During addiction’s consommation, time would be supended for the addictive person. Care at the day’s hospital Addictions et Psychiatry of Elan Retrouvé Foundation could help at a restarting for the patient. Thanks to a « pré-admission » time with therapeutics groups (speaking and collage) and regular interviews, the person could find back a people statut and find back the societal time.
Starting from the way psychoanalytical theory has death instinct and its non-pathologiocal evolution, the article examines the evolution af addictions, espacially how these can be sublimated into an identity solution. Clinical examples illustrate this. Reversely, starting from the clinic and the protocol of psychotherapy for drugs addicts as was elaborated in the 90’s, the author shows that the main theorical principles for treating such patients – ever before addictology existed as much – are still valid, as regard the notions of temporality, sdis-sonance or approximation.
Addictive behavior is not always a problem of dependence. For some particularly sensitive people, alcohol and drug abuse can be a way to regulate anxiety and negative emotions. The substance fosters dissociation and makes it possible to regain the sense of strangeness, disconnection and depersonalization already experienced during traumatic events experienced in childhood. This dissociative behavior can take different forms and must be differentiated from addictive behavior during the treatment. After presenting our theoretical presuppositions on overexcitability (Dabrowski, 1964) and trauma-related dissociation, four clinical vignettes and speech from the therapy sessions of these four women will illustrate our point.
DSM 5, which was released in May 2013, did not bring major changes from previous versions but still finds new items, all of them negative.
Abstract. After a critical approach on definition and semantic field of the term feminine alcoholism, the standard thinking and characteristics regarding alcoholism among women will be discussed. Taking care of women with alcoholism in the field of psychiatry, among institutions, may hit to some clinical, ethical, or therapeutic limits. How psychoanalysis can help us thinking in a better way, rather than just better help cure? The body issue in psychoanalysis, the concept of ‘jouissance’ from Jacques Lacan (not the same as ‘enjoyment’), and especially feminine ‘jouissance’, allow us to address the subject of severity in feminine alcoholism from an alternative standpoint.