The decline of psychoanalysis in institutions: homophobia , theoretical dogmatism and therapeutic competition

This text aims to reflect on the origins of the current decline of psychoanalysis in the western institutions and particularly in France. To be more precise, what we have to establish is that the factors which enabled its dissemination are also those which led it to disappear today, namely: the homophobic use of those theories and practices that met hygienist policies in the late XIXth century, and now prejudice it; the lack of an epistemological dimension which was not essential at the time of expansion is now detrimental to its practice in healthcare institutions and in scientific research structures; and finally the absence of theoretical and practical alternative of the early years has given way to an important therapeutic competition with the rise of cognition behavioral therapies. ( CBT)

Dialogue between psychoanalysis and psychiatry

Summary.

This text aims to establish a dialogue between psychoanalysis and psychiatry showing their complementarity, their semantic approach of the symptom and their possible divergence in the outcome of the treatments they provide.

Based on texts by Freud and Lacan, we note that the division of the subject, which is at the origin of its reflexivity, leads the analyst to consider « what speaks » while the psychiatrist will rather wonder about « what we are talking about » as Foucault’s history of the clinic seems to claim.

Psychoanalysis & Psychiatry

The author shows that the debate between psychoanalysis and psychiatry refers to the debate between two incommensurable metaphysical paradigms : on one side, the subject becomes the en-joyment of another meeting, on the other side, the subject comes out of its mother’s womb already reinforced by reason, so that the symptom is at first the effect of the report to the enjoyment when it is for the latter the effect of a brain disorder or a disorder of lear-ning. From this it follows irreconcilable therapeutic practices where it is one side of the fulfilment of a subject and another of its so-cietal adaptation.

The other side of the subject. Psychiatry under question

Abstract
The intention of this paper is to note the contrast between theoretical and clinical psychiatry and psychoanalysis, in which  the psychiatry does not notice the question of the subject and   the psychoanalysis take it seriously this issue. The impact of the discourse of neuroscience in psychiatric discourse has alienated the issue of insanity from the register of truth. By the way.the question of the truth of madness was taken in a crucial way by the psychoanalysis .

Psychiatric care and Other’s treatment

This article has two goals: the first one is to expose how the institutional therapeutic work in psychiatry based on psychoanalytic patterns constitutes in the same time a treatment of the patient and a treatment of the Other in a lacanian sense, which includes the treatment of the institution itself. We would like on the other way to put in perspective this psychoanalytic approach with the most classical medical act of the psychiatrist which is the pharmacological prescriptions, not as usual, to oppose it to psychodynamic approach, but really to integrate them.

Chemical metamorphosis of the subject : another story of psychopharmacology

Abstract. The vast majority of studies on the history of psychiatry is devoted to a period that begins at the ” classical age ” and ends in the late nineteenth century. Our historical analysis , discusses the production of mental medicine in the heart of the twentieth century. By the end of the Second World War, the properties of multiple substances assumed to act on the mind were intensely explored , analyzed, codified and manipulated. We will see how these substances initially aimed to primarily exploration of a supposed truth of the subject by the induction speech. Then, we will consider the genealogy and peculiarities experiences with chlorpromazine , called neuroleptic. In recent years, these experiences have forged new practices and new discourse on the power of drugs, on mental illness and on the subject, which continue until this day under two forms: one disciplinary; psychopharmacology and the other transgressive, known as modern addiction. Today psychoactive substances and their effects are in crisis. Their promises of efficiency and assumptions not remain valid . A neuroscience of a neo-localizationism marked by medical imaging and brain circuits seems to take over. This article attempts to explain how and in what way these transformations, far beyond of modern psychiatry, have profoundly affected the assumptions, practices and representations, in terms of both mental illness than the construction of the contemporary subject.

VARIA. Roles games and identity standards, clinical fragments of a psychoanalytic psychodrama

Summary : In this paper, we will go through some moments of Kevin’s therapy, a young psychotic teenager we met within the setting of an individual analytical psychodrama. We will be interested namely in presentations of sexuality and its orientations, such that they are at stake in the psychodrama scenes and during debriefing times, from both the patient’s and the therapists’s points of view. We will be led to question the presence of a possible heterosexual (thus normed) psychic setting that would be proposed by the therapists, in order to identify it and examine its defensive function.