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From impulsive eruption to somatic explosion or the psychic stakes of somatisation

Par : Type de matériel : TexteTexteLangue : français Détails de publication : 2024. Sujet(s) : Ressources en ligne : Abrégé : In certain psychic and psychopathological configurations, verbal language alone no longer occupies the centrality of the intersubjective scene. The clinic of mental disability invites the analyst to change paradigm if he wants to hear the subject in his link to the other. No longer merely caught up in language, the imaginary or phantasm, the body of the disabled also represents a voice of expression of the drive register. As a real body in action, mobilising somatic reality as much as psychic and imaginary reality, it reveals itself as a bearer of meaning. The analyst is called upon to testify to the subject about the trauma experienced, and supports the emergence of the process of subjective appropriation by offering the subject a place of identity and sublimation for a story in search of a form. The subject’s involvement in this signifying co-construction reveals not so much the inadequacy of her psychic functioning as his effort to symbolise representations that were previously unassimilable. We propose, through clinical sequences elaborated between professionals of the medico-social field and in our singular interviews, the exploration of the history of a woman, mentally deficient and psychotic, admitted in an institution following intra-familial sexual abuses. The resident will first develop morbid obesity, then a serious dermatosis and later an aggressive tumour, revealing a soma caught in the demand of an eruptive impulsive activity in defiance of its erogenous organisation, carrying as much a cataclysmic mortiferous unbinding as a real symbolising potentiality.
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In certain psychic and psychopathological configurations, verbal language alone no longer occupies the centrality of the intersubjective scene. The clinic of mental disability invites the analyst to change paradigm if he wants to hear the subject in his link to the other. No longer merely caught up in language, the imaginary or phantasm, the body of the disabled also represents a voice of expression of the drive register. As a real body in action, mobilising somatic reality as much as psychic and imaginary reality, it reveals itself as a bearer of meaning. The analyst is called upon to testify to the subject about the trauma experienced, and supports the emergence of the process of subjective appropriation by offering the subject a place of identity and sublimation for a story in search of a form. The subject’s involvement in this signifying co-construction reveals not so much the inadequacy of her psychic functioning as his effort to symbolise representations that were previously unassimilable. We propose, through clinical sequences elaborated between professionals of the medico-social field and in our singular interviews, the exploration of the history of a woman, mentally deficient and psychotic, admitted in an institution following intra-familial sexual abuses. The resident will first develop morbid obesity, then a serious dermatosis and later an aggressive tumour, revealing a soma caught in the demand of an eruptive impulsive activity in defiance of its erogenous organisation, carrying as much a cataclysmic mortiferous unbinding as a real symbolising potentiality.

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