Issue 5 : April, 2013
ISBN : 9782749236803
It is often quite difficult to establish the traumatic value of an event. Is the traumatic effect immediate or delayed, is its origin internal or external, is the traumatic event reality or fantasy, is its irruption organizing or disorganizing, is it the event itself or its idea that is out-bursting? In all these situations, trauma is a break in the development of things, a breakage in the continuity of exchanges and relationships, but also a split in time. Trauma is that specific event which the Ego cannot enclose, an event without time frame in that it is constantly present but cannot find its place in memories within a psychic temporality. It is imposed by reminiscences, flashes, anguishes, stories told in present time… It will only be the elaboration in the aftermath that will help it become a story; finally become an event and a memory.
But the clinical navigation is often dangerous in the traumatic world! It is often quite difficult to appreciate the ground on which the clinician ventures: cold ground, warm ground? At the two extremes, we can meet burning transgressions and at the other pole the absences and freezing deficiencies or even the confrontation to the cold rawness of death. The pathway is so narrow that we can easily understand how care, if it wants to be restorative, also holds within a potential trauma. This issue is the pursuit of the clinical thoughts brought up in the previous one From Loss to Renunciation (October 2011). This time it questions more specifically the Possible Therapeutic Paths that can be developed in institutions: clinical working-out, individual and/or familial interventions, quantified evaluations, protective alarms, mediation…
Philippe BALARD, Garance BELAMICH, Mathilde BOUYCHOU, Nayla CHIDIAC, Linda COMBAZ, Charlotte COSTANTINO, Marion FELDMAN, Élisabeth FERREIRA, Catherine FOURQUES, Carine GIBOWSKI, Francis KATCHADOURIAN, Franck LEDUFF, Caroline MANET, Monique MAYNADIER, Léa MERCIER, Corentine NYS, Julie PLATIAU, Hélène ROMANO, Magalie SABOT
Editorial. P de Saint Jacob
Introduction M. Bouychou, C. Costantino, J. Platiau
Clinical Crossroads
Trauma: Void, Hole, Scar. L. Combaz
Trauma and Meaning. M. Maynadier
Myrrha’s Traumatic Guilt: A Melancholic Version of the Oedipal Drama? G. Belamich, C. Costantino, L. Mercier
When Identity Disappears, Fractures Appear: The Auxiliary Ego Helping the Fractured Ego of a 91-Year-Old Woman. C. Fourques
Therapeutic Changes
From Trauma to Dreams: The Work of Creation. M. Sabot
Writing Silence: Therapeutic Writing Workshops. N. Chidiac
Psychomotor Therapy and Psychosis: Stabilization in a Case of Ordinary Psychosis. F. Katchadourian and C. Manet
Clinical Ethno-psychoanalysis: Individual and Collective Care for a Family with Multiple Losses. M. Feldman
Intersecting Reflections
Primary Medico-psychological Care for Children and Adolescents Exposed to a Traumatic Event. H. Romano
Supporting Caregivers Faced with Institutional Suicide. C. Costantino, E. Ferreira and C. Nys
The Individual Life Project: A Potential Psychotherapeutic Approach to the Shock of Admission to a Nursing Home. C. Gibowski, P. Balard and F. Leduff