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 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.
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The division between neurosis and psychosis is abandoned, as it implies an act of naming that extends beyond an empirical statement:. How to cite this article. Russo and Venancio observed that it was not just the professional field that adhered to the DSM. This definition remained more or less unchanged in subsequent editions, including the recently published fifth edition DSM-5but the reference to social adaptation is less hidden in this latter edition, as we can see in two places in the quote below: Healy, ; Aguiar, We know from Canguilhem that it is impossible to separate the internal reading of a scientific discourse from its external reading, since this latter creates the conditions which make the referred discourse possible, and that often the multiple processes which unfold in a particular historical, social, and economic context decisively determine the phenomena within that discipline cf.
Some works we will cite show that while this may not have been the intention, in effect these changes certainly suppressed reference to psychoanalysis.
Fundamentos da Clínica
Consequently, conditions that previously were associated with neurosis and subjectivity are being medicalized, conditions previously recognized as psychotic are relocated climica the heading of personality disorders, and psychosis has been reduced to schizophrenia and considered a deficit of psychic functions. Unlike Freud, Lacan was a psychiatrist and entered psychoanalysis through the psychosis clinic.
This is fnudamentos same statement begcherie have maintained regarding psychosis. On this point, the manual indicates: The unity of the psychoses based on the structural elements that delineate their specificity has been loe, along with the clinical rigor that required psychiatrists to pursue the presentation of symptoms and particularities of evolution in every patient, in an attempt to locate the moments of psychosis and the terms with which it was equated cf.
How each one tells us about the way he or she faces their issues. Note how a century and a half of debate, during which the position that prevailed was to consider delusions and hallucinations less important than the profound splitting of mental and emotional functioning, was resolved in a reductionist manner.
Os fundamentos da clínica: história e estrutura do saber psiquiátrico – ScienceOpen
Its use does not involve assumptions about psychodynamic mechanisms, but simply indicates the presence of hallucinations, delusions, or a limited number of severe abnormalities of behavior, such as gross excitement and overactivity, marked psychomotor retardation, and catatonic behavior OMS,p.
Psychosis went on to be the most suitable object of psychiatry, separating neurological diseases pertaining to neurology on the one hand, from the neuroses, which became the area where Freudian psychoanalysis excelled. As a contemporary of Kraepelin and Bleuler, Freudp. clinicz
The first line, the one of the dissociation, consists of the breakdown of life related to the psyche, the internal discordance of psychological phenomena. This is what is underscored by the princeps case of Freudian psychosis theory, which we have already mentioned, the Schreber case Freud, The discussion on etiology and psychodynamics is abandoned in favor of points of consensus, the symptoms that would supposedly be seen by any observer.
At least three major consequences of this change can be seen, in terms of disease classification lls clinical application. For this reason, the German school was noted for producing broad categories of classification, while the French school was known for its description of conditions characterized by their differences and specific qualities.
Paul Bercherie (Author of Fundamentos de La Clinica)
Freud,p. Although it is also necessary to consider the current existence of different types of personality disorder borderline, schizoid, antisocial, histrionic, and othersDalgalarrondop.
With regard to the psychiatric and psychotherapeutic clinic or psychoanalysis, this assumption is even more absurd, since the 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.
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.
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 clinic, and the sphere of social representations relative to the individual and to the normal and the pathological. Couto, Luis Flavio Silva Org.
The very substitution of the term disease with the term disorder, as we have stated earlier, is part of this process. 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.
Not being a psychiatrist, Freud did not have a significant case-by-case analysis of psychotics, and could not take psychoanalytic theorizing of this disease very far. 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 funndamentos address patients and clinical developments that, in some situations, would be much better elucidated by other references of the psychiatric tradition.
In these studies, patients with the diagnosis for which the drug is being tested are clniica into two groups, one receiving the drug and the other receiving a placebo, and neither the doctors nor the patients know who is receiving the active substance hence the name double-blind.
Additionally, the fact that any multinational company eager to get its medications approved for the American market must present effectiveness and safety testing according to these same requirements finally led to global compliance with the new manual, promoting the global expansion of American psychiatry at the expense of the French and German traditions which had constituted psychiatry up to this point.
Two major movements have occurred: The personality disorder category deserves a more rigorous approach, which bedcherie beyond scope of this work, but we hope to address it at some other opportunity. If a science or discipline is only characterized by loss its specific object, the notion of psychosis was the one which specified psychiatry from neurology, on ls one hand, and psychoanalysis, on the other even if the initial meaning of the term differed from how it was to be conceived eventually.