Le concept de structure clinique se réfère immédiatement à la classification d’une maladie mentale comme névrose, psychose ou perversion, mais aussi au sous-type nosographique la concernant. Actuellement, les développements de ce concept constituent la principale théorie psychopathologique de l’analyse lacanienne. Toutefois, il y a une disparité de jugement sur sa valeur : (1) quelques auteurs soutiennent une continuité naturelle entre cette théorie et la doctrine de Freud et Lacan ; (2) quelques autres proposent une réorganisation de la nosographie psychanalytique incluant des nouvelles pathologies ; (3) quelques autres, finalement, défendent la disparition complète de ces références théoriques dans la clinique.Cette disparité relève d’une lacune dans le savoir : les fondements des structures cliniques, ainsi que ses enjeux, n’ont pas été encore systématisés. L’objetctif général de ce travail fut de les restituer, afin de déterminer la légitimité de cette théorie en tant qu’interprétation de la pensée de Freud et Lacan, ainsi que sa pertinence dans les débats psychopathologiques actuels.Pour éclairer les filiations symboliques qui soutiennent le concept de structure clinique, une méthode généalogique a été employée. Les résultats démontrent que Freud a utilisé une notion de structure héritée de la science du XIX e siècle pour élaborer ses conceptions psychanalytiques. La référence minéralogique, fournie par son ancien professeur G. Tschermak, a notamment imprégné l’usage freudien de la structure en psychopathologie. Bien que les catégories de névrose, psychose et perversion n’arrivent pas chez lui à se constituer comme un triptyque, il y a dans ses textes une tendance à les considérer dans leurs rapports mutuels, en tant que perturbations de la vie sexuelle. Cette tendance a été récupérée par Lacan à partir de 1953, et déclinée sur son concept de structure – entendue alors comme un ensemble covariant de signifiants – et sur les registres du réel, du symbolique et de l’imaginaire. Les avancées de sa production intellectuelle, telles que l’invention de l’objet petit a et l’introduction des nœuds et des tresses en psychanalyse, auront apporté jusqu’à la fin de ses jours un approfondissement du triptyque freudien.La systématisation de la théorie des structures cliniques a proprement commencée en 1981, quand les membres du Champ freudien ont soudé cet ensemble d’éléments psychopathologiques avec le terme, homonyme et préexistant, de structure clinique. L’enjeu majeur de cette soudure a été de supporter la relation dialectique entre la théorie et la pratique analytique. À présent, le programme de recherche des structures cliniques porte sur les psychoses ordinaires et sur la spécificité de l’autisme. La psychopathologie lacanienne ainsi constitué est interrogée depuis nombreux angles : la proposition d’une structure psychosomatique, la promotion des pathologies borderline, la liquidation post-moderne de la structure perverse, la contrainte des nosographies opérationnalisées (CIM, DSM et PDM). Les conclusions de cette recherche qualifient la théorie des structures cliniques comme une interprétation légitime de la pensée de Freud et de Lacan. Elle est d’autant plus pertinente dans le contexte actuel qu’elle est d’une grande utilité pour l’établissement du diagnostic structural, pour la direction de la cure et pour la transmission du cas clinique. En tant que cartographie du malaise subjectif, la structure clinique signale la référence éthique du psychopathologique, et constitue une résistance et une subversion face à la défaillance contemporaine dans l’appréhension du réel clinique. / The concept of Clinical Structure concerns the classification of a mental disease as neurosis, psychosis or perversion, and its corresponding nosographic sub-type as well. Nowadays, the developments of this concept constitute the main psycho-pathological theory brought about by lacanian psychoanalysis. However, there is a disparity of judgment regarding its value: (1) some authors assert the natural continuity between that theory and the doctrine of Freud and Lacan; (2) some others propose a reorganization of psychoanalytic nosography which includes new pathologies; (3) some others finally advocate a complete disappearance of these theoretical references from clinical studies. This disparity takes on a lack of knowledge: the clinical structures’ foundations, and its stakes, have not yet been systematized. The main objective of this work was to restore them, in order to determine the legitimacy of this theory as an interpretation of Freud’s and Lacan’s thinking, and its appropriateness in contemporary psycho-pathological debates.For clarifying the symbolic filiations that support the concept, a genealogical method has been employed. The results demonstrate that Freud has used a notion of structure inherited from 19th century science to elaborate his psychoanalytical conceptions. The mineralogical reference, provided by his ancient Professor G. Tschermak, has notably permeated the freudien use of the structure in psychopathology. Although he did not constitute the categories of neurosis, psychosis and perversion as a triptych, there is in his textes a tendancy to consider them on their mutual connections, as disturbances of sexual life. This tendancy has been recovered by Lacan since 1953, and declined on his concept of structure (then understood as a co-variant set of signifiers) and on the registers of real, symbolic and imaginary. The advances of his intellectual production, like the invention of the Object petit a and the introduction of knots and braids in psychoanalysis, have brought until the end of his days a deepening of the freudien triptych.Systematization of the theory of clinical structures has properly started in 1981, when the members of the Freudien Field have welded this set of psycho-pathological items to the term, namesake and pre-existing, of clinical structure. The major stake of this welding has been to support the dialectical relationship between the psychoanalytic theory and the practice.Nowadays, the in-depth study of clinical structures is focused on the ordinary psychosis and the specificity of autism. The Lacanian psychopathology thus constituted is questioned from many angles: the proposition of a psychosomatic structure, the promotion of borderline pathology, the Postmodern liquidation of the perverse structure, the constraint of operationalized nosographies (ICD, DSM and PDM).In conclusion, this research confirms the theory of clinical structures as a legitimate interpretation of Freud’s and Lacan’s thinking. It is even more relevant in contemporary context that it has an important utility in order to the establishment of structural diagnose, to the direction of the cure and to the transmission of cases. As a cartography of subjective discomfort, the clinical structure points to the ethical reference of the psycho-pathological, and constitutes a resistance and a subversion facing the contemporary failure in the apprehension of clinical real.

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[pt] A idealização da experiência subjetiva da mulher em relação à maternidade se contrasta com novos ideais femininos que não mais se restringem à maternidade e ao matrimônio. Com isso, as exigências advindas desse novo modelo de maternidade encontram-se em constante conflito com as conquistas femininas das últimas décadas. Nesta perspectiva, no presente trabalho abordaremos aspectos concernentes às ressonâncias psíquicas e às mudanças subjetivas que se forjam na nova mãe a partir do nascimento de um filho, fundamentais para o processo da construção da maternidade. Nosso intuito será apontar que os primeiros tempos da maternidade inauguram para a mulher um imprevisível e profundo trabalho psíquico, ancorado tanto em sua história pessoal quanto no contexto social no qual se vive, uma vez que o tornar-se mãe não está livre das suposições de seu tempo. / [en] The woman s idealization of the subjective experience of motherhood contrasts with the new feminine ideals which are no longer restricted to motherhood and marriage. Therefore, the demands arising from this new model of motherhood are in constant conflict with the female conquests of the last decades. With this perspective, in the present work we will approach aspects concerning the psychic resonances and the subjective changes that are molded in the new mother after the birth of a child, which are fundamental to the process of motherhood construction. Our intention will be to point out that the early days of motherhood inaugurate for women an unpredictable and deep psychic work, anchored both in their personal history and in the social context in which they live, since becoming a mother is not free from the assumptions of her time period.

[pt] O presente trabalho tem como objetivo investigar as contradições e possibilidades clínicas inauguradas pelo conceito de regressão. Partiremos das postulações freudianas, nas quais abordaremos a regressão em seu aspecto intrapsíquico, sendo associada aos processos oníricos e de formação sintomática, para depois seguirmos com autores que consideramos relacionais. Dentre eles, o primeiro a ser abordado é o húngaro Sándor Ferenczi, quem primeiro apresenta a regressão enquanto fenômeno clínico e destaca a importância dos processos internos do analista na relação terapêutica. Em sua esteira, seguiremos com Donald Winnicott e Michael Balint. Veremos nas contribuições dos dois autores uma descrição mais detalhada e assertiva sobre os estados regressivos. Em todos os três autores, na medida em que tratamos do fenômeno da regressão, estaremos cotejando também as ideias de contratransferência e as teorias acerca da constituição subjetiva. Em uma última parte do trabalho faremos uma aproximação da clínica contemporânea em uma tentativa de descrever como o conceito da regressão é um que exprime inovações importantes para se pensar a clínica hoje. Veremos como as discussões acerca do conceito ao longo da história da psicanálise contemplam aspectos essenciais para a clínica como o campo transferencial, o corpo e o manejo. / [en] The present work has as main objective investigate the contradictions as well as clinical possibilities initiated by the notion of regression. We ll start off from the freudian postulations, through which we ll approach the idea of regression in its intrapsychic aspect associating it with the process of dream and symptom formation. We ll then proceed with authors by us considered relational. Among them, the first to be addressed will be the Hungarian Sándor Ferenczi, who is the first to introduce the idea of regression as a clinical phenomena and to highlight the importance of the analyst s internal world in the therapeutic relationship. Following Ferenczi, we ll regard the works of Donald Winnicott e Michael Balint. Through their contributions we ll bring to light a more detailed and assertive description of the regressive states. However, in all threes authors, as we approach the phenomena of regression, we ll be also examining the idea of counter- transference and the theories regarding the constitution of subjectivity. In the last part of the work we ll propose an approximation to contemporary psychoanalysis in an attempt to describe how the concept of regression contains important innovations for clinical references today. We ll progress by presenting how the discussions about such phenomena through history of psychoanalysis contemplate pivotal clinical aspects such as transference, body and clinical handling.

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A book review on Psychoanalytische perspectieven: conversations with Howard Shevrin. His work, his research, his ideas

[pt] A finalidade desta dissertação é a de refletir acerca das dimensões do trauma e do tempo, da importância do entrelaçamento entre ambos na tessitura da obra freudiana e das suas repercussões na clínica psicanalítica contemporânea. O tema do trauma surge na teoria freudiana desde os primeiros escritos, porém perde relevo em prol da teoria da fantasia na etiologia das neuroses, reaparecendo com toda a sua força em 1920, em conexão com a pulsão de morte. Em nossa análise, damos ênfase a este retorno da noção de trauma, em 1920, com o ensaio Além do princípio do prazer. Neste período, a teoria freudiana passou a ser guiada por um olhar da subjetividade individual e grupal, cujo funcionamento é imperado por um além do princípio do prazer. Este momento, também chamado de segunda tópica, possui dois pontos nevrálgicos: as neuroses traumáticas e a pulsão de morte, que se diferenciam das bases de investigações até então vigentes. Ao ampliarmos a questão do trauma para o cenário contemporâneo, nos questionamos onde essa noção se encaixa hoje. No debate psicanalítico atual, observamos um incremento de configurações de base traumática, chamados de casos-limite, que possuem uma grande relevância para o campo, por apontarem a presença de uma base traumática. Todavia, definir o que está em jogo nas novas configurações da atualidade se apresenta como um complexo desafio que implica trabalhar a relação com o trauma e outras dimensões, como o tempo. Nessa direção, os casos-limite representam uma via através da qual uma dimensão outra da temporalidade aparece, que possui consonâncias com o tempo do traumático. Propõe-se, portanto, investigar a noção de tempo, a fim de compreender que na psicanálise não há somente uma, mas diversas formas de expressão da temporalidade. / [en] The purpose of this dissertation is to reflect on the dimensions of trauma and time, the importance of their intertwining in the fabric of the freudian work, and their repercussions in contemporary psychoanalytic practice. The theme of trauma emerges in the freudian theory from the earliest writings but loses prominence in favor of the theory of fantasy in the etiology of neuroses, reappearing with full force in 1920 in connection with the death drive. In our analysis, we emphasize this return of the notion of trauma in 1920, with the essay Beyond the Pleasure Principle. During this period, freudian theory began to be guided by a perspective of individual and group subjectivity, whose functioning is governed by a beyond the pleasure principle. This moment, also called the second topography, has two pivotal points: traumatic neuroses and the death drive, which differ from the investigative bases that were prevalent until then. When we expand the question of trauma to the contemporary scene, we wonder where this notion fits today. In the current psychoanalytic debate, we observe an increase in configurations of traumatic origin, called borderline cases, which are highly relevant for the field as they point to the presence of a traumatic basis. However, defining what is at stake in the new contemporary configurations presents itself as a complex challenge that implies working with the relationship with trauma and other dimensions, such as time. In this direction, borderline cases represent a path through which another dimension of temporality appears, which resonates with the time of trauma. It is therefore proposed to investigate the notion of time in order to understand that in psychoanalysis there are not only one but several forms of expression of temporality.

No / Contrary to its original conceptualization, research has found that emotional demands do not lead to burnout in nurses. According to psychoanalytic theory, unconscious defense mechanisms may protect nurses from conscious awareness of work-related anxiety. This prevents self-report and may explain research findings. The maturity of defense style influences how anxiety is managed. Immature defenses prevent the conscious processing necessary for resolution of anxiety. Therefore, it is hypothesized that the use of immature defenses will lead to emotional exhaustion. This cross-sectional study used questionnaires to explore the defense mechanisms of 87 Intensive Therapy Unit nurses. Although the sample endorsed a predominantly mature defense style, the use of immature defenses predicted emotional exhaustion. Also, lower levels of reported stress associated with emotional demands predicted emotional exhaustion. Although this strongly implies the mediating role of immature defense mechanisms, the results were not statistically significant.

In this paper I have strived to provide a new view on a timeless classic of children’s literature, Winnie-The-Pooh. In psychoanalytic literary criticism concepts and theories of psychoanalysis is implemented while interpreting literature; in this paper, I have interpreted the novel incorporating concepts of the psychoanalytic schools of Sigmund Freud and Jacques Lacan while arguing that the denizens of the Hundred Acre Wood are manifestations of parts of the narrator’s unconscious. The first two sections of the paper present the theories and concepts of the two major schools of psychoanalysis as an introduction aimed at increasing the readability of the interpretation. The individual interpretations of each character are then presented separately, every section in some way involving psychoanalytic theory. Kanga, Roo, Piglet, Winnie-the-Pooh, Christopher Robin, Rabbit, Owl and Eeyore are shown to be repressed memories, feelings or thoughts. Included theoretical concepts are the Oedipus complex, the sexual development of infants, the journey of children towards consciousness, Lacanian desire and lack, Freudian dream interpretation and the conception that the unconscious is structured as language, among others.