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ENG - Psychothérapie IV - 2009 T.27 n°1

Séverine Rézette : the autist’s humor

Both « creativity » and « inventiveness » are linked to newness, originality; however, one difference remains which is linked to the motivation and the pattern(s) that allows them to arise. The psychotic patient and the autistic patient may have an access to one or another, but not as a result of achieved sublimation. Sublimation – as a « specific aim » – is a quest for « a happy capacity of satisfaction of drive » or « a satisfaction of a drive in the change of its object, without repression », as J. Lacan expresses it in Ethics of Psychoanalysis – concerns pathologies in which the Other is considered as an object. In the expression « satisfaction of the drive » the whole sex drive theory is concerned. This will invite us to examine the moment when some autistic patients may be involved in the field of inventiveness but without any access to sublimation. The discussion will be open as far as the autistic patient’s capacity for representation is concerned.

Adolescence, 2009, T. 27, n°1, pp. 167-175.

Psychothérapie - 2000 T. 18 n°1

Enrico De Vito : psychothérapie psychanalytique individuel à l’adolescence

Sur la base de l’unicité du processus psychanalytique, l’auteur présente les modalités de travail différentes qui peuvent être utilisées en psychothérapie avec les adolescents. Il envisage les implications pour l’action thérapeutique des nouvelles connaissances sur le développement de l’infans et sur l’attachement ainsi que dans le domaine des neuro-sciences.
Par ailleurs, l’auteur insiste sur la phase d’évaluation et les indications les mieux adaptées ainsi que sur les objectifs principalement centrés sur la remise en jeu des processus de réorganisation du soi à travers un travail sur les représentations psychiques.

ENG - Psychothérapie IV - 2009 T.27 n°1

Fanny Dargent : red, narcissisus. recourse to the body and refusal of otherness

The psychotherapy of a teenager who practices body attacks sheds light on archaic processes at work in terms of bodily resistance to the investment of the object and the refusal of otherness. The dual situation reactualizes an internal otherness blocked by adhesive, anti-drive alienation from tyrannical, undifferentiated objects. Vigilance against visible « sensory-motor » objects as an effect of the Other, and against the counter-transference, works, with the aid of a psychodramatic style, to re-establish the transitionality which was blocked in this narcissistic teenager.

Adolescence, 2009, T. 27, n°1, pp. 157-165.

Psychothérapie - 2000 T. 18 n°1

Moses Laufer, M. Eglé Läufer : Psychoanalyse à l’adolescence

Les auteurs défendent l’idée que la psychanalyse est le traitement de choix pour les adolescents gravement perturbés. Leur approche est centrée sur la cassure du développement survenue à la suite des transformations pubertaires et qui mène à un état pathologique. Ce breakdown empêche l ’intégration progressive du corps sexuellement mature dans la réalité psychique de l’adolescent et conditionne ainsi une rupture dans la relation à la réalité. Ces adolescents présentent un fonctionnement psychotique défensif sans qu’il s’agisse d’une psychose avérée. La cassure de développement serait revécue dans l’analyse sous forme de « cassure de transfert ». Traitement long et difficile, mais peut-être meilleure « seconde chance » offerte aux adolescents gravement malades.

ENG - Psychothérapie IV - 2009 T.27 n°1

Tatiana Pellion : « head in the clouds », or some questions raised by the treatment of an adolescent suffering from migraines

The question of the migraine as a body event in an adolescent is treated with reference to its articulation with the drive. We thus explore the shared elements of both pain and drive, with respect to their connection to the body. Furthermore, we discuss one of the analyst’s interventions during a session, as well as its clinical consequences on the subject’s relationship with the invocatory drive and with its object, the voice. The function of the voice and of its drive shaping as mediation between primitive parental authority and the constitution of the subject’s superego is also developed here. We mostly insist on the function of extraction of the voice object from the body, and we therefore refer to the Freudian concept of « the thing », as well as to the Lacanian object a, in its primary dimension concerning the drive. We thus emphasize the relationship between the drive and the little object a during adolescence.

Adolescence, 2009, T. 27, n°1, pp. 143-155.

Psychothérapie - 2000 T. 18 n°1

François Ladame : les traitements psychanalytiques à l’adolescence : quelques principes

Différentes modalités du traitement psychanalytique d’adolescents existent, il est cependant nécessaire de connaître leurs avantages et limites pour orienter au mieux les jeunes patients.
L’indication se fonde sur l’évolution du fonctionnement psychique, elle poursuit un but qui devrait être atteint au moyen du traitement choisi (cure classique, psychothérapie individuelle, de groupe ou de famille, psychodrame). Ce sont ces principes généraux que l’auteur aborde dans l’article.

ENG - Psychothérapie IV - 2009 T.27 n°1

Jacques Clauvel : the killing brother

Psychical incest on two levels, mother-father, mother-son, may be a risk factor for fraternal violence, as may be seen in the treatment of a boy in late adolescence presented by the author. In cases where there is a parental configuration of an incestuous type and a traumatic brother, we observe a complex internal object, the killing brother, who constantly destroys within the psyche. To limit, or even eliminate, the damaging action of this internal object, it is useful for the analyst to be able to represent, from the position of the counter-transference, both the parent and the brother, ceaselessly moving between one and the other. The killing brother object is rendered harmless by being removed from his false place as nuclear object and place back into his place as an orbital object. The interpretation, in the founding myth, of Eteocles and Polynices, the warring brothers, enables us to deepen our knowledge of different aspects of this psychical reality.

Adolescence, 2009, T. 27, n°1, pp. 133-142.

Psychothérapie - 2000 T. 18 n°1

Jean-Jacques Rassial : positions lacaniennes sur l’adolescence, hier et aujourd’hui

Lacan n’a pas isolé l’adolescence comme concept. Ce n’est que depuis quelques années que les lacaniens ouvrent leur réflexion sur un statut métapsychologique de l’adolescence. La création de l’Institut de Psychanalyse de l’Adolescence : Le « Bachelier » témoigne de leurs exigences d’une théorisation de l’adolescence et de la nécessaire formation des analystes.

ENG - Psychothérapie IV - 2009 T.27 n°1

Gianluigi Monniello : the young adult and his analysis

The condition of young adulthood appears to be a structural necessity in the human being’s process of becoming. This time of life is distinct from both adolescence and so-called adult maturity. The author explores the factors that differentiate the specific nature of the intrapsychic, interpersonal and psychical economy of the young adult.
The second problematic consists of finding out if there is enough containing function to make possible the working-through of primitive sufferings that have not yet been elaborated and open the way to decisive introjections.
The third concerns the assimilation of identifications to identifying models, now de-sexualized enough (apprentice identification), an assimilation which can take place « without too much thought », and which helps reinforce the subconscious.
The fourth and last problematic, the relation with the body of the parents, can be clearly recognized, in view of the reduction of incestuous anxieties, and the intracorporal identifications can thus be revealed and elaborated.
The clinical material shows that these patients are more disposed to analysis on the couch but less sensitive to the subjectalizing holding function than adolescents.

Adolescence, 2009, T. 27, n°1, pp. 117-132.

ENG - Psychothérapie IV - 2009 T.27 n°1

Rita Sferrazza : the individual psychodrama, lever of therapy and resource for the analyst

The individual psychodrama, in its various configurations, offers a range of therapeutic possibilities. This article gives an account of some of them. But our attention will be focused particularly on the interest of a selective use of psychodrama at a specific moment when a teenager’s therapy was winding down. The interest for the young person and especially the interest for the therapist, whose capacities for elaboration were paralyzed, will be underscored, as well as the determining factors which push a therapist to resort to the form of psychodrama known as « of release ». Lastly, a clinical vignette will make it possible to measure the entire range of such recourse on the continuation of an analytical process.

Adolescence, 2009, T. 27, n°1, pp. 107-116.