Apresentamos uma leitura teórica da psicopatologia de Freud e Lacan. Inicialmente, recuperamos fragmentos clínicos de Emma, paciente que Freud diagnostica como histérica devido a uma vivência ...traumática de abuso sexual. Em seguida, retomamos o sonho em que Freud reencontra a paciente. Emma, posteriormente conhecida como Irma, relata sentir dores intensas na garganta. No sonho, a garganta da jovem retorna a Freud, denunciando a falha de sua psicopatologia. Entre Emma e Irma, Freud introduz o Édipo como nova interpretação da etiologia da neurose. Mais do que postular o saber edípico como aquele que responde ao enigma do sintoma, o autor restaura a contradição da poesia trágica. Certamente Lacan esteve atento à leitura freudiana, aproximando-se igualmente do discurso filosófico e matemático. Pela fórmula matemática, análoga àquele impressa na garganta de Irma, vislumbramos um objeto central para pensar a psicopatologia psicanalítica.
The burden of mental illness is profound and growing. Each year, almost one in three adults in the non-institutionalized community has a diagnosable mental or addictive disorder, and this figure ...climbs to approximately 40% among emergency departments patients. We described the principal cardiovascular acute disease and their emotional and behavioral consequences where psychological intervention could improve the care pathway and clinical outcome. Peer-reviewed articles from Medline, Psycinfo, Web of Science, Scopus, and Cochrane library, about psychological and psychopathological sequelae in cardiovascular acute disease were searched. The psychological and psychopathological sequelae associated to stroke include emotional and behavioral changes and cognitive impairment. Fear, symptoms of depression, anxiety or specific post-traumatic symptoms like intrusions, hyper-arousal and/or cognitive avoidance are common in people suffering of cardiovascular acute disease treated at emergency departments. In emergency departments, health personnel must recognize psychological and psychopatho-logical sequelae in cardiovascular acute disease in order to develop effective interventions for these patients. Identify factors that are associated with both psychological distress and physical distress and promote interventions aimed at reducing psychological distress and improving psychological health empowerment is an important element to consider in order to offer the best care to vulnerable population as that suffering of cardiovascular acute disease.
Les modalités spécifiques du transfert et du contre-transfert dans le champ de la psychopathologie des limites seront ici abordées sous l’angle de l’interlocution interne de l’analyste en séance. ...L’hypothèse d’une « puissance instituante du transfert de l’analyste » permettra d’aborder les enjeux liés à l’idée d’une offre de l’analyste conditionnant la demande de l’analysant. À ce titre, chaque cure convoque une scène originaire : le rapport de l’analyste aux origines de la psychanalyse, du commencement freudien au re-commencement ferenczien.
A mother who was mistreated as a child is significantly more likely to have children with internalizing and externalizing disorders, researchers have found. There is also a significant mediating ...effect of maternal depression during and immediately after pregnancy, and of mistreatment of the child itself, on the child's disorders.
Introduction
Hallucinosis has evolved out of classification systems but what about patients who present with exclusive or almost exclusive hallucinations? Auditory hallucinations are especially ...likely to swiftly be considered due to psychiatric illness.
An elderly patient with chronic auditory hallucinations without other significant psychopathology nor other symptoms prompted reflection and literature review.
Objectives
To review differential diagnosis of auditory hallucinosis.
Methods
Pubmed search for terms: auditory and hallucinosis.
Results
Hallucinations should be evaluated according to: type, onset and evolution, association with physical and /or neurological symptoms, association with other hallucinations and/or other psychopathology, characteristics.
Auditory hallucinations may present along a continuum from tinnitus, simple, verbal, musical.
The Pubmed search retrieved articles pertaining to auditory hallucinations associated with:
1. Sensory deprivation; 2. Hearing loss, auditory Charles Bonnet syndrome; 3. Dementia, neurodegenerative disorders; 4. Brainstem lesions; 5. Other central nervous lesions: thalamus, temporal, other; 6. Epilepsy; 7. Tic disorders; 8. Alcohol use disorders; 9. Borderline personality disorder; 10. Others.
Conclusions
Patients presenting with auditory hallucinosis should be carefully evaluated to exclude non-psychiatric disorders.
In some patients, such as the one who prompted the review, an identifiable cause may not yet be found.
Disclosure of Interest
None Declared
Major depressive disorder (MDD) is characterized by a multitude of psychopathological symptoms including affective, cognitive, perceptual, sensorimotor, and social. The neuronal mechanisms underlying ...such co-occurrence of psychopathological symptoms remain yet unclear. Rather than linking and localizing single psychopathological symptoms to specific regions or networks, this perspective proposes a more global and dynamic topographic approach. We first review recent findings on global brain activity changes during both rest and task states in MDD showing topographic reorganization with a shift from unimodal to transmodal regions. Next, we single out two candidate mechanisms that may underlie and mediate such abnormal uni-/transmodal topography, namely dynamic shifts from shorter to longer timescales and abnormalities in the excitation-inhibition balance. Finally, we show how such topographic shift from unimodal to transmodal regions relates to the various psychopathological symptoms in MDD including their co-occurrence. This amounts to what we describe as ‘Topographic dynamic reorganization’ which extends our earlier ‘Resting state hypothesis of depression’ and complements other models of MDD.
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