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Guérir et chercher : le cas clinique, levier transversal pour la recherche et la transmission en psychologie. À propos du livre Penser et écrire par cas en psychanalyse. L’invention freudienne d’un style de raisonnement de Guénaël Visentini 治疗与研究:临床案例,心理学研究与传播的横向杠杆。关于《精神分析中的思考与写作》一书。Guenael Visentini的弗洛伊德式推理
Pub Date : 2025-04-01 Epub Date: 2025-03-03 DOI: 10.1016/j.inan.2025.100505
B. Lignier
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引用次数: 0
Pas un rêve de vous, mais un rêve pour vous 不是你的梦,而是你的梦
Pub Date : 2025-04-01 Epub Date: 2025-04-11 DOI: 10.1016/j.inan.2025.100512
V. J. S. Costa , A. Maurin Souvignet , L. Lafraia , P. Castanho

Context

Within the framework of contemporary psychoanalysis, particularly an “expanded psychoanalysis,” we follow René Kaës proposition that dreams occur within a polyphonic network of interdiscursivity. Based on this theoretical perspective, we implemented a device called “Group Dreaming” with elderly participants. To overcome the resistances encountered, we progressively supported an operative group (a device inspired by Pichon-Rivière), centered on the following task: “Reflecting on how dreams can help us understand both the inner world and the outer world.” This group took place in a residential care facility for dependent elderly persons over five weekly sessions.

Method

The analysis method used is qualitative and is based on the “construction of cases” as proposed by Pierre Fédida. This construction follows four steps: the enigma that arises in the analyst's mind, clinical work, supervision, and the production of metapsychology. In this case, the enigma includes the questions that guided the research: “Is it possible to dream knowing that we have little time left to live?”.

Objective

The aim of this article is to gain a better understanding of the status of dreams and the ability to dream in elderly individuals. However, this study is part of a broader project aimed at re-examining the role of dreams within psychoanalytic theory, as well as in group and contemporary social clinics.

Results

Consistent with our previous clinical experiences and René Kaës work, our clinical observations confirm the dual status of subjects, who are always both group subjects and singular subjects. In particular, the data collected reveals that at the end of life, the ability to dream can be reinforced by shifting the act of dreaming for oneself toward an altruistic act: dreaming for another, dreaming for others.

Conclusion

Ultimately, the group, composed of elderly individuals and dedicated to exploring dreams as a means of understanding both the inner and outer worlds, allowed us to consider that sharing dreams provided a psychic outlet for death anxiety, fostering the desire to transmit one's lived experiences to future generations.
背景在当代精神分析,尤其是 "扩展精神分析 "的框架下,我们遵循勒内-卡尔斯(René Kaës)的主张,即梦境发生在一个多声道的相互传播网络中。基于这一理论视角,我们对老年参与者实施了一种名为 "集体做梦 "的方法。为了克服所遇到的阻力,我们逐步支持了一个操作小组(受 Pichon-Rivière 的启发而设计的装置),其中心任务是:"思考梦境如何帮助我们理解内心世界和外部世界"。该小组活动在一家为依赖他人生活的老年人提供的护理机构中进行,每周举行五次会议。 方法采用的分析方法是定性分析法,以皮埃尔-费迪达提出的 "案例建构法 "为基础。这种建构遵循四个步骤:分析师头脑中产生的谜团、临床工作、督导和元心理学的产生。在本案例中,谜团包括引导研究的问题:"本文旨在更好地了解老年人的梦境和做梦能力。然而,这项研究也是一个更广泛的项目的一部分,旨在重新审视梦在精神分析理论中的作用,以及在团体和当代社会诊所中的作用。结果与我们以往的临床经验和勒内-卡尔斯(René Kaës)的著作相一致,我们的临床观察证实了受试者的双重身份,他们总是既是团体受试者,又是单个受试者。特别是,收集到的数据显示,在生命的最后阶段,做梦的能力可以通过将为自己做梦的行为转变为利他行为而得到加强:为他人做梦,为他人而做梦。结论最终,这个由老年人组成的小组致力于探索梦境,将梦境作为了解内心世界和外部世界的一种手段,这让我们能够考虑到,分享梦境为死亡焦虑提供了一种心理宣泄方式,促进了将自己的生活经历传递给后代的愿望。
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引用次数: 0
Des rêveurs en leur « rêvoir » : pour une histoire conceptuelle des rêves et de l’appareil psychique 梦想家的“梦”:关于梦和精神机器的概念性历史
Pub Date : 2025-04-01 Epub Date: 2025-03-19 DOI: 10.1016/j.inan.2025.100509
P.-H. Castel

Background

In the theoretical landscape of psychoanalysis today, the threefold link between dreams/dream interpretation/‘psychic apparatus’ (i.e. the metapsychological synthesis of their mutual relations) appears to be completely fragmented. Each school has its own, or relies on an ad hoc reading of the Traumdeutung, or refuses entirely to justify itself on these grounds. To such an extent that the dream has ceased to be the via regia to the unconscious, but more often a place to apply metapsychological formulae drawn from elsewhere (child psychoanalysis, psychoses, etc.).

Objective

This essay aims, on the contrary, to weave together at least one red thread in the historical development of psychoanalysis, up to its so-called ‘contemporary’ form (Winnicotto-Bionian), by exploring, as a working hypothesis, a sequence of key episodes in this development. It passes through Ferenczi, M. Klein, E. Sharpe, Meltzer, Lacan and Bion. It ends with Bollas, Ferro and Ogden.

Method

An undertaking of this kind is a matter of conceptual history. It therefore combines epistemological criticism with an examination of the concrete historical conditions in which concepts have been used, as a function of clinical practice. It highlights the growing interpretive conflicts between the various possible readings of the final chapter of the Traumdeutung, while attempting to detect a certain dialectical logic, which does not render the final contradictions absolutely irredeemable.

Results-Interpretation

This history yields two results: it highlights the importance of the problems posed by borderline states in post-Freudian dream theories. But it also stresses the unresolved uncertainty that affects their recent developments, because by distancing itself from the original mechanistic model, the psychic apparatus postulated by contemporary versions of psychoanalysis remains suspended in an interpsychic ‘space’ whose contours are difficult to grasp, and because it has ceased to be interested in the deciphering of dreams. Finally, the limitations of this argument, linked to a very limited selection of authors and points of view in the history of psychoanalysis, are recalled.
在当今精神分析的理论图景中,梦/梦解释/“精神器官”(即它们相互关系的元心理学综合)之间的三重联系似乎完全支离破碎。每个学派都有自己的观点,或者依赖于对《创伤论》的特别解读,或者完全拒绝在这些基础上为自己辩护。在某种程度上,梦已经不再是通往无意识的王道,而更多的是应用从别处(儿童精神分析、精神病等)汲取的元心理学公式的地方。相反,这篇文章的目的是,通过探索,作为一个有效的假设,在精神分析的历史发展中,至少编织出一条红线,直到它所谓的“当代”形式(温尼科托-比奥尼)。它经过了费伦齐、克莱因、夏普、梅尔泽、拉康和比昂。最后是波拉斯,费罗和奥格登。这类工作是一个概念历史问题。因此,它将认识论批评与对概念被使用的具体历史条件的检查结合起来,作为临床实践的功能。它强调了对《创伤论》最后一章的各种可能解读之间日益增长的解释冲突,同时试图发现某种辩证逻辑,这种逻辑不会使最后的矛盾绝对不可挽回。结果-解释这段历史产生了两个结果:它突出了后弗洛伊德梦理论中边缘状态所带来的问题的重要性。但它也强调了未解决的不确定性,这影响了他们最近的发展,因为通过与最初的机械模型的距离,当代版本的精神分析假设的精神装置仍然悬浮在一个难以掌握轮廓的精神间“空间”中,因为它已经停止对梦的破译感兴趣。最后,这一论点的局限性,与精神分析史上非常有限的作者和观点的选择有关,被回顾。
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引用次数: 0
Psychanalyse et EMDR : une convergence au regard de la fonction du rêve ? 精神分析与EMDR:梦的功能趋同?
Pub Date : 2025-04-01 Epub Date: 2025-05-08 DOI: 10.1016/j.inan.2025.100515
N. Schlösser
The purpose of this present theoretical article is to first situate the epistemology of EMDR from a comparison of the points of convergence and divergence of this therapy with other therapeutic models (hypnosis, CBT, psychoanalysis). The process proposed in this therapy is similar in several points to that of the psychoanalytic technique. The dream model offers a concrete example of this common point and the contributions of EMDR enrich those of psychoanalysis. The rereading of the Freudian model of dream interpretation by that proposed by Shapiro broadens the understanding of the function of dreams for the individual.
这篇理论文章的目的是首先通过比较EMDR与其他治疗模式(催眠、CBT、精神分析)的契合点和分歧点来定位EMDR的认识论。在这个治疗中提出的过程在几个方面与精神分析技术相似。梦模型为这一共同点提供了一个具体的例子,EMDR的贡献丰富了精神分析的贡献。由夏皮罗提出的对弗洛伊德的梦解释模型的重新解读拓宽了对梦对个体功能的理解。
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引用次数: 0
Canguilhem et les psychologies : l’ambiguïté de la clinique Canguilhem和心理学:临床的模糊性
Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI: 10.1016/j.inan.2025.100511
F. Le Roux
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引用次数: 0
Repartir des rêves 离开梦想
Pub Date : 2025-04-01 Epub Date: 2025-05-14 DOI: 10.1016/j.inan.2025.100519
G. Visentini (Rédacteur/rédactrice associé(e) de la revue In Analysis), E. Schlesinger (Rédacteur/rédactrice associé(e) de la revue In Analysis)
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引用次数: 0
Idées de lecture 阅读思路
Pub Date : 2025-04-01 Epub Date: 2025-05-14 DOI: 10.1016/j.inan.2025.100520
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引用次数: 0
The West: An autoimmune disease? 西方:自身免疫疾病?
Pub Date : 2024-12-01 Epub Date: 2024-11-06 DOI: 10.1016/j.inan.2024.100469
Liviu Poenaru

Context

This work explores the paradoxical stress mechanisms in Western societies, marked by consumption and comfort. Despite the perceived well-being of modern capitalist societies, a profound psychosomatic discontent manifests, reflected in the rise of stress-induced illnesses, autoimmune diseases, and psychiatric disorders. The article uses the metaphor of autoimmunity to describe Western societal dysfunction, drawing parallels between biological self-destruction and societal self-harm driven by hyper-individualism, economic pressures, and digital dependencies.

Objectives

This study aims to analyze the mechanisms through which Western societies contribute to self-destructive processes, paralleling the way autoimmune diseases function within the body. It seeks to demonstrate how excessive control, consumerism, and the digital environment exacerbate stress, which in turn contributes to both physical and psychological deterioration. The philosophical question underpinning this analysis is whether the societal and economic systems in the West are undermining the self-defense mechanisms of their members, akin to an autoimmune response.

Method

The article adopts a qualitative and theoretical approach, integrating concepts from psychology, psychoneuroimmunology, and epidemiology. The author incorporates clinical observations, epidemiological data, and philosophical reflections to explore the effects of chronic stress on mental and physical health. Drawing on psychoneuroimmunology, the research explores the bi-directional interaction between the mind, nervous system, and immune function, focusing on the relationship between stress, inflammation and autoimmune diseases.

Results

Our exploration reveals a significant correlation between the rise of autoimmune diseases and the psychosocial stresses of Western capitalist societies. Epidemiological data support the link between chronic stress, psychiatric disorders, and autoimmune conditions. The article also highlights how the digital economy's manipulation of stress and fear (such as through FOMO) contributes to widespread psychological distress. This stress, in turn, disrupts immune function, leading to a cycle of physical and psychological degeneration.

Interpretation

Western societies, through their relentless pursuit of control, comfort, and consumption, create environments of heightened stress that mirror the dysfunctions of autoimmune diseases, where the body turns against itself. The research suggests that modern capitalist structures are pathogenic, exacerbating stress, weakening immune resilience, and fostering mental health crises. The article concludes that a holistic approach is necessary to address this systemic dysfunction, advocating for a reconceptualization of health that integrates mental, physical, and societal well-being.
背景这部作品探讨了以消费和舒适为特征的西方社会中自相矛盾的压力机制。尽管现代资本主义社会被认为是幸福的,但人们却表现出深刻的心身不满,这反映在压力引起的疾病、自身免疫性疾病和精神疾病的增加上。文章以自身免疫力为隐喻来描述西方社会的功能失调,将生物自我毁灭与超个人主义、经济压力和数字依赖所驱动的社会自我伤害相提并论。它试图证明过度控制、消费主义和数字环境是如何加剧压力,进而导致身体和心理恶化的。这一分析所依据的哲学问题是,西方的社会和经济体系是否正在破坏其成员的自我防御机制,类似于一种自身免疫反应。方法本文采用定性和理论方法,整合了心理学、心理神经免疫学和流行病学的概念。作者结合临床观察、流行病学数据和哲学思考,探讨了慢性压力对身心健康的影响。研究以心理神经免疫学为基础,探讨了心理、神经系统和免疫功能之间的双向互动关系,重点研究了压力、炎症和自身免疫疾病之间的关系。结果我们的探索发现,自身免疫疾病的增加与西方资本主义社会的社会心理压力之间存在显著的相关性。流行病学数据支持慢性压力、精神障碍和自身免疫疾病之间的联系。文章还强调了数字经济对压力和恐惧的操纵(如通过 FOMO)是如何造成广泛的心理困扰的。这种压力反过来又会破坏免疫功能,导致生理和心理退化的循环。释义西方社会通过对控制、舒适和消费的不懈追求,创造了压力增大的环境,这种环境反映了自身免疫疾病的功能障碍,即身体与自身对抗。研究表明,现代资本主义结构具有致病性,它加剧了压力,削弱了免疫复原力,助长了心理健康危机。文章最后指出,有必要采取整体方法来解决这一系统性功能障碍,倡导重新认识健康,将精神、身体和社会福祉融为一体。
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引用次数: 0
Économie psychique et écoanxiété. Ce que la théorie freudienne apporte à l’écologie politique 心理经济与生态焦虑。弗洛伊德理论对政治生态学的贡献
Pub Date : 2024-12-01 Epub Date: 2024-11-29 DOI: 10.1016/j.inan.2024.100478
Alain Deneault

Context

The metapsychology expounded by Sigmund Freud in his First Topic of 1915, and the study of anxiety phenomena emphasized in the author's Second Topic from 1923 onwards, provide political ecology with conceptual elements for analyzing phenomena such as ecoanxiety.

Objectives

The aim of this text is to show how the psychic object is constituted in the original psychoanalytic theory, and how this approach enables us to measure the scale of the crisis represented by what is known in political ecology as ecoanxiety, but which is more often than not akin to ecoanguish.

Method

This conceptual approach proceeds by textual analysis, integrating psychoanalytical discourse with philosophical approaches, as was common practice in France during the last third of the 20th century.

Results/Interpretations

The result is an appraisal of the construction of substitute objects that the subjects of the epoch into which the ecological crisis plunges us tend to give themselves, out of an inability to give themselves objects in keeping with the unprecedented scope of today's problems.
西格蒙德·弗洛伊德在1915年的《第一主题》中阐述的元心理学,以及1923年以后在《第二主题》中强调的对焦虑现象的研究,为分析生态焦虑等现象提供了政治生态学的概念要素。本文的目的是展示精神对象是如何在最初的精神分析理论中构成的,以及这种方法如何使我们能够衡量政治生态学中所谓的生态焦虑所代表的危机的规模,但这往往与生态痛苦相似。这种概念性的方法通过文本分析进行,将精神分析话语与哲学方法相结合,这是20世纪最后三分之一时期法国的普遍做法。结果/解释结果是对替代对象的构建的评估,生态危机使我们陷入的时代的主体倾向于给予自己,因为无法给予自己与今天问题的前所未有的范围相一致的对象。
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引用次数: 0
Intergenerational transmission of resilience, resistance and trauma: Philosophical persistency in existential analysis 复原力、抵抗力和创伤的代际传承:存在分析中的哲学持久性
Pub Date : 2024-12-01 Epub Date: 2024-11-05 DOI: 10.1016/j.inan.2024.100468
J.-M. Darves-Bornoz
<div><h3>Context</h3><div>Resilience is implicitly thought to be a capacity that some have without having done much to obtain it, so that the notion of resistance to existential wounds, such as trauma among others, remains necessary. Resistance does not always cause healing and fulfillment, especially in child trauma, but it is legitimate to embark on it. All therapies consist in resuming a development, whatever the blockage that stopped it: existential or organic, current or archaic, due to a personality or temperament. They attempt thus an <em>intergenerational neo-transmission</em>.</div></div><div><h3>Objective</h3><div>This article defends five theoretical theses that are equally useful in practice and technique. They underline the strength of existential psychoanalysis, as each individual appears dissimilar in the face of a potential narcissistic wound, including trauma.</div></div><div><h3>Method</h3><div>Five paragraphs in the article first summarize a thesis in their title, and then explain its roots and extent. Their arguments rely on observational and epidemiological clinics, as well as psychodynamic and philosophical theories. In trauma, we parallel theory and technique with practice to approach knowledge. Helping survivors often excludes their confrontation to an experimental repetition, with or without some mathematical methodology.</div></div><div><h3>Results</h3><div>(1) Perceptions are not neutral. Any event, narcissistic wound or trauma is perceived by the subjects through their own vision of the world, which can then fracture. Subjects should reconstruct their perception of the world, but they do not always do that. (2) Resistance spontaneously evokes military fight or, in a psychoanalytical framework, a psychological obstruction by patients. The meaning of resistance in our case is different. Resisting a traumatic destruction is an emotional and intellectual effort to move beyond stupefying awareness. (3) Existence fragments the psyche, but not necessarily up to pathology. Trauma often dissociates fragments, whereas other experiences rarely so isolate. (4) The intergenerational transmission of internal images, from psyche to psyche, influences exposure to adverse events. It also exists, once the event occurred, an intergenerational transmission of vulnerability or resistance to trauma: it refers less to the fragmentation of psyche than to the transmission – or not – of associative praxis enabling a conversation between the individualized sectors of psyche. (5) All psychoanalyses move thoughts from fragments of the psyche to others. Associating these fragments frees thought and prevents mistakes. Associative effort on internal images makes identity truer. It frees from repetitions and alienating identifications. Otherwise, an alienated or poorly associative self would remain unaware of the close link of some dissociated fragments.</div></div><div><h3>Conclusion</h3><div>The ideas presented here emerged insistently throughout de
背景复原力被隐含地认为是一种能力,有些人不需要付出太多努力就能获得这种能力,因此,抵抗生存创伤(如创伤等)的概念仍然是必要的。抵抗并不总能带来治愈和满足,尤其是在儿童创伤中,但开始抵抗是合理的。所有的治疗方法都是为了恢复发展,无论阻碍发展的障碍是什么:存在的还是有机的,当前的还是过时的,由于个性还是气质。因此,它们试图进行代际新传递。本文为五个理论论点辩护,它们在实践中和技术上同样有用。他们强调了存在主义精神分析的优势,因为每个人在面对潜在的自恋创伤(包括创伤)时都显得与众不同。方法文章中的五个段落首先总结了标题中的论点,然后解释了其根源和范围。他们的论点依赖于观察和流行病学诊所,以及心理动力学和哲学理论。在创伤方面,我们将理论和技术与实践并行,以接近知识。帮助幸存者往往将他们的对抗排除在实验性重复之外,无论是否使用了某种数学方法。任何事件、自恋伤害或创伤都是受试者通过自己的世界观感知到的,而这种世界观可能会断裂。受试者应该重建他们对世界的感知,但他们并不总是这样做。(2) 抵抗自发地唤起军事斗争,或者在精神分析的框架内,唤起患者的心理障碍。在我们的案例中,抵抗的含义是不同的。抵制创伤性破坏是一种情感和智力上的努力,以超越令人目瞪口呆的意识。(3) 存在使心理碎片化,但不一定导致病态。创伤通常会使碎片分离,而其他经历很少会使碎片分离。(4) 内在形象的代代相传,从心理到心理,影响着不良事件的暴露。一旦事件发生,对创伤的脆弱性或抵抗力也会代代相传:与其说它指的是心理的分裂,不如说它指的是联想实践的传递--或不传递--使心理的个体化部分之间能够进行对话。(5) 所有的精神分析都是将思想从心理的片段转移到其他片段。将这些片段联系起来可以解放思想,避免错误。对内在形象的联想使身份更加真实。它使人摆脱重复和异化的认同。结语本文提出的观点是在几十年的干预和人类的不同实践(欧洲、中东、美洲)中不断出现的。当今最常见的治疗方法被其支持者描述为对持续的创伤状态毫无用处,相反,存在主义精神分析似乎适合真正的存在基础。此外,存在主义精神分析还能对症下药:特别是,它能减少求助于解离性的古老防御手段,无论是心理上还是身体上的表现。然而,它的目标并非如此。存在主义精神分析试图向受试者揭示,如果他们将所接受的关于世界的观念视为自由选择,那么他们就是在放弃自己的自由。
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引用次数: 0
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