Clinical reading of narratives of disease: From intertextuality to the fusion of horizons. A case study
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How can we account for the inexpressible in the traumatic experience of disaster? Based on a clinical situation encountered by a clinical psychologist in a resuscitation department, this article approaches the mental representation of organic disease in its textual and intertextual aspect, by paying attention to the weaving of semantic relations that constitutes all speech. The notion of intertextuality allows us to describe the connection between the psyche and its environment, that is, both the personal history of the patient and the collective cultural order. Self-narrative employs the discursive forms of narrative traditions of the “recountable,” which emerge as models of “reading.” The narrativity of the story addressed to the clinician belongs to a horizon of expectation (H.-G. Gadamer), governed by the quest for an answer. For its part, the clinical reading of the text rests on a different horizon of expectation concerning what this narrative means. From a phenomenological point of view, the clinical act of listening and restituting the narrative’s intertextuality could be approached through the notion of “fusion of horizons.” The restitution of the intertextuality appears as a way to navigate between the prefiguration of the events told and the refiguration of the story.
Réseaux sociaux