The Clinic of Disability: Psychoanalytical Approaches


ONE Virility, masculine identity, and disabilityVirility, rivalry, and seductionLearning to be virilePaternal virility and paternal authoritySexuality and reproductive power in questionNegative sexual identityHetero-sexual virility reifying identityThe renewed creation of sexual identity according to Michel FoucaultConclusionNotesReferencesTWO The traumatic effects of encountering disability: the bond and psychic transmission put to the testThe effect on filiation, narcissism, and parenthoodBreak in filiationPrimal disappointmentSudden psychic separation and parental psychological prematurityDefences and rearrangements. Effects on the bond and transmission Secondary symbiosis and its formsNarcissistic bond and incestualityIdealisationDestructivenessTyrannyProjective identificationThe transmission fantasyThe work of guilt and shame: the fantasy of guilt and the effects of shameShame and its work: conservation of the traumaGuilt, shame, and transmissionManic and melancholic defensive positions: repetition-transmission of the primal disappointmentThe disability as attractor of transmissionNotesReferencesTHREE Cultural interpretation of disabilityHow is disability seen in daily life across the different continents?How to make sense of the maze of conceptions surrounding disability?An "anonymous being" or an imbalance?An external element or an internal process?An excess or a lossA calamity or a fecund experience?Is there a certain unity beyond cultural diversity?NoteReferencesFOUR Prediction, disability, and geneticsIntroductionHuntington's diseaseInternational recommendationsPsychological interview and anticipationHow can testing impact patients?Paradoxical reactions and guiltPrenatal diagnosisBeing in a state of anxietyDeferred actionPrediction and anticipationEffects on temporalityConclusionNoteReferencesFIVE The psychoanalytical approach to disabilityClinical backgroundTraumatismPsychotherapy of the disabled childSpecific aspects of countertransference in the clinical treatment of disabilityMourning and depression.Infantile theories of disabilityFinding the words to talk about the issue"They must be right"Unconscious representations"Nothing to say"The mirror and reflexivityConclusionReferencesSIX The normality of the abnormal: disability, norms, and normalityThe handicap is something to be detestedThe disability strikes the whole familyDisabled people and their families are normal "people"The disability is banal, the anomaly fits in normally with lifeConclusionNotesReferencesSEVEN The enigma of disability: talking about it with children, listening to them, letting them talk to each otherDisability: an enigma that brings gender and generational differences into question throughout lifeThe enigma of differences between childrenEmerging differences between children: the subjectivation processGaining seniority over an elder siblingAdolescenceSiblingship bonds to social bondsShame and guiltGuilt, aggression, and reparationShame: ashamed of. . . and ashamed for. . .Living with the shame of adults .. .The disabled subjectSeeking to resolve the enigma and experiment the power of release that combined thinking between children can unleashWhy children do not talkWhy adults do not talk to childrenTalkingChildren talking among themselvesConclusionReferencesEIGHT Bodies lost and bodies gained: the major periods in the history of disabilityIntroductionThe symbolism of infirmityUnder the divine gazeBeing whole to approach YahwehInfirmity as divine manifestation (the evangelical shift)Relieving affliction and attaining salvation (the medieval outlook)The jester is in relation with another worldTowards a secularised visionCorrecting infirmity: the first technological approaches (Ambroise Pam)Imprisonment in the name of reason and order (absolute monarchy)Gaining citizenshipHard-grained prejudices: how to move on from monstrousness?Prospects for integration From infirmity to handicapThe handicapped person, the handicap situation, and inclusionTowards the futureNoteReferencesNINE Prenatal diagnosis and handicapPrenatal diagnosis (PD)HistoryThe magistrate and prenatal diagnosis (PD). The paradigm of the Perruche affairThe mobilisation of professionalsThe nullification of the Perruche jurisprudenceThe reaction to this nullification of the "Collectif contre Thandiphobie"Scientism and extremism in prenatal diagnosisThe uncertainty-anticipation dyad: an essential component in prenatal diagnosisAn example of anticipation: worries about malformationsConclusionNotesReferencesTEN Your child is a vegetable! Ethical requirements for all clinical practices in dealing with severe disabilityExtreme situationsWhat happened then?Risk of ontological aplasiaConclusion: conditions necessary for application in extreme situationsReferencesELEVEN Adolescence: psychic process or a mere stage in biology?A few definitions as markersAggressiveness dissimulated and a distancing strategyAdolescence and cognitive deficiencyThe role of the environment and resorting to rites of passageAdolescence as a means of access to a subjective position of the person with an intellectual disabilityThe pseudo-delirium as a means of liberationOvercoming a delusional positionRivalry and loveRivalry, aggression, and identificationThe work of mourningDynamics in playSocial resistanceConclusionNotesReferences
 
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