000 | 01444cam a2200229 4500500 | ||
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005 | 20250121035352.0 | ||
041 | _afre | ||
042 | _adc | ||
100 | 1 | 0 |
_aKapsambelis, Vassilis _eauthor |
245 | 0 | 0 | _aRepetition, transference, and substitution in the institutional treatment of severe psychoses |
260 | _c2017. | ||
500 | _a95 | ||
520 | _aInspired by his work with deeply disturbed chronically psychotic patients, the author demonstrates a double repetition: that of patients and of their caregivers (repetition in care, its rules and rituals, sustained by a certain “psychoanalysm”). From a specific clinical situation, the author shows how these two repetitions are characterized by the fact that they act out and respond in a transferential mode (as well as counter-transferential) specific to serious psychosis: a “transference resistance” that makes more of a substitution than a transference. Repetition in care thus seems like the main way to counter what is most deadly in these patients’ everyday life, by erotizing it and risking a sadomasochistic relationship. | ||
690 | _adeath instincts | ||
690 | _adestructivity | ||
690 | _arepetition | ||
690 | _asadomasochism | ||
690 | _ainstitution | ||
690 | _aSevere psychosis | ||
786 | 0 | _nCliniques | o 14 | 2 | 2017-12-01 | p. 54-73 | 2115-8177 | |
856 | 4 | 1 | _uhttps://shs.cairn.info/journal-cliniques-2017-2-page-54?lang=en&redirect-ssocas=7080 |
999 |
_c456539 _d456539 |