A mass murder of journalists will serve as a starting point for an analysis of fanaticism, its sources and its social context in a modern Europe that is heir to the Enlightenment. We will try to show how the movement of institutionalized loyalty from the state to religion is based on the principles of humanism. We will discuss the notion of the development of a sense of morality in the child using observations of psychoanalysis and evoke the links between style and psychic position in regard to paranoia.
Adolescence, 2015, 33, 3, 613-639.
There are two reasons to reflect upon the possibility of doing therapy over the Internet. The first is the dearth of therapists in some regions. The second invites us to think about the setting Freud imagined as a particular instance of a general theory and to explore other variants that could be adjusted to fit new psychopathologies. In any case, online therapy requires a protocol involving spatial and temporal references, as well as financial agreement and confidentiality.
Adolescence, 2015, 33, 3, 501-509.
En la lucha contra le VIH-sida, las estrategias de prevención constituyen un reto determinante. Ello no implica satisfacerse de dispositivos que no son sometidos a una evaluación crítica. Desde el punto de vista de su impacto y de sus consecuencias, la prevención debe conjugar eficacia y afán de respetar los derechos y los valores personales. El adolescente requiere del acceso a conocimientos que favorezcan la autonomía de sus decisiones y contribuyan a la afirmación de sus responsabilidades, sin acentuar empero su fragilidad
In the fight against HIV-Aids, prevention strategies are a determining stake. Can one however be satisfied with devices that would not be submitted to a critical assessment ? From the point of view of its impact and consequences, prevention must be both at once efficient and respectful of the person in its rights and values. The adolescent should be able to be granted an access to all information allowing him to have a series of autonomous choices at hand and which also would enable him to stress his own responsibilities whereas at the same time his frailties would be taken into account.
The ” ethical questions ” raised by Aids are not specific to it. Yet, though not specific to it, they may take an examplary character as is evidenced by the clinical situation which we present here. The latter, by confronting the doctors to a specific impossible choice, and putting the ” paternal function ” directly at play, enables us to define what we suggest to call an ” ethical position “, as opposed to the concepts of deontology or morals, and stress its essential link with the ” clinical ” touch understood as an art of the ” case-to-case “, i.e. a place where the singularity of the subject is to be revealed.
On the occasion of a session meant to explore his breathing capacities, I receive Ali as an M.D. This youth, aged 25 will tell me about his feeling depressed and his fear of Aids. Due to the setting enabling ” a moment to voice things “, and to this ethical position of listening to Ali with reference to the psychoanalytic method, the analysis of the signifyiers lead me to bring his fear of Aids and his brother’s together within the associations knot of his discourse. Amid a technoscientific medical approach which is gradually more and more dehumanized, clinical psychopathology and psychoanalysis have the vocation to restore the ethical function and value of illness and care
In this article, the author proposes to define and distinguish the notions of morals, of deontology and of ethics as applied to the medical field. Deontology and ethics are then investigated within the framework of the psychiatric treatment of suicidal adolescents. This type of therapeutic situation repeatedly and violently confronts the caregivers with deontological and ethical questions.
A clinical vignette allows us to show some modes of ethical questioning, a questioning which is indispensable to the elaboration of a care-giving action.
Four years after the collaborative report from INSERM (National Institute of Health and Medical Research) on « Conduct Disorders », which led to turmoil among professionals and gave rise to the group « No conduct-0 », the current situation is far from reassuring. The general direction and research structures of INSERM have been renovated in a way unfavorable to Psychiatry, and its collaborative report on learning disorders did not show that INSERM had really integrated the necessity of rethinking the very structure of these collaborative assessments in the field of mental health. In addition, we are now witnessing a revival of the early detection of so-called « future delinquents » in day care centers, as well as a thorough attack against preschool and RASED (Networks of Specialized Help for Pupils in Difficulty). All this movement towards biologizing thought threatens the most vulnerable creates huge risks for the place of the human sciences in our culture and our universities.
Adolescence, 2009, T. 27, n°2, pp. 461-467.
The universe of the popular network game World of Warcraft is characterized by the originality of cultural references it uses and recomposes, but also by the virtual use of animist thought. These anthropological components like mana, totem animal, or demons were once vectors of fear and social distance as Freud analyzed in Totem and taboo. They are now commonly used objects for the player’s avatar in virtual reality. In a similar way, science and technology occupy a special status which is in many ways similar to the ancient Presocratic metaphysics.
The analysis of these symbolic dimensions and the ethical considerations involved are keys to a better understanding of what holds the player’s interest in his avatar, and may be tools for adults and therapists.
Adolescence, 2009, T. 27, n°3, pp. 601-609.
From the various reception modalities in the adolescents units (« Maisons des Adolescents »), the authors propose to define a reception position that partakes of the ethics of a clinical approach. They stress how the request for treatment the « Maisons des Adolescents » have to be heard. It seems essential to differentiate between the application made by the youth himself and the request made by the family and social circle. They also stress the fact of taking the situation at face value in order to decrypt the contents of the application, both manifest and latent. This position is expected to make a symbolic break and relocate references regarding the difference between the sexes and generations. Emphasis is placed on the notion of reference, which, coupled with a position of auxiliary ego, is likely to reintroduce a third party. This reception position cannot be conceived without job training of the multidisciplinary teams who should establish a clinic where the unknown, to which everyone is subject, can be shared.