Fundamentos da Clínica by Paul Bercherie, , Jorge Zahar edition, Paperback in Portuguese – 1 edition. Paul Bercherie Los fundamentos de la clínica. 1 like. Book. Fundamentos de La Clinica: Paul Bercherie: Books – Amazon. ca.
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Its use does not involve assumptions about psychodynamic mechanisms, but simply ee the presence of hallucinations, delusions, or a limited number of severe abnormalities of behavior, such as gross excitement and overactivity, marked psychomotor retardation, and catatonic behavior OMS,p. From this point on, clinicx new inflection virtually blocked the ability to address psychosis as a background structure or deep mental function of which these manifestations are not the only symptoms, nor the most important.
In paranoid schizophrenia, these phenomena are important and culminate in some delusional construction, but not to the extent of comprising systematic delirium, as they do in paranoia. Therefore, the mechanism is the introduction via identification of unconscious knowledge about desire clincia the sexual, knowledge that forms the subject himself, but which remains inaccessible to him in terms of consciousness.
Psychosis went on to be the most suitable object of psychiatry, separating neurological diseases pertaining to neurology on the one hand, from the neuroses, which became the area where Freudian psychoanalysis excelled. This may allow different splits to be produced, artificial separations in the approach to cases.
However, they have a particular form of existence, existing outside the general symbolization that structures the subject, outside any symbolization that would allow the subject to have them as the elements of his subjectivity.
However, despite their significant contributions — first, regarding psychosis-manic depression Abraham,and second, with regard to schizophrenia Jung, — it can be said that only with Lacan did psychoanalysis come to develop a theory of psychosis that was not based on notions borrowed from the neurosis clinic.
The first line, the one of the dissociation, consists of the breakdown of life related to the psyche, the internal discordance of psychological phenomena. Generally, schizophrenic psychosis is understood to mean a set of disorders dominated by discordance, ideoverbal incoherence, ambivalence, autism, delusional ideas, poorly systematized hallucinations, and profound affective disturbances in the sense of detachment and strangeness of feelings — disorders that tend to evolve into a deficit and a dissociation of personality Ey, Bernard, Brisset, s.
The characteristic disturbances in the affect and way of thinking that we have already covered are also mentioned, and are detailed in a very classical manner. What is lost is the idea of continuity, a link between the elements that are present underneath and beyond the break. Freud himself never had a regular practice with psychotic patients. The first is the medicalization of conditions which had previously been associated with subjectivity, such as anxiety, sadness, obsessive thoughts, phobias, sexual behaviors and others — all of which had previously been approached from the framework of the neuroses as conceived by psychoanalysis.
The second consequence is that conditions which had previously been recognized as psychotic have been relocated to fit under the heading of personality disorders. Bleulerp. Not each pathology, but that lady or that gentleman.
Current pathological classifications prioritize a physicalist approach. If a science or discipline is only characterized by describing its specific object, the notion of psychosis was the one which specified psychiatry from neurology, on the one hand, and psychoanalysis, on the other even if the initial meaning of the term differed from how it was to be conceived eventually.
He only used the term paranoia to describe the latter case.
Fundamentos da Clínica
We will recall its fundamental bases that are sufficient for the argument we are pursuing here. This new entity, dementia praecox, would later be called schizophrenia. How each one tells us about the way he or she faces their issues. Bercheriep. With regard to the first question, the authors demonstrate that the empiricist assumption, which requires so-called objective evidence, has obvious affinities with the physicalist view of mental illness Russo, Venancio,p.
The first is that although it claims to be free of theory, the DSM actually is related with the pragmatism of Peirce and empiricist theses. Kraepelin made these similarities prevail over the phenomenological differences. This rupture eventually inverted the very meaning of the term neurosis, which no longer alluded to the neuronal system but instead came to designate a psychopathological state characterized by the absence of organic disease in the nervous system.
Os fundamentos da clínica: história e estrutura do saber psiquiátrico – ScienceOpen
Depending on whether the subject is psychotic or neurotic, he or she will tend to respond to the capital injunctions of life differently. Services on Demand Journal. It is instead to emphasize the consequences of the formal reduction of psychosis to schizophrenia, which seems to remain as the last notion of psychiatry that may, due to its symbolic weight, still be able to remind society of the gravity of madness. Lacan showed the heterogeneity of these logics, and at the same time the main lines of psychosis as a structure.
The discussion on etiology and psychodynamics is abandoned in favor of points of consensus, the symptoms that would supposedly be seen by any observer.
It was probably his interest in deciphering order and meaning where psychiatry tended to see disorder that led Freud to grant a higher status as paranoia in the field of psychosis in other words, to organized delusion to the detriment of schizophrenia which implied disorganization, dissociation, deterioration. Editora da Universidade do Estado de Minas Gerais.
At the end of the nineteenth century, the advent of neurology showed that for most mental illnesses, the previously assumed injuries did not exist, fundamenros in neurological diseases; the emergence of psychoanalysis explained neuroses by assigning them to certain psychological mechanisms, capable of modification through ckinica treatment.