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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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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. Services on Demand Journal. This is one of the most controversial categories of clinical practice, and for sure carries the most risk of a moral approach to the patient. To prevent this, the practical and theoretical knowledge constructed around and 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.

Begcherie 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 bercnerie, would be much better elucidated by other references of the psychiatric tradition. This established the terms psychosis and neurosis as antonyms, each hosting a certain group of psychological diseases.

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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. During this same period, Magnan distinguished the mixed states organic brain lesions, senile dementia, neuroses [hysteria], epilepsy, alcoholism etc. For an initial approach, we refer to Postelp.

Some works we will cite show that while this may not have been the intention, in effect these changes certainly suppressed reference to psychoanalysis. The dark horizon in this category is preventative medicalization. He only used the term paranoia to describe the latter case. 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.

This is the same statement we have maintained regarding psychosis. How to cite this article.

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. The first is that although it claims to be free of theory, the DSM fyndamentos is related with the pragmatism of Peirce and empiricist theses. Bercheriep. If we draw attention to this fact, it is not in order to cultivate nostalgia for these ufndamentos. 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.


Paul Bercherie (Author of Fundamentos de La Clinica)

Freud,p. We will recall its fundamental bases that are sufficient for the argument we are pursuing here. The second consequence is that conditions which had previously been recognized as psychotic have been relocated to fit under the heading of personality disorders. We are addressing the practical field of mental health in which we work, where we notice that the proliferation of diagnoses generated fundamentoz the DSM has frequently had a disorienting effect in relation to diagnosis and the clinic — mainly the effect of a lack of familiarity with psychosis where it often appears.

The nosographic structure established by Emil Kraepelin around the turn of the twentieth century guided psychiatry for the next hundred years. This shows the symbolic weight that these terms carry and transmit.

The second line, that of positive or productive symptoms, culminates in delirium, at least in paranoid schizophrenia, but includes the entire series of hallucinations and experiences that begin with the feeling of strangeness or xenopathy of thought and of mental functioning — delusional intuitions and perceptions, mental automatism, depersonalization, and the experience of influence.

In his Manual of psychiatryHenri Ey gives this disease a systematic description which is worth summarizing here Ey, Bernard, Brisset, s. As a matter of fact, schizophrenia came to replace a wide variety of clinical conditions that can only be gathered into a single entity by their deficient nature.

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.

While the terminology was undergoing these adjustments, in which the notion of psychosis indicated severe mental diseases separated from neurological diseases and neurosis, Emil Kraepelin reordered the psychiatric classification of diseases in terms of three major clinical entities: 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: Kraepelin further refined the notion, distinguishing two types of chronic delusions: 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.


In this way, as a kind of confluence of work in psychiatry and psychoanalysis throughout the twentieth century, a distinction was established 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.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original bervherie is properly cited. The category that appears in its place makes no commitment to the distinction between neurosis and psychosis: Culture and society also followed suit.

Fundamentos da Clínica

Unlike Freud, Lacan was a psychiatrist and entered psychoanalysis through the psychosis clinic. According to Ey, the absence of a rigorous definition does not prevent most clinicians from understanding it in bercherke with regard to the diagnosis of schizophrenia:.

The division between bercheri and psychosis is abandoned, as it implies an act of naming that extends beyond an empirical statement: The malaises of life were gradually being defined in terms that were no longer subjective but medical, and as the individuals themselves expected, they were treated medically.

We hope to be able to approach this discussion at a later time. The DSM-III carried the warning that it fundaamentos not a teaching manual, precisely because it did not include theories about the etiology, management, and treatment of mental disorders APA,p.