Le regard paranoïaque à l’épreuve du visage neutre

Objectives

For paranoid patients, the confrontation with a neutral face is a perceptual and interpretative challenge. Since birth, faces seem to be the favorite visual stimulus of humans, and unexpressive faces tend to provoke discomfort (according to the still face paradigm). Considering their symptoms, this discomfort might be particularly strong for paranoid adult patients. Images of neutral faces are often used in eye-tracking studies to mesure scanpath impairments, but almost only draw a comparison with expressive faces. A short review of eye-tracking studies, in which neutral faces are presented to paranoid patients, could allow a first interpretation of visual exploration impairments and their relational consequences, through the prism of the paranoid symptoms revealed by the unexpressivity of the face.

Le passage à l’acte à l’épreuve du post-contemporain

Objective

The starting-point of this article consists in considering what is contemporary as being post-contemporary. Like the present, what is contemporary is something that cannot be pinned down. It requires hindsight in order to analyse it. Our first objective is to approach our post-contemporary age as being characterised by radicality. This takes the form of a search for origins, which shows up in a return of the religious, alongside the emergence of an anguish reducing things to nothingness. Solitude is a characteristic of this radical position, raising the issue of an otherness that turns anguish into hatred, whether of oneself or of the other. Indeed, the post-contemporary subject acts-out when faced with social ties and a culture that can no longer uphold him. Our second objective is to demonstrate that the effect of this radical position leads the subject to use his body as the only way out. Having become an external organism, the body comes to represent that which is intolerable for the subject. In order to escape anguish turned into hatred, the subject excludes himself from his own body. Finally, the third objective is to show how the free radical subject is a product of ‘liberal’ society, seeking to create his freedom at every moment.

Violences conjugales,analyse du lien violent à l’épreuve du confinement

AimThe aim of this article is to present the preliminary results of a multidisciplinary research project, which focuses on the potential effects of lock-down on intra-family and domestic violence. More specifically, it is a question of considering the effects of confinement on the precipitation of the violent marital bond, in order to consider the difficulties and levers identified by the perpetrators as well as the victims to get out of the violent circularity.MethodQuestionnaires were widely distributed on social networks. Some are intended for perpetrators, others for victims. All question the evolution of the marital bond in the test of lock-down and the way in which the subject positions himself in the couple relationship. Interview grids have also been developed. Perpetrators and victims of domestic violence were therefore able to be met in the context of semi-structured interviews aimed at evaluating the impact of confinement on the dynamics of the violent bond between the two partners.ResultsThe first trends indicate a magnifying effect on the effects of influence in the couple, increasing the expression of violence, whether pre-existing to the lock-down, or revealed by them. The hold in the relationship and the attempt to master the other are, it would seem, to be read from the angle of a counterbalancing of the experience of passivity linked to the fact of feeling “locked in”, subject to constraints. imposed spaces. The resources to get out of this violent circle and the process of constraint, do not seem to be able to be mobilized, as if lock-down removed any possibility of seizing the levers likely to stop the violent process.     

La filiation adoptive à l’épreuve du traumatisme

Introduction

In recent years, in order to respect the principles of the 1993 Hague Convention, international adoption has focused on children with “special needs”. These children are difficult to adopt because of their personal situation or their state of health. International adoption leads adoptive parents to move to a foreign country with unknown language, customs, culture and administrative formalities, leading to a feeling of loss of control, placing them in a vulnerable position. Some international adoptions cause real suffering for both the adopted child and his/her parents, especially when trauma disrupts the filiation process.

La demande du tiers et la validité de l’hospitalisation à la demande d’un tiers : mise en œuvre de l’hospitalisation

The present study aims at analyzing the attributes of the applicant validating or invalidating the request for hospitalization of a third party (hospitalisation à la demande d’un tiers — HDT) and thus, the hospitalization of the patient under that rule. Based on a clinical case of initial refusal of a hospital management to pronounce the hospitalization at the request of a third party of a patient, followed by its retraction, this study re-examine the text of the law No. 90-527, of June 27, 1990, modified, relating to the rights and the protection of people hospitalized for mental disorders and to their conditions of hospitalization, in particular the article L. 3212-1 of the public health code, taking into account its original version, the notices, the circulars, various administrative documents by reconsidering the practical scope of the article, in support of the precedents. Fulfilling the third party request for hospitalization, a compulsory component for validity of the process of hospitalization at the request of a third party, proves sometimes to be a difficult stage, source of great teething troubles and cancellation of many hospitalizations, not to say start of legal proceedings.     

Protocole d’évaluation interdisciplinaire du regard,des fonctions perceptives et praxiques chez l’enfant

This article provides a protocol for an interdisciplinary assessment of perception and praxis for children. Understanding the term “dyspraxia” was a key point to our approach, with the purpose of providing better help for the children we work with. Most of these children have cerebral palsy with relatively preserved intellectual capacities. First of all, we have elabored a theoretical model based on recent scientific data. This has served as a guideline in selecting standardized tests and developing the protocol. Which brought out in this way, multiple fields of perceptual functions and praxis. We will also discuss the testing of “vision” (central and peripheral vision, oculomotricity, eye-hand coordination, visual scanning and exploration strategies) which is essential in measuring perceptual and praxis functions. Then, a reflection on the assessment of visualspatial, visual-perceptual and visual-constructive processing is proposed. Finally, we will discuss ideomotor and ideatory aspects of the praxis functions as well as the relevance of assessing bucco-linguo-facial praxis functions in this context. The benefit of this protocol is the fact that it combines diverse scientific data and interdisciplinary clinical experience (neuropsychologist, occupational therapist, speech therapist and physiotherapist) to make a precise diagnosis for to target and efficient intervention.     

Rupture du Moi-corps à l’adolescence

From the essential notion, clinical and theoretical “breakdown”, the authors present in this text the observation of a teenager aged fourteen. This young girl “triggers” at the beginning of her pubertal metamorphosis, at the age of twelve, paralysis of the lower limbs. The psychotherapeutic technical work undertaken reveals a massive, intrapsychic and intersubjective tension in the maternal and more largely family environment.     

Schizographie,l’avant-garde d’un symptôme

Aims

This article sets out to demonstrate the heuristic value of exploration of a notion that originated from clinical observation in a particular psychiatric domain, that of the schizographia/schizophasia dyad, and its effects on the history of psychoanalysis, via the conceptualisation by Lacan. It also looks at the way in which this history contributes to what was at the time the avant-garde of poetry and literature.

Qu’est-ce qu’une narration ? Les fonctions psychiques de la narration

Aims

The purpose of our reflection is to identify the contributions of the “narrativist” approach in psychoanalysis, and to show how they derive from a fundamental philosophical heritage, Paul Ricoeur's work on time and narrative. In this perspective, the psychic functions of the narrative are presented and differentiated. This reflection adopts a clinical and ethical approach, which explores the notion of “narrative identity”.

Les impasses de la psychiatrie à travers le cinéma : Mommy,Vol au-dessus d’un nid de coucou,Shutter Island

The treatment of the mental illness in the psychiatric institution raises the question of the human condition within the social body. Filmakers use shortcuts or caricatures, they convey myths and prejudices, but they can also expose a part of realities… Three movies talk about impasses of psychiatry and related issues: Mommy, by Xavier Dolan (Quebec 2014); One Flew Over the Cuckoo's Nest, by Milo? Forman (USA 1975); Shutter Island, by Martin Scorsese (USA 2010). Beyond the storyline, these three films recall the limits of psychiatry: first in relation to its role of societal control, then regarding some of these therapies, coercive or invasive practices, such as deprivation of liberty or lobotomy. They also force the psychiatrist to look at the problems of normal or pathological when offering psychopathological models on the edge of madness.