In between pain and behavior, what place is there for representation?
Maupas, Anne
In between pain and behavior, what place is there for representation? - 2015.
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In psychosomatic practice, we often observe the coexistence of instances of acting out, somatizations, and the absence of representations within a single patient’s mental functioning. From the observation of a patient suffering from fibromyalgia (chronic widespread pain) and presenting different levels of functioning ranging from neurotic to behavioral, the author questions these different levels of mentalization. Through her painful experiences, this patient progressively connects the psychic and the somatic. Thanks to the transference relationship established within a psychotherapeutic work in an institution, some psychic modifications were possible. Giving up an all or nothing functioning for a greater passivity enabled the “pleasure-body” to take over the “painful body.”
In between pain and behavior, what place is there for representation? - 2015.
32
In psychosomatic practice, we often observe the coexistence of instances of acting out, somatizations, and the absence of representations within a single patient’s mental functioning. From the observation of a patient suffering from fibromyalgia (chronic widespread pain) and presenting different levels of functioning ranging from neurotic to behavioral, the author questions these different levels of mentalization. Through her painful experiences, this patient progressively connects the psychic and the somatic. Thanks to the transference relationship established within a psychotherapeutic work in an institution, some psychic modifications were possible. Giving up an all or nothing functioning for a greater passivity enabled the “pleasure-body” to take over the “painful body.”
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