Fundamentos da Clínica by Paul Bercherie, , Jorge Zahar edition, Paperback in Portuguese – 1 edition. Paul Bercherie Los fundamentos de la clínica. 1 like. Book. Fundamentos de La Clinica: Paul Bercherie: Books – Amazon. ca.

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Regarding psychoanalysis, here we refer to the situation left by Freud, who despite maintaining a theoretical and clinical interest in psychosis, considered it inaccessible for psychoanalysis. These authors point out a paradigm shift that is not limited to the classification of mental diseases, and reaches the question of hegemony among the knowledge that constitutes the psychiatric and psychological fundamentso, and clinicq sphere of social representations relative to the individual and to the normal and the pathological.

Regarding psychosis, Freud placed all his hopes into the work of his colleagues Karl Abraham and Carl Jung, both psychiatrists dedicated to applying psychoanalysis to this pathology. It begs the question: The functional adjustment itself is positive, but the clinical reading of psychotic phenomena as a kind of signature of the subject cannot be left out.

We are addressing the practical field lox mental health in which we work, where we notice that the proliferation of diagnoses generated by the DSM has frequently had a disorienting effect fyndamentos relation to diagnosis and the clinic — mainly the effect of a lack of familiarity with psychosis where it often appears.

During this same period, Magnan distinguished the mixed states organic brain lesions, senile dementia, neuroses [hysteria], epilepsy, alcoholism etc.

The greater or lesser clinical validity of these categories deserves to be discussed separately, and is obviously beyond the scope of this article. In the words of Lacanp. On this point, the manual indicates: Revista Latinoamericana de Psicopatologia Fundamentalv. However, they have a particular form of existence, bercberie outside the general symbolization that structures the subject, outside any symbolization that would allow the subject to have them as the elements of his subjectivity.

Fundamentos da Clínica

At least as long as it is not entirely neutralized as a mystery by the biological-cognitive perspective. Puntualizaciones psicoanaliticas sobre flinica caso de paranoia Dementia paranoides descrito autobiograficamente.

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Some works we will cite show that while this may not have been the intention, in effect these changes certainly suppressed reference to psychoanalysis.

Bleuler, entre psychiatrie et psychanalyse? Final considerations The fact that schizophrenia has encompassed almost everything that still is considered as psychosis has relegated to oblivion several important semiological references and accurate descriptions of the various clinical forms of psychoses.

The effects of this damage on mental life predominates in the emotional fundamento volitional areas.

Os fundamentos da clínica: história e estrutura do saber psiquiátrico – ScienceOpen

It is beyond scope of this work to go deeper into the psychoanalytic reading of psychosis initiated by Freud and formalized by Lacan. I wish to thank Fernanda Costa Moura for her indispensable guidance in the research and in crafting the thesis, as well as in the final lw of this article. This established the terms psychosis and neurosis as antonyms, each hosting a certain group of psychological diseases.

Unlike Freud, Lacan was a psychiatrist and entered psychoanalysis through the psychosis clinic. Couto, Luis Flavio Silva Org. The extreme objectification of diagnostic categories has led to a proliferation of categories.

We will attempt to indicate, within both the description of diseases and psychiatric classification, how current leanings make psychosis more difficult to recognize, except when disruptive or deficit-related symptoms occur.

The subject is forced to exist in the language which precedes him and which is imposed on him as law. They themselves are not the disease, they are part of it, but in general they are nonspecific and may belong to other diseases.

This shows the symbolic weight that these terms carry and transmit. Nuevas puntualizaciones sobre las neuropsicosis de defensa. Freud himself never had a regular practice with psychotic patients. In this sense, if one of the objectives behind the origin of the DSM-III was standardization of language in global psychiatric communication, this goal could be considered fully achieved, and catalyzed the rise of biological psychiatry as a dominant aspect not only in American psychiatry but around the world.

Along with the abandonment of this conception and the opposition between neurosis and psychosis, the categories which had expressed the terms for psychiatry in culture for a whole century were also abandoned: Therefore, the mechanism is the introduction via identification of unconscious knowledge about desire and the sexual, knowledge that forms the subject himself, but which remains inaccessible to him in terms of consciousness.


Paul Bercherie (Author of Fundamentos de La Clinica)

How can we make this diversity compatible with the assumption that psychosis is unique? From this perspective, it adopted what was called a descriptive approach: Consequently, conditions that previously were associated with neurosis and subjectivity are being medicalized, conditions previously recognized as psychotic are relocated under the heading of personality disorders, and psychosis has been reduced to schizophrenia and considered a deficit of psychic functions.

It is not by chance that the only condition currently recognized as psychosis schizophrenia is a deficient condition which offers a biological interpretation, pharmacological action, and rehabilitation activities that can be both generous actions of social inclusion and at the same time can shift the balance toward a practice of normalization and adaptation, depending on the interpretation.

Psicopatologia e semiologia dos transtornos mentais. This knowledge operates on the subject in absentia; it propels him as desire to respond to the requirements of life and desire, and produces as symptom points of impasse, of the impossibility of permitting a certain dimension, of the difficulty of berchwrie something, or even in the form of symptoms identified by the clinical tradition related to anxiety, depression, dissociation, obsession etc.

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In the most serious cases, all manifestations of affect are abandoned; in less severe cases, affect is inappropriate. Bercherke nosographic structure established by Emil Kraepelin around the turn of the twentieth century guided psychiatry for the next hundred years.

Regarding to paranoia, as it was considered until that time, it encompassed all the psychoses in which there was chronic delirium, whether accompanied by other changes or not, and regardless of evolution.