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Elements for a co-incidence clinic

Par : Type de matériel : TexteTexteLangue : français Détails de publication : 2017. Sujet(s) : Ressources en ligne : Abrégé : The concept of co-incidence, designating the reciprocal and simultaneous incidence, the more or less silent processing, between a being and the world, its world—Umwelt—between parents and children, between spouses, between nursing staff and patients, between professionals, etc. allows us to propose some elements toward a clinical approach that takes into account both the complexity and the non-exhaustive global nature of the human being. How can we try to keep in mind that “care processes” are just as complex and delicate in their composition as the pathology itself? How can we encounter the patient? Understand them? According to philosopher Henri Maldiney, understanding is an essential shape of presence, of co-presence—in this case, that of clinician and patient—in accordance with the pathic dimensions to which they are both “passible.” If the existence of an individual is to be found in its “deployment,” in its transitional presence in the world, then both the human and non-human environment of a patient, their “milieu,” should be considered an integral part of their being, so that caring for them also implies taking into account their “family and friends,” etc. This clinical approach of co-incidence is ultimately a plea for a subjective, intersubjective, narrative, and humanist clinical approach to unpredictable singularity. What comes into view here is the “opening of the field” of “psychoanalytic ontology,” whose domain of validity is subjectivity and the pathic dimension, situating the clinician as an intrinsic component of the clinical situation within which they work… dialectically.
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The concept of co-incidence, designating the reciprocal and simultaneous incidence, the more or less silent processing, between a being and the world, its world—Umwelt—between parents and children, between spouses, between nursing staff and patients, between professionals, etc. allows us to propose some elements toward a clinical approach that takes into account both the complexity and the non-exhaustive global nature of the human being. How can we try to keep in mind that “care processes” are just as complex and delicate in their composition as the pathology itself? How can we encounter the patient? Understand them? According to philosopher Henri Maldiney, understanding is an essential shape of presence, of co-presence—in this case, that of clinician and patient—in accordance with the pathic dimensions to which they are both “passible.” If the existence of an individual is to be found in its “deployment,” in its transitional presence in the world, then both the human and non-human environment of a patient, their “milieu,” should be considered an integral part of their being, so that caring for them also implies taking into account their “family and friends,” etc. This clinical approach of co-incidence is ultimately a plea for a subjective, intersubjective, narrative, and humanist clinical approach to unpredictable singularity. What comes into view here is the “opening of the field” of “psychoanalytic ontology,” whose domain of validity is subjectivity and the pathic dimension, situating the clinician as an intrinsic component of the clinical situation within which they work… dialectically.

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