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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