000 02410cam a2200349 4500500
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041 _afre
042 _adc
100 1 0 _aInfurchia, Claudia
_eauthor
245 0 0 _aThe spiral: a metaphor for the compulsion repetition? From the “death in the symbolic” to the desire for symbolic immortality
260 _c2024.
500 _a55
520 _aThis article presents a case study from the clinical psychopathological angle, a collection of elements from psychotherapeutic encounters comprising two settings, a drawing-painting workshop for free self-expression, and face-to-face interviews, in a mental health unit. The patient, (in her fifties), painter and writer before her decompensation, is convinced that she is dead and eternal at the same time. The psychiatric diagnosis given is Cotard’s syndrome. The mediation care setting based on the drawing-painting workshop, allows this patient, reluctant to speak, frozen by her illness, to deposit on the canvas, a representation, a spiral. This recurring representation endured for many months will gradually evolve from a deadly repetition compulsion to a representation of life itself. It seems that the constraint to create, theorized by R. Roussillon, present in many artists, allowed this woman, for many years, to avoid the pitfall of psychotic decompensation. But it is possible to think that her creativity and her artistic production were defeated in the face of traumas of great intensity (separation, death). Melancholy recedes when this same representation linked to eternal torment is transformed into a symbol of life.
690 _aCotard’s syndrome
690 _aconstraint to create
690 _asymbolization
690 _arepetition compulsion
690 _atransitional space
690 _arepetition of the identical
690 _arepetition of the same
690 _amelancholia
690 _aCotard’s syndrome
690 _aconstraint to create
690 _asymbolization
690 _arepetition compulsion
690 _atransitional space
690 _arepetition of the identical
690 _arepetition of the same
690 _amelancholia
786 0 _nCliniques méditerranéennes | o 109 | 1 | 2024-03-14 | p. 249-262 | 0762-7491
856 4 1 _uhttps://shs.cairn.info/journal-cliniques-mediterraneennes-2024-1-page-249?lang=en&redirect-ssocas=7080
999 _c651965
_d651965