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Psychoses, psychiatrists: evolution of practical concepts. A mirror game


l'Information Psychiatrique. Volume 86, Number 2, 109-25, février 2010, Psychoses : évolution des concepts et des pratiques (1)

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Author(s) : Suzanne Parizot

Summary : For 30 years the number of concepts and practices relating to psychotic disorders (from the many therapeutic experiments and theoretical controversies of the psychiatric world to the results of brain imaging) has added to the destabilization of certainties in “post-modern” society which render any new developments non discernable. Referring to the scientific literature and the author’s own experience of psychiatry, a mirrored parallel is drawn between issues of identity in these pathologies with the confusion and ideological rigidity that marked the 80s. Changes are also discussed which occurred in the 2000s, with an unexpected reconciliation between theories, research and clinical care. It seems that the period of “chaotic rigidity”, during which research and practice developed in opposite directions is now starting to change. This trend does not seem to follow a new adhesion to a major paradigm (Lantéri-Laura) but rather to the gradual establishment of a recognition of the complexity of the field of psychiatry, with cross-fertilization between phenomenology, psychoanalysis, cognitivism and the various neurosciences. These new interconnections have been made possible by taking into account the temporal and intersubjective dimensions of psychoses, areas which are only just opening to ideas that would legitimize practices in connection with these dimensions.

Keywords : psychoses, history, intersubjectivity, complexity, interdisciplinarity, psychotherapies, neurosciences

 

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