Contenu du sommaire : Psychopathologies actuelles

Desire child is origin of special education, social patterns and psychic development according to individualisms. From this viewpoint, the author analyses the new pathological syndrome of extinction of the adolescent.

Psychoanalytic ethic is based on words. However today we are seeing increasingly more young patients who substitute behavior for words. As such, the psychoanalyst has to create an opportunity for the child to express herself in words. How can we understand children's agitation? How can we « treat » this and at the same time remain faithful to analytic ethic? Using a child psychotherapy I will to try illustrate how the words of the psychoanalyst, used as a response to the child's behavior, can offer support for the subject and provide access to the child's own words.

Due to significant changes in family structures, the sibling bond is to be considered in a new light, offering himself as a potential new stable unit. This major development should encourage therapists, social workers and legislators to adapt their practices. In the specific context of placement in institution or foster care as well as in the context of adoption, the topic was discussed essentially in articles available in English. The lack of translation of these studies and clinical summaries has an impact on practices and public policies regarding placement in French-speaking countries. A first objective of our article is to summarize some major contributions related to the sibling bond and the context of placement. A second goal is to outline the legal framework concerning siblings. A third objective is to address work on the ground through vignettes, to illustrate the resources of the sibling bond in joint placement. Finally, we will conclude with perspectives in terms of law and clinical training of teams working with siblings.

Art therapy is now widely used in children's psychological pathologies. It is essentially painting, collage, modelling, dance, or music therapy. It is on the same theoretical base that was set up, in a Parisian psychiatric center, a device of sound creation on computer, for children with disorders of psychological development, or moderate autism. The materials are drawn from the daily or distant sound environment, or invented and recorded by the child himself. This work, carried out in tight collaboration with other members of the health-care team, appeared to be an interesting tool, non only as an art therapy, but also by other aspects of the relationship to sound world.

After having presented some specificities of the encounter with extreme trauma (rape, agressions, attacks, genocides), the author is underlining the impacts on symbolization and the particularities of the traumatic process. The focus is also put on the role of the close environment and its importance for symbolization. There are some conditions to the maintenance of the psychic reality and these conditions are dependant on the anaclisis between auto-conservation and psychic sexuality wich is impacted by the traumatic break and the denial (instead of recognition) of the environment. Tenderness is then proposed as a vector for anaclisis.

The concept of decorporalization is nowadays often used as a basis for the clinical approach to prostitutions. The diverse “symptoms” of decorporalization must, however, be put into perspective of the multiplicity of prostitutional situations. Through an ethnographic approach and a “mirroring sociology”, we highlight that the description of these “symptoms” must be re-examined to better take into account individual strategies, collective mechanisms and social relationships.

Between acknowledgement and the possibility of doing harm: the experience of alterity in the case of a former political prisoner of the Chilean dictatorshipAccording to a qualitative methodology of a biographical type, in ‘the unique case' mode, this article analyses the life story of a 73-year-old woman who was a political prisoner and tortured during the Chilean civil and military dictatorship. We seek to determine the sense that the other takes on as alterity in her subjective experience. In the first place, it is the figure of the other who appears in the account of prison, torture and political violence. In this case, alterity is lived in the passage between places of comfort and support, as in political camaraderie, and others characterized by the violence and brutality the role of the torturer and the armed forces incarnated. A particular situation occurs when the aggressor is paradoxically perceived as a good being. In the second place, the alterity presents itself a posteriori, downstream from the situation of political violence, in the transmission of that experience. It assumes a form in the role of witness, as a reparative experience associated with the acknowledgement it implies but at the same time dreaded because of the risk of “harming” he who the account is aimed at. Thirdly, the research context is presented as a particular instance showing the encounter between the participant and another, a researcher, who, as occurred in the previous case, in addition to his role of researcher, serves as witness.

Starting from a fragment of analytic treatment resulting from the clinical addictive phenomena, the author demonstrates how the Freudian and Lacanian concepts are still operative to apprehend clinical practice sometimes described as « contemporary ».

Bariatric surgery is one of the methods used to treat people suffering from obesity. The purpose of the article is to show how this surgery can facilitate a subjectivation work for the patient suffering obesity throught the « mandatory » encounter with a psychologist and how the passage throught the body, throught bodily acting, can help this work of subjectivation.

Based on the analysis of a clinical case, namely a borderline patient displaying several self-realised tattoos, we'll broach three principal characteristics of borderline existence. They are instantaneity, ubiquity and a sense of disappearing-body. Given this original understanding of the trouble, the issue of tattoo practice in borderline people, as well as the very particular relationship they maintain with their own body and other people, will be discussed. We'll also highlight the dialectics between the objectification of the body, as an object which is likely to be manipulated and modified, and the objectivation of the body, as an object gifted with the special and determining power of being animated by a subjectivity. We'll end by emphasising how the borderline personality find its place and is, in a way, in tune with the postmodern evolution of our current society.

Boredom as actual figure of the neurotic bundling up?
Preceding representations and affects, boredom convokes the sensory-perceptive relationship to the environment by binding anxieties of losing sight of the object. This primal endurance is a tonic-emotional resistance when facing psychic traumas which also exist in the neurosis.Short Clinical cases from the practice of the psychoanalytical psychotherapies will show the place of the boredom in the actual neurosis or character neurosis.Boredom can affect the plasticity and sometimes the unity of the subject. This includes fragile neurotic contexts in which the identificatory problematic remains central despite its identitary-narcissistic resonances.Following this line of thought, I will maintain that, just as void is not boredom, the latter is not so much the narcissistic affect of anxieties of emptiness invading borderline subjects, but rather the central figure of actual neurotic organisations.I call perineurotic these problematics of somatopsychic bundling up that, given their structural waverings of identificatory-narcissistic order.