Issue 8 : October, 2014
ISBN : 9782749241821
Dependency, no matter what clinical form it beholds, generally hides various states of loss and is felt as a sort of imposed passiveness which leads to feelings of deprivation, submission, intrusion, hold and may reveal ancient anguishes which go back to early childhood. Not only can dependency be the consequence of such or such somatic or psychological state, but it is often reinforced by the institutionalization situation itself. Individuals can no longer count upon themselves; they are separated from their beloved ones and are compelled to depend on an Institution and its protagonists. Entering an institution or a hospitalization is already bearing the promise of a dependency, the promise of a regression. But the balance between the necessary, regressive and transitory dependency and one that only repeats in a sterile matter old schemes which don’t make sense is not that steady. The Institution can also become the place for an alienating dependency which stops all separation possibilities. Dependency states also confront to a more or less important failure of the individual’s narcissistic balance. This threat obviously plays on the individual but also on the institutions which work with dependency. How can we always stay benevolent towards a patient whom, by the nature of his extreme dependency, confronts the caregiver to his powerlessness? Is this where the abusive drift appears? Is it when we feel like a bad caregiver that we become abusive, as a way of disguising our reproach for not healing? Could the abuse be linked to this ideal of an absolute autonomy undermined by dependency?
Benjamin ARTAUD, Mathilde BOUYCHOU, Alain BRACONNIER, Pierre-Marie CHARAZAC, Guillemine CHAUDOYE, Claude CLOES, Marie CONSTANTIN-KUNTZ, Charlotte COSTANTINO, Dominique CUPA, Patrick DE SAINT-JACOB, Mathilde DU COLOMBIER, Catherine DUCARRE, Pierre GAUDRIAULT, Steve GEYER, Francis KATCHADOURIAN, Marie-Agnès LANGUETTE, Géraldine MORIN, Élodie PONS, Hélène RIAZUELO, René ROUSSILLON, Jacqueline TRAN, Audrey VAN CAEYSEELE, Cécile YDIRE, Catherine ZOUTE
Editorial. P de Saint Jacob
Introduction. Dependency : From Fusion to Confusion. C. Costantino
Dependency from Birth to Senescence
Setting Apart from Maternal Projections : a Vital Issue A Mother and Baby Unit Experience. C. Ducarre
How to Meet with the Ideality Disease at Adolescence ? A. Braconnier, C. Costantino
From Dependency to Passion in Geriatic Institutions. P.-M. Charazac
From Dependency to Autonomy
The Separation Processes in Institutions : from Symbiosis to Bonding. G. Morin, M. Bouychou, A. Van Caeyseele
The Care Pathway in Adult Psychiatry: from Hospitalization to Outpatient Care, from the Regressive Movement to Autonomy. M. Constantin-Kuntz, É. Pons, B. Artaud, C. Zoute, J. Tran
The Care Program: from Dependency to Autonomy ? S. Geyer
Ideal and Violences within Dependent Relationships
The Caregiver and Narcissistic Identification in Psychic Care Work. R. Roussillon
The Psychic Separation Issue with Children in Institutions: the Pink Soldier’s Children. C. Ydire, P. Gaudriault
The Hazards of Dependency in Psychiatry or when the Institution Becomes Alienating. C. Cloës
From Necessary Dependency to Imposed Dependency
Consenting to Dependency? Art-therapy in Psychiatry. M.-A. Languette, F. Katchadourian
When Dependency is a Matter of Survival: Clinical Practice with Dialysis Patients. H. Riazuelo, D. Cupa, G. Chaudoye
Clinical Thoughts on Vulnerability in the Care Relationship in Cancerology. M. du Colombier