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.
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.
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
Abstract. The placebo phenomenon is widely used in medicine, for current practice and clinical research (RCT), but it is still partialy mysterious. For most of medical specialities, psychiatry included, the psychological stakes are understood from a causal logic. Despite the hypothesis of unconscious which is implicated, it is not taken it into account. Using of this hypothesis is showing that considering other psychoanalytic concepts as the transferance, it is possible to renew interest that the medicine and the psychology grant to placebo phenomenon. Read more