现象学研究狂躁的当前形式:从欣快到焦虑

IF 0.6 4区 医学 Q4 PSYCHIATRY
Fernando Landazuri (Psychiatre, patricien hospitalier)
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引用次数: 0

摘要

目的考虑到躁狂目前流行的符号学形式是烦躁不安的,而不再像经典描述的那样是欣快的,作者建议采用现象学方法来研究躁狂。在简要地尝试制定一些与这种符号学修饰的发生有关的假设之后,这将是一个寻求综合征狂躁的统一的问题,尽管,或者更确切地说,通过这些似乎先验地完全对立的符号学表现模式。方法:主要依靠与躁狂现象研究相关的奠基作品(主要是宾斯旺格和伊),但不离开精神分析的启发式视界,我们将努力界定躁狂特有的还原约束(epochè),以及表征躁狂最接近的现象学意义的方向。结果躁狂去人格化和忧郁一样,都是从一种激进形式的情感中和中产生的,其在时空性和主体间性方面的矛盾推论需要澄清。狂躁的二律背反(宾斯旺格)戏剧性地收紧了生与死的交错结,使空间和时间的扩张和收缩混合在一起的极端紧张得到解放,这可以用跳跃(眩晕或飙升)的形象来表现,在飞行和坠落之间;而在主体间的领域,缺乏理解和“大嘴巴”的存在形式决定了躁狂主体与他者相遇的典型误导。躁狂二律背反将忧郁的痛苦与反痛苦的生命飞跃联系在一起,这是精神分析和精神分析方法有助于澄清的。历史化的丧失,甚至是主观匿名化,这些都是躁狂和忧郁的特征,以至于使它们成为“非历史精神病”(宾斯旺格),然而,以一种“纯粹的自我痛苦”(宾斯旺格)的形式,我们将试图详细说明自我的自我归属体验。结论情绪成分(欣快或不安)最终在躁狂过程中替代出现。躁狂现象源于一个非常独特的情感时代,涉及到跨可能性(Maldiney),其符号学结果似乎与这种不存在的张力的出现有关,这种张力使躁狂经历变得全面,或者更确切地说,是实验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation phénoménologique des formes actuelles de la manie : de l’euphorie à la dysphorie

Objective

The author proposes to take up the phenomenological approach to mania, considering that its presently prevalent semiological form is dysphoric, and no longer, as was classically described, euphoric. After having briefly attempted to formulate some hypotheses relating to the occurrence of this semiological modification, it will be a question of seeking the unity of syndromic mania in spite of, or rather through, these modes of semiological presentation that seem a priori to be radically opposed.

Method

Relying mainly on the founding works relating to the study of manic phenomenality (mainly by Binswanger and Ey), but without leaving the heuristic horizon of psychoanalysis, we will endeavor to circumscribe the reductive constraint (epochè) specific to mania, as well as the directions of phenomenological meaning that characterize it most closely.

Result

Manic depersonalization proceeds, as does melancholy, from a radical form of affective neutralization, whose paradoxical inferences in the registers of spatio-temporality and intersubjectivity will need to be clarified. The manic antinomy (Binswanger), dramatically tightening the chiasmatic knot of life and death, engages the emancipation of extreme tensions mixing expansion and retraction of space and time, which can be represented by the image of a leap (vertiginous or soaring), between flight and fall; while in the domain of inter-subjectivity, the lack of apprehension and a “loud-mouth” form of being determine the characteristic misdirection of the encounter with the other by the manic subject.

Discussion

The manic antinomy joins the melancholic agony to a counter-agonic vital leap, which the daseinsanalytical and psychoanalytical approaches help to clarify. The loss of historicization and even the subjective anonymization that characterize mania as well as melancholy, to the point of making them “a-historical psychoses” (Binswanger), nevertheless leave intact the experience of self-belonging of the Ego, in a form of “pure ego distress” (Binswanger), which we will try to specify.

Conclusion

The mood component (euphoric or dysphoric) ultimately appears vicarious in the manic process. Manic phenomenality stems from an eminently singular affective epoch‘e, touching on trans-possibility (Maldiney), the semiological outcome of which seems linked to the emergence of this tension of nonexistence that totalizes the manic experience, or rather, experimentation.
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来源期刊
CiteScore
0.70
自引率
50.00%
发文量
72
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.
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