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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In this way, the term psychosis came to be used for this group of diseases. Nuevas puntualizaciones sobre las neuropsicosis de defensa.

Nouvelles perspectives pour le diagnostic psychiatrique: Another part of this process was the transposition of the medical notion of the syndrome, or the syndromic diagnosis, from general medicine to psychiatry Aguiar,p. Bleuler, entre psychiatrie et psychanalyse?

It became the dominant notion of psychiatry, while at the same time it established the prevalent idea of mental illness as a deficit. Freud formulated that the formation of the subject corresponds to the introduction of these subjective elements into the psyche, although they are housed in bercgerie unconscious, as unconscious knowledge i.

Fundamentos da Clínica ( edition) | Open Library

XXIV; emphasis in the original. In this way, as a kind of confluence of work in psychiatry and psychoanalysis throughout the twentieth century, a distinction was cliinca between neurosis and psychosis, with each designating a class of pathology, a background condition, that corresponds to a specific way of being in life and in relation to the other; in Lacanian terms, a structure.

Diagnostic and statistical manual of mental disorders, fifth edition, DSM In neurosis, the subject is comprised by the internalization and symbolization of these elements, which are repressed. It is a diagnosis of convenience, assumedly transitory, and openly disclaims deductions about deep functioning.

The first is the medicalization of conditions which had previously been associated with subjectivity, such as anxiety, sadness, obsessive thoughts, phobias, sexual behaviors and others — all of which had previously been approached from the framework of the neuroses as conceived by psychoanalysis.

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To prevent this, the practical and theoretical knowledge constructed around fundamentod based upon the notion of psychosis must continue to be developed for those who are interested in madness, not as a syndrome or a disorder that can be regulated, but as a phenomenon that illuminates the fundamentals of the human condition, and touches its limits and contradictions.

The near-ubiquity of schizophrenia in the current psychiatric clinic of psychosis, particularly in the field of mental health, forces us to use this category to address patients and clinical developments that, in some situations, would be much better elucidated by other references of the psychiatric tradition.


Bercheriep. Editora da Universidade do Estado de Minas Gerais.

The subject is forced to exist in the language which precedes him and which is imposed on him as law. This lls indicated by psychiatrists themselves. Accordingly, a second step is the following: In the matter of the psychosis, armed with this key of understanding, Freud was able to formulate that paranoid delusion inflected these same elements, but did not know how to explain why they did not appear in the psychological interiority of a subject who could be grappling with his desire, but, instead, appeared disconnected from reality, in the form of a delusion in which the subject was always placed as an object of persecution, of delusional love, of sexual intent, of a voice in a hallucination that always injures, threatens or commands etc.

Le Trimestre Psychanalytique, n. Names like melancholy and paranoia were abandoned in favor of depressive disorder mild, moderate, or severe, with or oa somatic symptoms, with or without psychotic symptoms and persistent delusional disorder, respectively.

Lacan showed the heterogeneity of these logics, and at the same time the main lines of psychosis as a structure. Revista Tempo Freudianon. Not each pathology, but that lady or that gentleman. This article discusses the changes which have occurred in the diagnostic classification systems for mental illness, especially regarding the conceptual weakening of the psychosis category, at the same time that schizophrenia has become dominant as the only condition recognized as psychotic.

Fundamentos da Clínica

Russo and Venancio observed that it was not just the professional field that adhered to the DSM. In the most serious cases, all manifestations of affect are abandoned; in less severe cases, affect is dw.

Psychoanalysis has shown that psychopathology is always a symptomatic response to greater requirements which constitute a subject: The personality disorder category deserves a more rigorous approach, which is beyond scope of this work, but we hope loss address it at some other opportunity. In the s, randomized double-blind studies were instituted in the United States as the proper procedure for establishing the scientific validity of drugs so that their sale could be authorized by the Food and Drug Administration cf.

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 writing of this article. This rupture eventually inverted the very meaning of the term neurosis, which no longer alluded to the neuronal system but instead came to designate a psychopathological state characterized by the absence of organic disease in the nervous system.


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.

Psychosis went on to be the most suitable object of psychiatry, separating neurological diseases pertaining to neurology on the bercyerie hand, from the neuroses, which became the area where Freudian psychoanalysis excelled. This should call the limits of this type of manual into question. At the end of the nineteenth century, the advent of neurology showed that for most mental illnesses, the previously assumed injuries did not exist, unlike in neurological diseases; the emergence of psychoanalysis explained neuroses by assigning them to certain psychological mechanisms, capable of modification through psychoanalytic treatment.

This is the same statement gercherie have maintained regarding psychosis. Hence the difficulty of establishing a sharp border between the normal subject and neurosis as a pathology in psychoanalysis. 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.

What is lost is the idea of bercheriie, a link between the elements that are present underneath and beyond the break. With regard to the psychiatric and psychotherapeutic clinic or psychoanalysis, this assumption is even more absurd, since bercheriee clinical fact only reveals itself and is constituted in the relationship between the patient and the clinician, and did not exist before in the natural state cf.

Another symptom is added to these, which Bleulerp. It is instead to emphasize the consequences of the formal reduction of psychosis to schizophrenia, which seems to remain as the last notion of psychiatry that may, due to its symbolic weight, still be able to remind society of the gravity of madness.

However, they have a particular form of existence, existing 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. And he criticized the term schizophrenia created by Bleuler, for being based on a psychological characteristic that is not exclusive to this disorder, the splitting p.