Thomas de Castelbajac (Docteur en philosophie, psychologue clinicien, psychanalyste) , Pierre Paini (Psychiatre)
{"title":"关于心理危机:非现实的思考","authors":"Thomas de Castelbajac (Docteur en philosophie, psychologue clinicien, psychanalyste) , Pierre Paini (Psychiatre)","doi":"10.1016/j.evopsy.2023.09.005","DOIUrl":null,"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":0.6000,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sur la crise psychique : considération inactuelle\",\"authors\":\"Thomas de Castelbajac (Docteur en philosophie, psychologue clinicien, psychanalyste) , Pierre Paini (Psychiatre)\",\"doi\":\"10.1016/j.evopsy.2023.09.005\",\"DOIUrl\":null,\"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\":0.6000,\"publicationDate\":\"2023-11-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Evolution Psychiatrique\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0014385523001238\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Evolution Psychiatrique","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0014385523001238","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
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.
Methodology
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.
Results
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.
Debate
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.
Conclusion
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.
期刊介绍:
Une revue de référence pour le praticien, le chercheur et le étudiant en sciences humaines Cahiers de psychologie clinique et de psychopathologie générale fondés en 1925, Évolution psychiatrique est restée fidèle à sa mission de ouverture de la psychiatrie à tous les courants de pensée scientifique et philosophique, la recherche clinique et les réflexions critiques dans son champ comme dans les domaines connexes. Attentive à histoire de la psychiatrie autant aux dernières avancées de la recherche en biologie, en psychanalyse et en sciences sociales, la revue constitue un outil de information et une source de référence pour les praticiens, les chercheurs et les étudiants.