In this text, I have wished to convey how a psychodynamic approach with patients facing cancer-illness, is likely to meet the needs of a great number of cases. By psychodynamic, I mean the transferential approach of trauma, such as was decisively investigated by Ferenczi, D. W. Winnicott, etc….
The specificity of this therapeutic approach, as well when meeting the patient, as throughout the treatment, enables the actual trauma of illness, beside its destructive consequences, to contribute a life – and hope – enhancing experience. Providing the clinician’s listening is based on the working-through of his / her own trauma, it may furthermore bring into reach those traumata of early bonds – such as are transgenerationally or historically induced – allowing the therapist to adjust to (tune into) the urge (call) for being and growth of an unclaimed-for child, and be willing to join in, at the borders between life and death, for a journey through – and out of – breakdown.
Taking the widely studied cleavage between the Breuerian issue of trauma and its Freudian restriction to sexuality as a start, this study aims to question the Freudian formalization. Thus Freud puts from the outset in series the “Freudian sexuality” as a postulate of an universal function for every subject, and its modelizations : its psychic representations as well as the constructions of the partner that result from. This study concludes by developing a hypostatic logic of both father and partner elaborated as complex models.
Summary. The contribution of psycho-analysis in institutions taking care of autistic persons
Among the different, complementary approaches, psycho-analysis has a specific contribution in an individual setting, in the relation with families and in team work.
Meeting with an autistic person with regard for his sensorial interests, without imposing a direct glance and welcoming his sponaneous glances, facilitates communitaion, prevents states of sensorial or emotional saturation and diminishes the spacial anxieties. Before insisting on socially adapted behaviour, it is indicated to work in psychotherapy on the feeling to exist in his body and environment; this helps the launch into a spontaneous relationship and prepares a better availability for the proposed activities and social requirements. Putting words to and talking about bodily difficulties, playing with sensorial variations as well as understanding and making limited behaviour meaningful, will reduce the violent behaviour, hyperagitation, states of emotional saturation, mental clivage and muscular tension. The institutional work based on the analysis of the effects of transfer pays attention to complementary approaches with the families, thus preventing clivages. The tranquility and appeasing effect of this approach diminishes the behavioural problems of autistic persons, makes less medicin is needed and assists in their development. Read more