575-590"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122758268","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":"Un court-métrage sur le harcèlement scolaire : usage de la vidéo comme outil thérapeutique pour un adolescent autiste","authors":"Hélène Toussaint (Psychologue clinicienne, doctorante Université Rennes 2 – RPpsy),&nbsp;Michel Grollier (Professeur des universités, Université Rennes 2 – RPpsy)","doi":"10.1016/j.evopsy.2023.08.001","DOIUrl":"10.1016/j.evopsy.2023.08.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The therapeutic proposal of a video-making workshop demonstrates the relevance of video as a tool for accompanying autistic people in their understanding of situations of harassment and in alleviating the traumatic weight of this experience. The short film has also been the subject of preventive action within schools for young autistic people.</p></div><div><h3>Method</h3><p>A group of four autistic teenagers received in a medico-social service participated in the production of a short film on school bullying. The teenagers created the scenario with the support of three professionals. The case of Jaouen makes it possible to deploy clinical observations and therapeutic support oriented by Lacanian psychoanalysis.</p></div><div><h3>Results</h3><p>Knowledge of bullying situations was built through the scenes shot and viewed during the workshop. In addition, the traumatic aspect of bullying and the link to others and to language have changed for Jaouen, facilitating his inclusion in his school.</p></div><div><h3>Discussion</h3><p>The Lacanian psychoanalytical orientation made it possible to accompany Jaouen towards the construction of a living body, supported by a gradual letting go of his instinctual objects (voice and gaze) and by the support of a double. Learning about bullying is a first step, but there also needs to be a subjective effect to truly support the young person in his relationships with others.</p></div><div><h3>Conclusion</h3><p>Situations of school bullying require the collaboration of the various partners around young autistic people and their parents, but also a place of personal address welcoming the singular inventions of autistic people to reduce their anxieties.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 639-648"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249186","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 reprise dans le champ musical. À propos de la dimension créatrice de la compulsion de répétition","authors":"Nicolas Dissez (Psychiatre et Psychanalyste) ,&nbsp;Édouard Bertaud (Psychologue Clinicien et Psychanalyste)","doi":"10.1016/j.evopsy.2023.06.002","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.06.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The Freudian notion of repetition compulsion is marked, in its inaugural conception, by a negative connotation, that of a return of the same, which does not fully reflect the multiple facets of this register. Raising repetition to the rank of one of the four fundamental concepts of psychoanalysis, Lacan uses Kierkegaard's text entitled “Repetition” to point out the renewal of fecundity that the tendency towards repetition can induce. This article demonstrates how the creative dimension of repetition finds a particularly vivid illustration in the field of music, a domain that makes regular and varied use of the term “repetition.”</p></div><div><h3>Method</h3><p>This article takes up themes deployed in a series of conferences during the academic year 2021/2022 at the École Pratique des Hautes Études en Psychopathologie, associating musicians – Vincent Ségal – psychoanalysts – Marc Morali, Corinne Tyszler, Olivier Douville – and music lovers, Mario Choueiry, and leaving a large place to musical listening. This study, beyond a reading of the repetition as an expression of the death drive, studies the way in which we can hear and put to work this Freudian notion through its manifestation in the musical register. In this paper, we explore the question of repetition in the sphere of popular music but also in jazz and classical music in order to apprehend its articulation with the very movement of creation.</p></div><div><h3>Results</h3><p>In so-called popular music, and mainly in rock music, the covering a song consists in proposing a version, more or less faithful or distant, of an original piece – and not in imitating it. Listening to this cover causes a particular satisfaction in the listener who can identify it. Usually considered as a tribute to the pioneers or the mark of a debt towards elders, the cover version is however above all an attempt, impregnated with hostility, to erase the origin. This is how covers come to not only supplant the original pieces but also to repress them, to make them totally forgotten. Jazz is also attached to covering standards, not only as a necessary learning exercise, but as a way for artists impose their own style and thus gain recognition. The cover of a standard can be the occasion to make audible a blind spot in the original work, or to bring to the surface a trait of identity unknown to itself. Within the context of classical music, the progression of a work is also regularly done through the repetition of a theme that renews itself through slight displacements. Finally, contemporary repetitive music pushes, perhaps to its height, the creativity inherent to the effects of repetition.</p></div><div><h3>Discussion</h3><p>Pleasure, repression, origin, hostility, imitation, and identification: these terms that are related to repetition are closely linked to psychoanalysis, which only has at its disposal the concept of “repetition.” It is, however, typical to hear oneself on the divan taki","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 539-550"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138483989","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":"Créer pour intégrer","authors":"René Roussillon (Professeur d’université)","doi":"10.1016/j.evopsy.2023.09.004","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.09.004","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study is to examine the relationship between psychoanalytic metapsychology and the somatic background of lived experience, in order to explore the question of the place of creation in the current psychic process. It is based on the hypothesis that the work of integrating subjective experience recorded at the somatic level presupposes the creation of a form compatible with psychic functioning.</p></div><div><h3>Methodology</h3><p>It is therefore based on a specific methodology for research into metapsychological modeling, the main thrust of which consists in trying to identify not just one particular statement, but above all the process of theorization that can be identified throughout Freud's texts. In this sense, it is presented as a “clinical theory.” The analysis of the process of theorization, while of course focusing on the propositions that Freud spells out in his texts, is above all centered on an analysis of their sequence, and hence of a certain form of associativity. This method of reading, based on a consideration of the associativity of the texts, assumes the hypothesis of a “transference” from Freud to the “metapsychological witch,” a transference that testifies to the fact that Freud is continuing the self-analytical work begun in the Interpretation of Dreams. For our purposes here, this methodology is epistemologically supported by both work and research from developmental psychology and in certain statements from the neurosciences.</p></div><div><h3>Results</h3><p>In order to articulate psychoanalytic metapsychology more closely to the somatic background of subjective experience, it is necessary to deconstruct the hypothesis of a perception-consciousness system – a hypothesis born of an illusion of the ego in relation to the speed of cerebral processes – in order to emphasize that perception is a somatic process that is highly organized by the complexity of the cerebral operations that determine its form. Giving perception back its place in the soma also requires us to change our conception of the drive, the thrust of which cannot be separated from the impact of subjective experience on the subject's life. Finally, this paradigmatic inflection allows us to delve deeper into the role and function of the ego's core-envelopes, highlighting their dialectic role in the creation of forms compatible with psychic functioning.</p></div><div><h3>Discussion</h3><p>The challenge of the paradigmatic evolution thus implied is to open the way to a new consideration of the archaic processes that are very active in a whole series of narcissistic suffering. It should thus open the way to a type of construction-reconstruction work on early experiences and their impact on the rest of psychic development, but also on traumatic experiences that have many points in common with them.</p></div><div><h3>Conclusion</h3><p>Metapsychology is alive and evolving under the pressure of both clinical and neuroscientific de","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 497-507"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138483980","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":"Corps, réel et écriture chez HP Lovecraft. Pistes sur la création et la psychopathologie","authors":"Patrick Martin-Mattera (Psychologue et psychanalyste)","doi":"10.1016/j.evopsy.2023.03.010","DOIUrl":"10.1016/j.evopsy.2023.03.010","url":null,"abstract":"<div><h3>Objectives</h3><p>H.P. Lovecraft (1890–1937) was an American writer whose work renewed fantasy literature and inaugurated a new genre. His first master was Edgar Allan Poe, but he was also influenced by Lord Dunsany and Arthur Machen. Author of numerous novels and short stories, but also of a rich correspondence of several tens of thousands of letters (as many as 100,000, according to one count!), his world is haunted by the degeneration of bodies, the dissolution of the limits of reality, and the danger of the Other and the intense anguish that it provokes. Preferring the mediation of writing to the real physical presence, Lovecraft expresses a generalized xenophobia tending to racism and based on the disgust caused by the body of the other. The objective of this work is to grasp the psychic dynamics of this writer from two points of view : that of psychopathology and the various diagnoses that have been made, and that of his creative capacity.</p></div><div><h3>Method</h3><p>Lovecraft's personal history as well as his literary work, his correspondence, and the testimonies of people around him are used as material to decipher his creative process, the signs of his subjective position as well as those that could be related to psychopathology.</p></div><div><h3>Results</h3><p>Writing, from childhood on, represented for Lovecraft a safeguard against the dangers of the outside world, the screen that protected him from contact with others and therefore also from reality. Lovecraft's literary genius is absolutely inseparable from his being. Lovecraft became by his own means a being of writing, a <em>scriptbeing</em> rather than a <em>talkbeing</em>. The hypotheses about his (psycho)pathology, numerous and sometimes contradictory, can in no way account for his literary talent. It is rather his dreams that guide him in the writing of his short stories.</p></div><div><h3>Discussion</h3><p>More than an art, more than a formatting of his anguish, more than a deposit and emptying of jouissance, writing for Lovecraft sets up the imaginary screen on which the unbearable real is signified and seized as reality. Writing is for him an addictive, continuous, protective, and necessary exercise : he never stops writing. By its extraordinary extent – novels and correspondence – it occupies the place of the Imaginary, a space where the registers of the Symbolic and the Real are linked together. Thus, for him, the dream becomes a direct and continuous source of creation. The sort of autobiography that has gradually emerged from his correspondence, the testimonies of those who knew him, as well as the reading of his work, have made it possible to establish various psychopathological diagnoses about him that will be submitted for discussion.</p></div><div><h3>Conclusion</h3><p>Lovecraft's personal journey is that of an unfortunate creator, but one whose writing nonetheless contributed to his survival. For it is also an extraordinary journey of self-therapy. Lov","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 509-523"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134259179","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":"Création littéraire et littérature schizophrénique : Deleuze et Guattari lecteurs de Freud","authors":"Loreline Courret (Docteure en philosophie)","doi":"10.1016/j.evopsy.2023.07.007","DOIUrl":"10.1016/j.evopsy.2023.07.007","url":null,"abstract":"<div><h3>Objectives</h3><p>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.</p></div><div><h3>Method</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Discussion</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"88 4","pages":"Pages 525-537"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114928034","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":"Création, créativité, sublimation","authors":"Clément Fromentin (Psychiatre) ,&nbsp;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}