From Trauma to Possible Therapeutic Paths

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

Table of contents

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

See also

Le Symptôme : un allié?

The symptom : a ally?

L'insolence du symptôme

The insolence of the symptom

Intimité dévoilée, intime à retrouver

Intimacy unveiled, intimate to be regained

L'intime à l'épreuve de la vie institutionnelle

The Challenge of Intimacy in a Care Institution

Faut-il avoir peur des institutions de soin?

Should we be Afraid of Care Institutions?

Les figures de la peur en institution

Fear figures in the institution

La vie quotidienne en institution : aliénation ou libération ?

Everyday Life in institutions : alienation or freedom?

La vie quotidienne : le véritable enjeu du soin psychique en institution ?

« Everyday Life : Institutional Care’s True Stake ? »

Les fonctions de la répétition

Repetition’s Functions

La répétition : entre résistance et changement

Repetition : from Resistance to Change ?

Les médiations : un dispositif thérapeutique ?

Mediations : a therapeutic device ?

Médiations, lien et symbolisation

Mediations, bonding and symbolization

L'acte : court-circuit ou relance ?

The act : short circuit or revival ?

Clinique de l'agir : décharge ou adresse objectale ?

Acting Out : Discharge or Object Intent?

La dépendance : de la fusion à la confusion

Dependency : from Fusion to Confusion

Dépendances avec fin, dépendances sans fin

Dependency with an End, Dependency without End

Ordres et désordres de l'oralité aux différents âges de la vie

Orality Orders and Disorders at Different Times of Life

Du traumatisme aux voies thérapeutiques possibles

From Trauma to Possible Therapeutic Paths

De la perte au renoncement

From Loss to Renunciation

Les enjeux de la pluridisciplarité

The Challenges of Multidisciplinarity

De l'effraction au traumatisme

From Intrusion to Trauma

Contenance et soin psychique

Containers and Psychic Care


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