No description available.

L’histoire biblique de Salomé est un vaste sujet qui passionne artistes et écrivains depuis longtemps. En musique, il semble toutefois plus présent au début du XXe siècle. L’œuvre testamentaire sur le sujet demeure encore aujourd’hui l’opéra de Richard Strauss, créé à Dresde en 1905. Pourtant, maints compositeurs vont également traiter la légende qui met en cause Salomé à la même époque, dont notamment Florent Schmitt, avec son ballet La Tragédie de Salomé et Antoine Mariotte qui s’inspirera, tout comme Strauss, de la pièce théâtrale éponyme d’Oscar Wilde pour écrire son opéra.Considérant la date de création de l’œuvre de Mariotte (1908) et l’existence du ballet de Schmitt composé en 1907, notre objectif est de comprendre pourquoi ces deux compositeurs se sont intéressés quasi simultanément en France à ce même sujet. Pour cela, nous nous concentrerons sur les rapports d’ordres historique, social, esthétique et musical qui uniront Salomé au symbolisme, avant d’orienter notre travail vers d’autres tendances de cette époque, comme l’orientalisme voire l’aspect psychanalytique du sujet, ainsi que vers l’étude des créations et des grandes représentations de l’œuvre.À travers cette approche comparative de La Tragédie de Salomé de Florent Schmitt et de la Salomé d’Antoine Mariotte, suivant leur conception, leur organisation et leur réception, nous pourrons conclure, outre la fascination, à la puissante représentativité de ce sujet dans la France musicale du début du XXe siècle. / The biblical story of Salome is a vast subject that has inspired artists and writers alike for years. In music however, the story was evoked the most at the beginning of the twentieth century. To this day, the work of reference on the subject remains Richard Strauss’s opera composed in Dresden in 1905. And yet, numerous composers of the same era were to use the legend of Salome, namely Florent Schmitt with his ballet ‘The Tragedy of Salome’ and Antoine Mariotte. The latter, like Richard Strauss, sought inspiration for his opera from the play of the same name by Oscar Wilde.Bearing in mind the date of conception of Mariotte’s work (1908) and the existence of Schmitt’s ballet composed in 1907, our aim is to understand why these two composers, both in France, became interested in the same subject at practically the same time. To this end, we will concentrate on historical, social, artistic and musical accounts that link Salome to symbolism. Our work will then explore other trends of the time, such as orientalism and even the psychoanalytical nature of the subject. The final part of our study will deal with the premières and major performances of the work. Through this comparative study of the conception, organisation and reception of ‘The Tragedy of Salome’ by Florent Schmitt and of ‘Salome’ by Antoine Mariotte, we can not only conclude that the subject was a source of great fascination, but also that it had a strong influence on music in France at the beginning of the twentieth century.

In this research, the “Smart City-edifice” of Lisbon has been examined through qualitative field work carried out in the city. The concept of the Smart City- edifice has been designed by the author in an attempt to grasp the ambiguous Smart City ambition as an assemblage of (i) specific techniques incorporated into the urban environment (ii) the modes of governance which these techniques allow for, particularly real time data collection & (iii) issues of city branding, placemaking and urban, Smart regeneration. The highlighted empirical material has been produced in collaboration with interlocutors from three different projects, and relate to the three different facets of the Smart Cityedifice: A developer of a gamification scheme (e-governance), a sustainable neighbourhood project (Tech-driven sustainability and governance/civic participation) and lastly a creative hub (branding, creativity & regeneration). These facets are being examined in the context of Lisbon, a city which has gone through a re-formulation of urban agendas in the capitalist restructuring of the economy in the wake of the 2008 financial crisis. The post-crisis strategy in Lisbon is interpreted as a sort of “attraction hysteria” (Anttiroiko, 2014), as much effort has been placed on attracting global capital and tourism, incentivised not least by a liberalized, profitable housing market. This attraction hysteria is understood by the author as producing specific implications for the development of the Smart Cityedifice. Main findings include the hinderances that said politics have produced for ambitions of civic participation and other democratic visions of the Smart City. These findings are understood in the light of the Lefebvrian framework of the “right to the city” and critical understandings of the touristified city. The field work itself has been guided by two key research questions, these being: a) How are Smart City narratives being operationalized locally by actors in Lisbon? B) What possible tensions could arise between Smart aims of global urban competitiveness and aims of civic participation, in the context of Lisbon?

No description available.

Cette thèse examine l’œuvre poétique de Rimbaud et de Laforgue du point de vue de la catégorie de « folie ». La notion de folie a très souvent été mobilisée dans la première réception de tout un pan de la poésie écrite dans le dernier tiers du XIXe siècle, pour étiqueter des textes considérés comme illisibles. À tel point qu’avec ses corollaires d’époques (manie, névrose, dégénérescence, hystérie), elle est devenue un véritable paradigme de lecture du texte poétique. La folie est envisagée ici non pas seulement dans sa définition médicale, mais aussi comme objet hybride, construit par une multiplicité de discours et de pratiques. On commence par une archéologie de ce discours médicalisant qui pathologise la poésie, pour montrer ensuite que la « folie » constitue bien une catégorie valide pour l’appréhension de la poésie rimbaldienne et laforguienne, mais qu’elle nécessite pour cela une théorisation nouvelle, indépendante de toute considération biographique ou psychologique. Part essentielle de l’écriture, la folie chez Laforgue, Rimbaud et leurs contemporains n’est plus la folie romantique – qui s’articulait aux catégories du grotesque ou du magisme inspiré. La folie poétique se fait méthode, « raisonné dérèglement » selon la formule paradoxale de Rimbaud, et traverse, en tant qu’expérience-limite, tout le trajet lyrique. En même temps, elle devient immanente aux corps, et au corps du texte. La folie romantique s’est immanentisée et textualisée. Poétique de la folie désigne ici un fait littéral, la manière dont le texte se trouve altéré par la folie, et réciproquement la manière dont en tant que poème ce même texte reconfigure la langue et la lecture, devenant par là un autre nom de la « folie » comme intempestivité, invention de catégories nouvelles, illisible devenant lisible. La folie ne désigne plus alors une pathologie, mais la force d’évènement de l’écriture même. Chez Laforgue et Rimbaud, cette dimension de bouleversement se déploie particulièrement dans trois champs : comme expérience radicale, la folie opère une altération et une aliénation du sujet ; comme effet rhétorique, elle entraîne un trouble généralisé de la syntaxe et du sens ; en tant que contre-discours et résistance à l’ordre établi (hystérie, idiotie, fureur) enfin, elle possède en elle-même une dimension politique, par laquelle elle s’articule à l’histoire comme événementialité. / This dissertation looks at the poetic works of Rimbaud and Laforgue from the point of view of “madness”. The category served as a label that was often applied by contemporary readers, including medics, to a corpus of poetry they considered to be illegible. Madness and its then quasi synonyms – mania, neurosis, degeneracy or hysteria – thus became no less than a general paradigm for reading poetry. We conceive of madness here not as a mere medical concept, but as a hybrid object, one that is constructed through multiple discourses and practices. The thesis first takes an archaeological look at this medicalisation of the reception of poetry. It then moves on to show that the category of “madness” can indeed be valid when it comes to understanding the lyric of Rimbaud and Laforgue, but needs new theorisation as a concept. Madness should no longer be considered as a biographical or even psychological category, but as pertaining to the text itself. A crucial part of the act of writing both for Rimbaud and for Laforgue, madness at the Fin de siècle had moved away from its definition in French romanticism, which saw it primarily as akin to the category of the grotesque or that of transcendent inspiration. Madness became a paradoxical method for poetry, according to the rimbaudian phrase “raisonné dérèglement” (“reasoned derangement”). As a limit-experience, madness proves to be at the core of a new poetic practice, while becoming immanent to the bodies as well as to the body of the text. Talking about a “poetics of madness,” we therefore conceive of madness as being primarily textual or literal. The poetic text is altered and displaced by madness, and conversely the text itself qua poem transforms the language it is written in and the categories of reading that are applied to it. In that sense, the text is necessarily mad in its essential untimeliness, since it invents the categories in which it can become legible. Madness thus no longer refers to a form of pathology, but rather designates poetic writing itself as a force and an event. Such a disruptive force is studied more particularly in three domains. As a radical experience, madness alters and literally alienates the subject. As a rhetorical effect, it brings about a major trouble within syntax and meaning. As a counter-discourse, finally, and a resistance to social order (in the cases of hysteria, idiocy, or fury), madness has an immediate political dimension to it, which connects it to history qua eventiality.

Toute cette recherche se concentre sur le portrait en peinture comme possibilité de la rencontre, de moments d’amitié. Il s’agit d’en analyser les enjeux en utilisant la philosophie et la psychanalyse comme outils théoriques. Comprendre combien cette pratique de corps-à-corps, de présence à présence s’inscrit dans le temps, le déploie, le relate. La rencontre, tout comme ma pratique, a pour origine le désir de l’Autre. Chacune de mes peintures est une réponse à cette demande : «Comment désires-tu être peint ?». Mes pinceaux, guidés par les paroles livrées dans mon atelier, tentent de s’approcher au plus près de ce qui est dit : quête impossible !... tant le langage implique une perte, nous divise. Nous nous percevons comme uniques car nous sommes séparés de l’autre, nous sommes entourés de vide. L’autre et le vide ne sont pas seulement extériorités, ils sont en nous, et pour la psychanalyse c’est par l’imaginaire que nous trouvons notre unité. La psychanalyse, la méditation, l’alchimie et la peinture ont ceci de commun qu’elles sont toutes des disciplines construites à partir de la pratique et chacune d’entre elles aborde l’introspection à sa manière, qui peuvent s’enrichir les unes les autres. / The present research work focuses on the painted portrait and the opportunity it offers to meet people and exchange moments of friendship. It aims at analyzing what is at stakes in this process by means of theoretical tools such as psychology and psychoanalysis. It is also concerned with the understanding of how this «hand to hand» and «presence to presence» practice gets its anchorage in time and how it unfolds it and refers to it. The get together process, as well as my own practice, are the expression of desire – desire of the Other. Each of my paintings is an attempt to answer this single question: «How would the person posing for me like to be painted?». Then, as if guided by his or her wish, my brushes enter into action in order to fulfill it to the best of my abilities – the task is of course impossible, because language implies a loss and gets us apart from one another. Each of us sees oneself as unique, for we are separated from each other: we are indeed surrounded by emptiness. The Other and emptiness don’t belong to the outside, they are part of ourselves. In the field of psychoanalysis, we manage to find our unity through imagination. Psychoanalysis, meditation, alchemy and painting have all in common to be based on practice. Each of these disciplines deals with insight in its own way: in the end they all benefit from each other.

Quels sont les principaux acquis de la psychologie médicale de l’époque de Freud qui ont contribué à l’émergence du mouvement psychanalytique ? Comment Freud les a-T-Il repris dans le cadre d’une construction originale ? Malgré l’abondante littérature consacrée à ces questions qui paraissent si simples, les réponses sont loin de faire l’unanimité. Cette difficulté n’est pas récente, elle est perceptible déjà chez Freud qui, en 1914 (dans Contribution à l’histoire du mouvement psychanalytique) et en 1925 (dans Ma vie et la psychanalyse), entreprit de retracer l’histoire de la psychanalyse, tout en évoquant les principaux acteurs qui ont, de manière directe ou indirecte, contribué à l’éclosion de ce corps de connaissances. Cependant, les découvertes faites par des chercheurs contemporains, dans les Archives des centres hospitaliers, où étaient internés certains patients de Freud, tout autant qu’une lecture attentive du contexte historique et des productions intellectuelles sur la maladie mentale, à la fin du XIX ème siècle, laissent planer des interrogations. Freud a-T-Il biaisé l’histoire de la psychanalyse pour en apparaitre comme le père fondateur ? Ces soupçons qui pèsent sur le travail d’historien entrepris d’abord par Freud, puis par ses collaborateurs, nous invite, en tant qu’historien des sciences, à réévaluer un certain nombre d’acquis en psychanalyse, au regard de l’abondance des découvertes récentes. En outre, les travaux de Freud n’entretiennent pas seulement des rapports avec les théories psychologiques de son temps. De nos jours, ils alimentent encore des discussions dans les « théories contemporaines de l’esprit », notamment dans les champs disciplinaires tels que la philosophie de l’esprit et les neurosciences cognitives. C’est ce que démontre la dernière partie de cette thèse qui, à titre de test, confronte la théorie freudienne de l’inconscient aux théories contemporaines. / What where the main types of psychological knowladge used by Freud which contributed to the emergence of psychoanalytic movement? How did Freud use these main types of psychological knowladge in the context of original construction? In spite of the abundant literature concerning these questions which appaer simple, the answers aren't uncontroversial. This difficulty isn't recent, Freud has been already studied this matter in Contribution to the History of Psychoanalysis movement (1914) and My life and Psychoanalysis (1925) retraced the history of psychoanalysis, mentioning the principal actors who have, directly or indirectly, contributed to the building this body of knowledge.However, the discoveries done by contemporary researchers, in the archives of hospitals, where some Freud’s patients were interned, with a careful reading of the historical context and the intellectual productions on mental illness, at the end of 19th century, raises important questions. Did Freud bias the psychoanalysis history in order to be considered as the real founding father? These suspicions have an impact on the historians working on the work of Freud and on his partisans as well. This invites us, as historians of sciences, to revaluate a certain number of hypotheses in psychoanalysis, according to recent discoveries.Besides, the work of Freud doesn’t not only have relationship with psychological theory of his time. In our days, Freud’s work enriches discussions as far it concerns “contemporary Theories of mind”, and in particular, in disciplinary fields such as Philosophy of mind and cognitive neuroscience. This is what the last part of this thesis demonstrates, as a test case, it interacts Freudian theory of unconsciousness with contemporary theories.

O presente estudo comparou o fluxo sanguíneo cerebral regional avaliado através da tomografia por emissão de fóton simples (SPECT) de pacientes com crises epilépticas temporais com pacientes com crises não epilépticas psicogênicas (CNEP). Todos os SPECT foram realizado no período ictal, tendo as CNEP sido induzidas por métodos sugestivos e de hipnose. Os grupos de pacientes com epilepsia e CNEP foram ainda comparados com um terceiro grupo, denominado grupo de sujeitos saudáveis. As comparações dos SPECT foram feitas através da análise visual (radiologista cego ao estudo) e semiquantitativa pelo programa Statistical Parametric Mapping (SPM). Os objetivos do estudo foram: (1) estabelecer a sensibilidade e a especificidade do SPECT ictal para o diagnóstico diferencial entre CNEP e crises epilépticas parciais complexas em pacientes com epilepsia do lobo temporal, em comparação com o VEEG associado a técnicas de hipnose; (2) avaliar através da análise quantitativa voxel a voxel do SPECT as alterações de perfusão cerebral dos pacientes com CNEP em relação aos pacientes com epilepsia, dos pacientes com CNEP em relação a um grupo controle de sujeitos normais e dos pacientes com epilepsia em relação a um grupo controle de sujeitos saudáveis. Foram estudados 30 pacientes no grupo com CNEP, 22 pacientes no grupo com epilepsia e 29 sujeitos saudáveis. Os resultados mostram que os SPECT ictais dos pacientes do grupo CNEP foram diferentes dos SPECT ictais dos pacientes com epilepsia. Na análise visual o SPECT ictal apresentou sensibilidade de 50% e especificidade de 91% para o diagnóstico de CNEP . Na análise comparativa voxel a voxel entre os grupos os resultados revelaram que: (a) houve aumento de perfusão cerebral em lobo temporal esquerdo e tronco cerebral nos pacientes do grupo epilepsia em relação ao grupo controle normal; (b) houve diminuição de perfusão cerebral no lobo frontal esquerdo e córtex anterior do cíngulo nos pacientes do grupo epilepsia em relação ao grupo controle normal; (c) houve aumento de perfusão cerebral no giro do cíngulo e precuneus á direita nos pacientes do grupo CNEP em relação ao grupo epilepsia; (d) houve diminuição perfusão cerebral em amígdala direita nos pacientes do grupo CNEP em relação ao grupo epilepsia; (e) houve aumento de perfusão cerebral na cauda do núcleo caudado esquerdo, giro précentral esquerdo e tálamo direito nos pacientes do grupo CNEP em relação ao grupo controle normal. Desta forma, após a análise estatística dos resultados concluímos que na análise visual, um SPECT ictal positivo em um paciente com suspeita de CNEP não confirma nem afasta tal suspeita, já que a sensibilidade do método foi baixa (50%). Na análise visual, um SPECT ictal negativo em um paciente com suspeita de CNEP afasta a possibilidade de epilepsia do lobo temporal com 91% de acerto (especificidade do método). O resultado da análise visual do SPECT ictal de CNEP revelou valor de sensibilidade abaixo do encontrado na literatura, e valor de especificidade superior ao encontrado na literatura. A análise quantitativa dos SPECT de crise epiléptica em comparação com os de sujeitos saudáveis em repouso, mostrou concordância com a análise visual em relação à lateralidade. Tal comparação revelou ainda ativação de áreas compatíveis com o que se encontra na literatura. A análise quantitativa dos SPECT ictais do grupo CNEP em comparação com os do grupo epilepsia revelou ativação de estruturas cerebrais posteriores (precuneus e giro cíngulo), não havendo comparação semelhante na literatura. A análise quantitativa dos SPECT ictais do grupo CNEP em comparação com os de sujeitos saudáveis em repouso, mostrou ativação do sistema estriatotalamocortical, achado em concordância com a literatura. A ativação do sistema estriatotalamocortical nos pacientes com CNEP mostrou ser um correlato neuroanatômico clinicamente relevante, com forte associação estatística. / The study compared regional cerebral blood flow assessed by positron emission tomography single photon (SPECT) in patients with temporal lobe epilepsy and patients with psychogenic nonepileptic seizures (PNES). All SPECT were performed in the ictal period, PNES having been induced by and suggestive methods of hypnosis. The groups of patients with epilepsy and PNES were compared with a third group, called group of healthy subjects. SPECT comparisons were made by visual analysis (radiologist blinded to the study) and semiquantitative analysis by Statistical Parametric Mapping (SPM). The study objectives were: (1) to establish the sensitivity and specificity of ictal SPECT for the differential diagnosis between PNES and complex partial seizures in patients with temporal lobe epilepsy, compared with VEEG associated with hypnosis techniques, (2) to assess by quantitative analysis of SPECT voxel to voxel changes in cerebral perfusion of patients with PNES compared to patients with epilepsy, patients with PNES compared to a control group of normal subjects and patients with epilepsy compared to a control group of healthy subjects. We studied 30 patients in the PNES group, 22 patients in the group with epilepsy and 29 healthy subjects. The results show that ictal SPECT of patients in the PNES group were different from the ictal SPECT of patients with epilepsy. The visual analysis of ictal SPECT had a sensitivity of 50% and specificity of 91% for the diagnosis of PNES. In the voxel voxel comparative analysis between the groups the results showed that: (a) increased cerebral perfusion in the left temporal lobe and brain stem in patients of epilepsy group compared to normal control group, (b) a decrease in cerebral perfusion in the left frontal lobe and anterior cingulate cortex in patients of epilepsy group compared to normal control group, (c) increased cerebral perfusion in the cingulate gyrus and precuneus in the right group of PNES patients compared to epilepsy group, (d) decreased cerebral perfusion in the right amygdala in patients PNES group compared to the epilepsy group, (e) increased cerebral perfusion in the left tail of the caudate nucleus, left pre-central gyrus and right thalamus in patients in the PNES group compared to group normal control. Therefore, after statistical analysis of the results we conclude that in visual analysis, a positive ictal SPECT in a patient with suspected PNES neither confirms nor removes the suspicion, since the sensitivity was low (50%). In visual analysis, a negative ictal SPECT in a patient with suspected PNES rules out the possibility of temporal lobe epilepsy with 91% accuracy (specificity of the method). The result of visual analysis of ictal SPECT of PNES revealed sensitivity value below that found in the literature and specificity value higher than that found in the literature. The quantitative analysis of SPECT of seizures compared with those of healthy subjects at rest, showed agreement with visual analysis in relation to laterality. This comparison also revealed activation in areas consistent with that found in the literature. The quantitative analysis of SPECT ictal PNES group compared with the epilepsy group showed activation of posterior brain structures (cingulate gyrus and precuneus), with no similar comparison in the literature. The quantitative analysis of SPECT ictal PNES group compared to healthy subjects at rest, showed activation of the estriatotalamocortical, a finding in agreement with the literature. The activation of the estriatotalamocortical circuit in patients with PNES proved to be a neuroanatomical correlate clinically relevant, with strong statistical association

O objetivo dessa pesquisa consiste em analisar aspectos peculiares aos distúrbios mentais psicológicos e emocionais das mulheres diagnosticadas como histéricas na década de 1950, no Hospital de Alienados, na cidade do Recife. A partir daí, entender os discursos produzidos pelos intelectuais das instituições sociais responsáveis pelo destino dessas mulheres, dentro da sociedade. Esse estudo considerou como relevante para essa análise os acontecimentos de um Brasil que absorvia novas ideias oriundas do modelo americano, e vivia em plena efervescência econômica, política e cultural, os chamados Anos Dourados. Nele, o conceito de religiosidade, adotava uma nova configuração. Novas propostas religiosas e também práticas espíritas se multiplicavam e se afirmavam especialmente nas periferias das grandes cidades, para minimizar os conflitos existenciais que atingiam a sociedade, em especial, as mulheres pobres. Embasada nesses aspectos, a pesquisa aponta as mulheres nervosas e confinadas como alvo constante de um sistema político-social discriminatório e repressor que atuava silenciosamente dentro da sociedade. Tais afirmações são demonstradas através dos comoventes relatos transcritos nas suas histórias de vida, Neles, os problemas afetivos econômicos e sociais dessas mulheres se sobressaíam, e as tornavam extremamente vulneráveis aos surtos histéricos. Ressaltamos, também, a importância e o significado das amizades construídas na vizinhança dessas mulheres, que, por sofrerem com a exclusão social e o desamparo das políticas públicas, se identificavam e se apoiavam nas dificuldades surgidas no dia a dia, tendo, na maioria dos casos, a miséria como pano de fundo / This research aims al analyzing the peculiar aspects regarding to women‟s mental psychological and emotional disturbs diagnosed as hysterics in 1950 decade, in the Hospital de Alienados- Hospital for lunatics- in Recife city. Hence fonhards, one must understand the discourses made- produced by the social institutions intellectuals responsible for these women‟s fate- destination- withein society. This study- work-has considered has viewed as relevant for this analysis events concerning a certain Brazil- a Brasil‟s type. That was absorbing new ideas arisen from the American way of life and was living in full economical political and cultural effervescence: the so-called the golden years In that model. The concept concerning religiosity was used to adapt a new configuration. New religions proposils as well on spirit practices reproduced- multiplied themselves and adquired their affirmationaffirmed. Themselves specially in the great cities peripheries, in order to minimize the existential problems that affected society, mainly poor women. Based on in these aspects, this research points out the nervous women and the confirmed ones as a constant target for a discriminatory and repressing political-social system that actuated silently within society these affirmations statement are shown up through touching reports transcribed in their life stories. In these reports, their-women affective economical and social problems jut out and made them vulnerable, to hysterical outbreaks. One must emphasize, as well, also the friendships importance and meaning constructed, build up in these poor women‟s neighborhood who as they suffer a lot on account of their social exclusion and public policies abandonment, they identify them selves and give support each other in their difficulties arisen in their day by day lives, having in the majority of their cases misery as a background

O presente estudo comparou o fluxo sanguíneo cerebral regional avaliado através da tomografia por emissão de fóton simples (SPECT) de pacientes com crises epilépticas temporais com pacientes com crises não epilépticas psicogênicas (CNEP). Todos os SPECT foram realizado no período ictal, tendo as CNEP sido induzidas por métodos sugestivos e de hipnose. Os grupos de pacientes com epilepsia e CNEP foram ainda comparados com um terceiro grupo, denominado grupo de sujeitos saudáveis. As comparações dos SPECT foram feitas através da análise visual (radiologista cego ao estudo) e semiquantitativa pelo programa Statistical Parametric Mapping (SPM). Os objetivos do estudo foram: (1) estabelecer a sensibilidade e a especificidade do SPECT ictal para o diagnóstico diferencial entre CNEP e crises epilépticas parciais complexas em pacientes com epilepsia do lobo temporal, em comparação com o VEEG associado a técnicas de hipnose; (2) avaliar através da análise quantitativa voxel a voxel do SPECT as alterações de perfusão cerebral dos pacientes com CNEP em relação aos pacientes com epilepsia, dos pacientes com CNEP em relação a um grupo controle de sujeitos normais e dos pacientes com epilepsia em relação a um grupo controle de sujeitos saudáveis. Foram estudados 30 pacientes no grupo com CNEP, 22 pacientes no grupo com epilepsia e 29 sujeitos saudáveis. Os resultados mostram que os SPECT ictais dos pacientes do grupo CNEP foram diferentes dos SPECT ictais dos pacientes com epilepsia. Na análise visual o SPECT ictal apresentou sensibilidade de 50% e especificidade de 91% para o diagnóstico de CNEP . Na análise comparativa voxel a voxel entre os grupos os resultados revelaram que: (a) houve aumento de perfusão cerebral em lobo temporal esquerdo e tronco cerebral nos pacientes do grupo epilepsia em relação ao grupo controle normal; (b) houve diminuição de perfusão cerebral no lobo frontal esquerdo e córtex anterior do cíngulo nos pacientes do grupo epilepsia em relação ao grupo controle normal; (c) houve aumento de perfusão cerebral no giro do cíngulo e precuneus á direita nos pacientes do grupo CNEP em relação ao grupo epilepsia; (d) houve diminuição perfusão cerebral em amígdala direita nos pacientes do grupo CNEP em relação ao grupo epilepsia; (e) houve aumento de perfusão cerebral na cauda do núcleo caudado esquerdo, giro précentral esquerdo e tálamo direito nos pacientes do grupo CNEP em relação ao grupo controle normal. Desta forma, após a análise estatística dos resultados concluímos que na análise visual, um SPECT ictal positivo em um paciente com suspeita de CNEP não confirma nem afasta tal suspeita, já que a sensibilidade do método foi baixa (50%). Na análise visual, um SPECT ictal negativo em um paciente com suspeita de CNEP afasta a possibilidade de epilepsia do lobo temporal com 91% de acerto (especificidade do método). O resultado da análise visual do SPECT ictal de CNEP revelou valor de sensibilidade abaixo do encontrado na literatura, e valor de especificidade superior ao encontrado na literatura. A análise quantitativa dos SPECT de crise epiléptica em comparação com os de sujeitos saudáveis em repouso, mostrou concordância com a análise visual em relação à lateralidade. Tal comparação revelou ainda ativação de áreas compatíveis com o que se encontra na literatura. A análise quantitativa dos SPECT ictais do grupo CNEP em comparação com os do grupo epilepsia revelou ativação de estruturas cerebrais posteriores (precuneus e giro cíngulo), não havendo comparação semelhante na literatura. A análise quantitativa dos SPECT ictais do grupo CNEP em comparação com os de sujeitos saudáveis em repouso, mostrou ativação do sistema estriatotalamocortical, achado em concordância com a literatura. A ativação do sistema estriatotalamocortical nos pacientes com CNEP mostrou ser um correlato neuroanatômico clinicamente relevante, com forte associação estatística. / The study compared regional cerebral blood flow assessed by positron emission tomography single photon (SPECT) in patients with temporal lobe epilepsy and patients with psychogenic nonepileptic seizures (PNES). All SPECT were performed in the ictal period, PNES having been induced by and suggestive methods of hypnosis. The groups of patients with epilepsy and PNES were compared with a third group, called group of healthy subjects. SPECT comparisons were made by visual analysis (radiologist blinded to the study) and semiquantitative analysis by Statistical Parametric Mapping (SPM). The study objectives were: (1) to establish the sensitivity and specificity of ictal SPECT for the differential diagnosis between PNES and complex partial seizures in patients with temporal lobe epilepsy, compared with VEEG associated with hypnosis techniques, (2) to assess by quantitative analysis of SPECT voxel to voxel changes in cerebral perfusion of patients with PNES compared to patients with epilepsy, patients with PNES compared to a control group of normal subjects and patients with epilepsy compared to a control group of healthy subjects. We studied 30 patients in the PNES group, 22 patients in the group with epilepsy and 29 healthy subjects. The results show that ictal SPECT of patients in the PNES group were different from the ictal SPECT of patients with epilepsy. The visual analysis of ictal SPECT had a sensitivity of 50% and specificity of 91% for the diagnosis of PNES. In the voxel voxel comparative analysis between the groups the results showed that: (a) increased cerebral perfusion in the left temporal lobe and brain stem in patients of epilepsy group compared to normal control group, (b) a decrease in cerebral perfusion in the left frontal lobe and anterior cingulate cortex in patients of epilepsy group compared to normal control group, (c) increased cerebral perfusion in the cingulate gyrus and precuneus in the right group of PNES patients compared to epilepsy group, (d) decreased cerebral perfusion in the right amygdala in patients PNES group compared to the epilepsy group, (e) increased cerebral perfusion in the left tail of the caudate nucleus, left pre-central gyrus and right thalamus in patients in the PNES group compared to group normal control. Therefore, after statistical analysis of the results we conclude that in visual analysis, a positive ictal SPECT in a patient with suspected PNES neither confirms nor removes the suspicion, since the sensitivity was low (50%). In visual analysis, a negative ictal SPECT in a patient with suspected PNES rules out the possibility of temporal lobe epilepsy with 91% accuracy (specificity of the method). The result of visual analysis of ictal SPECT of PNES revealed sensitivity value below that found in the literature and specificity value higher than that found in the literature. The quantitative analysis of SPECT of seizures compared with those of healthy subjects at rest, showed agreement with visual analysis in relation to laterality. This comparison also revealed activation in areas consistent with that found in the literature. The quantitative analysis of SPECT ictal PNES group compared with the epilepsy group showed activation of posterior brain structures (cingulate gyrus and precuneus), with no similar comparison in the literature. The quantitative analysis of SPECT ictal PNES group compared to healthy subjects at rest, showed activation of the estriatotalamocortical, a finding in agreement with the literature. The activation of the estriatotalamocortical circuit in patients with PNES proved to be a neuroanatomical correlate clinically relevant, with strong statistical association