From money to inestimable, what do therapeutic clubs deal with ?

Abstract

After detailing the emergence of the “Therapeutic Club” in Saint Alban’s Hospital, this article strives to follow the concrete economic channels in works that describe how such clubs are managed — tools that are known to generate an inestimable disalienation work. From a clinical point of view, the place of exchanges supported by the various social and ergotherapies they organize are pointed out, as well as the benefit of freedom of movement between articulated spaces, as close as possible to the daily field. The currency concept introduces a triangulation of these exchanges (constituent of what authors call institution), and money circulation and manipulation thereby provoke exchanges of speech. Close to a self-managed cooperative model, these clubs are governed by the 1901 French law that regulates associations. This access to an autonomous legal personality encourages the development of “active therapies”. Can the “money thread” — the guide of this description — be useful to the evaluation of other inestimable works?

The playing area of foundational praxis

Abstract. The institution, in the meaning of the act of instituting, is made possible by the creation of multiple play areas (in oneself, inside the group, inside the society). In the daily clinical work, that introduces a fight against the naturalization of the psychotic processes and the institutional phenomena. To open to the complexity of the human relationships and to the consideration of the weaknesses of institutions and people, to put them into the work, is the stake in the instituent praxis.

Institutional psychotherapy today: a gender policy?

Abstract. The “ambiance”, that Jean OURY held so dear, may no longer exist. We can ask ourselves about the repercussions of scientific and capitalist speeches on the institutional reality of psychiatric care centers. But by asserting certitudes, as either “good practices” or “good economic sense”, are we not preventing thought and debate, meaning that we are reducing politics to an obsolete practice, if not in vain? In our center, association under the French law of 1901, that politics seems to have nurtured since its origin, we want to believe that the disalienation so dear to Marx – as impossible as it may be (as said by Lacan) – must be the goal toward which our practices aim.  As close to the clinical reality of our daily life of psychiatric caregivers as possible, with the risks that psychosis produces, such as isolation, we will present an attempt recently undertaken with our patients, one that is institutional, therapeutic, and political.

What the patients pass on to us

Abstract: Our purpose will be an attempt to put into perspective the elements of a logic of transmission so that the transmission itself, as logical position in relation to knowledge or even more to non – knowledge. From a first point is the encounter with a patient, will be unfolded and articulated the question of otherness, that of instituting separation, position relative to a point of no knowledge. The knowledge is not there to hear their differences with misleading knowledge, as knowledge on the side of learned ignorance. Through clinical notes will be discussed accepting to be moved and transformed by a  patient, the ability to ex- position in relation to the institution but to get out of the fascination generated by the statements of some patients. This sometimes  invisible transmission from patients may question our know how of psychoanalyst but also our clinical know how of practitioner in institution and our responsibility.

The radical transformation of the clinic as a product of the transmission of clinical meetings with transsexual people

Summary. The clinical encounters with transsexuals have profoundly changed my psychoanalytic view, in practice and in theory. This radical transformation will be studied from the Lacanian clinic starting from the obstacles that are presented theoretically in my clinical experience. The confrontation with the enigma transsexual will cause a radical change in which knowledge produced by transgender people themselves has a decisive part. The concepts of structure and disease will be excluded and it is with the last part of Lacan’s teaching, knots, mingled with Marx’s theories of value as operating logic will be implemented.

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.

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.

Psychosis Logics

Abstract. This article sketches out a metapsychology of psychosis, by focusing on the description only of the psychic processes that are specific to each psychotic disorder, so as to reveal what kind of logic is specific to it, and to hignlight the space or time dimension that is passed over by the patient. Indeed, speeches and behaviours in psychosis often seem inconsistent to us, but they follow logical psychic processes that are specific to each disorder, as this article intends to show from patient cases. It deals with how missed experiences of space and time lead psychotic patient to follow imaginary logics, also called formal logics by logicians as they ignore one of the space and time dimensions in their experience, whereas nevrotic patients would follow empirical logics in similar situations. Thus, each psychotic disorder follow a specific imaginary logic : the psychic process specific to autism follows a trivalent or fuzzy logic, that of schizophrenia follows a epistemic or non-monotonous logic, that of paranoia follows a repetitive or fractal logic, and that of bipolar disorder follows an associative logic, which psychosis clinicians respectively call indeterminacy, delusion, ritualization and disjointed speech.

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From annoyed love to erotomaniacal transference

Summary. Starting from a clinical case of erotomania is developed a thought on the practice of transfer in psychosis This case help us to learn, on one hand, how can be assumed the transfer with the psychotic subject, and on the other hand, what the subject can invent as autogenous solution, here delirious solution, to ward off the eminence of a deadly relation to his psychosis. The clinician must be able to find there a model of his aim as therapist, namely the introduction of a function of limit of the jouissance. Read more