Page de mon site sur le Packing

[nicolew]

Journal of Physiology-Paris (In Press, Corrected Proof au 6oct2011)
Psychoanalysis and social cognitive neuroscience: A new framework for a dialogue
Nicolas Georgieff , 
Université Lyon 1 and Centre de Neurosciences Cognitives, Lyon, France
Available online 29 July 2011.
 
Abstract

The fields of psychoanalysis and neuroscience use different methods of description, analysis and comprehension of reality, and because each is based on a different methodology, each approach constructs a different representation of reality. Thus, psychoanalysis could contribute to a general psychology involving neuroscience to the extent that a “psychoanalytical psychology” (the theory of mental functioning that is extrapolated from psychoanalytical practice) defines natural objects of study (mind functions) for a multidisciplinary approach. However, the so called “naturalisation” of psychoanalytical concepts (metapsychology) does not imply the reduction of these concepts to biology; rather, it suggests a search for compatibility between psychoanalytical concepts and neuroscientific description. Such compatibility would mean the search for common objects that could be described from either a psychoanalytic or a neuroscientific point of view. We suggest that inter-subjectivity, empathy or “co-thinking” processes, from early development to the psychoanalytic relationship or the interaction between the patient and the analyst, could be such a common object for cognitive social neuroscience and psychoanalysis. Together, neuroscience and psychoanalysis could then contribute to a multidisciplinary approach of psychic inter- or co-activity.

Keywords: Psychoanalysis; Neuroscience; Social cognition; Empathy; Inter-subjectivity

[nicolew]

Journal of Physiology-Paris
Volume 104, Issue 6, December 2010, Pages 288-295
Towards a Dialogue between Psychoanalysis and Neuroscience: At the Crossroads between Body and Mind

Review Paper
A historical perspective on the collaboration between psychoanalysis and neuroscienceFrançois Sauvagnata, , , Matthias Wissb, Sandra Clémentb

Purchase a Department of Psychology, University of Rennes 2, Rennes, France
b Service Hospitalo-Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, Rennes, France
Available online 15 October 2010.


Abstract

The aim of this article is to present and discuss the connections between psychoanalysis and neuroscience from a historical viewpoint. We start by examining how Sigmund Freud can be viewed as a pioneer in the interaction between these two fields. Freud was himself a neurologist and had maintained an interest in biology as he developed the key concepts of psychoanalysis. His ideas regarding psychosomatics are described. We will also explore how the concept of drive is essential to the connection between psychoanalysis and neuroscience. Then, we describe several key actors and historical events and characters at the interface of these two fields, namely Sándor Radó Lawrence S. Kubie and Mc Culloch, the debates that took place during the Macy conferences, as well as the positions of Jacques Lacan, George L. Engel, and Eric Kandel. Finally, we present a synthesis of the main fields in which the connections between psychoanalysis and neuroscience are already fruitful, and those where they should be developed: the classification of mental diseases, the link between the scientific and psychic dimensions, therapeutics, the organization of the body, intersubjectivity, the subjective division and ambivalence, as well as transferential effects like such as the placebo and nocebo effects. In the conclusion, we advocate several strategic alliances and underscore the complementarity between rigorous scientific experimentation and the individualized psychoanalytic approach.

Keywords: Psychoanalysis; Neuroscience; Collaboration; Drives; Experimentation; Complexity

[Jean]

Il est difficile de se faire une idée à partir de résumés.

Moi, çà ne me gêne pas quand j'entends parler de compatibilité "entre psychanalyse et neurosciences".

Il faudrait avoir accès à ces articles pour les comprendre, les accepter, les réfuter ou les questionner.

[nicolew]

Neuroskeptic et le dernier article du Pr Delion :
http://neuroskeptic.blogspot.com/2011_1 ... chive.html

The piece (part of a special issue on psychoanalysis and neuroscience) starts out with some general scholarly remarks about previous authors who have discussed Freud and the brain, but it moves on to autism, with some, well, puzzling remarks:

During the first months of life, an infant will actively practice his or her archaic reflexes. Of these, the grasping, which will progressively disappear as voluntary prehension emerges around the age of 4–5 months, is of great interest. The facilitation and/or anaclitic relationships between this reflex and adhesive identification are even more interesting to study together because, for instance, in an autistic child, the first model will integrate under the form of pathological adhesive identification.
In such an example, a strategy for thinking about these two phenomena and making them compatible is using a third term (e.g., Peircean logic, in which adhesive identification is an icon of grasping). If we refer to this important principle from this great American semiotician, the icon is part of the logical representation scheme from the most elementary, the icon, to the most evolved, the symbol, passing by the intermediate, the index...


The relationships between neurological wiring and pre-wiring enable the effective installation of the theory of mind and the phenomenon of projective identification described by Melanie Klein and her students...
Hmm.

On Le Packing itself we get a curious paragraph which seems to be saying that the therapy itself works via a neurophysiological mechanism, but that Freudian theory can explain why the child and their caregivers are anxious. What the anxiety in question is about is not clear. About the packing? That seems the most natural reading:

Another example taken from Pierre Delion’s practice as a therapist for children with autistic disorder is the ‘‘packing’’ technique (Goeb et al., 2008). This is the use of humid wrapping to prevent self-mutilation by using these two different levels [i.e. neuroscience and psychoanalysis] that are nonetheless joint during treatment. This technique uses a neurophysiological hypothesis to try to explain the therapeutic effects, but, at the same time, the psychopathological hypothesis that is given by psychoanalysis helps to format the anxieties that are experienced by the children and invariably shared by their caretakers.
Clinical research regarding this topic is currently being undertaken in Pierre Delion’s child psychiatry department following a hospital program for clinical research (PHRC, NoEudra CT: 2007-A01376-47) entitled ‘‘Demonstration of the efficiency of packing treatments in children affected by autistic disorders with severe behavioral disorders’’.

[nicolew]

Voici la partie qui concerne le packing dans l'article du Pr Delion.
Pour rappel, Goeb emet une hypothèse comme quoi, le chemin des sensations de la douleur et du froid étant le même, en cas d'automutilation, une addiction au pack pourrait remplacer une addiction à la douleur.

another example taken from Pierre Delion's practice as a therapist for children with autistic disorders is the "packing" technique (goeb and al 2000). This is the use of humid wrapping to prevent self mutilation by using these two different levels that are nonetheless joint during threatment. This technique uses a neurophysiological hypothesis to try to explain the therapeutic effects, but, at the same time, the psychopathological hypothesis that is given by psychoanalysis helps to format the anxieties that are experienced by the children and invariably shared by the caretakers. Clinical research regarding this topic is currently being undertaken in Pierre Delion's child psychiatry department following a hospital program for clinical research() entitled "demonstration of the efficiency of packing treatments in children affected by autistic disorders with severe behavioral disorders"

[nicolew]

Dans le papier de Lisa Ouss et de Bernard Golse, on trouve :

Variability is thus a developmental factor in itself : one cannot predict what will happen at time t because what will happen at t + 1 depends on what happened between t and t + 1, which may have bidirectional probabilistic effects on t and t + 1.

je traduis en

La variabilité est donc un facteur de développement en soi : on ne peut pas prédire ce qui arrivera au temps t, car ce qui arrivera à t + 1 dépend de ce qui s'est passé entre t et t + 1, qui peuvent avoir des effets bidirectionnels probabilistes sur t et t + 1.

Où est donc passé le principe de causalité ?

[Jean]

Bonne nouvelle : Martine Aubry prend position contre le packing dans une réponse au collectif Egalited

http://www.egalited.org/#Accueil.A
http://www.egalited.org/#Courriers.K

Et vous verrez que François Hollande a été" marqué" par sa visite à la Maison d'Hestia

[Jonquille57]

Hé bien, si c'est le cas, on peut dire tant mieux !
Surtout qu'il est venu juste en visiteur, et, contrairement aux autres " légumes " qui étaient là, il n'a pas fait de discours...

[omega]

Ce doit être vraiment la misère, pour que les politiciens viennent ratisser des clients jusque chez les autistes...

[maho]

Ce doit être vraiment la misère, pour que les politiciens viennent ratisser des clients jusque chez les autistes...

Omega!! j'adore ton humour
dommage que je n'ai pas le droit de vote...un autiste en moins dans les chiffres!

[nicolew]

égalited leur a demandé de s'exprimer.

[Jean]

Vendredi 14 octobre 2011 Par Muriel Bonneville
Santé : non à la méthode dite du Packing à Biarritz

Une vingtaine de parents d'enfants autistes représentant seize associations de la région est venue manifester contre la méthode dite du Packing jeudi à Biarritz
Photo Muriel Bonneville


Hier après-midi, devant le casino municipal de Biarritz, où se tient le congrès Corps & Psyché, une vingtaine de parents d'enfants autistes représentant seize associations de la région (comme Chrysalide, Autisme 40, Autisme Gironde, Collectif Handik, Autisme Pau Béarn') est venue manifester contre la méthode dite du Packing.

Une méthode « erronée », selon eux, et qui consiste à mettre les enfants souffrant de sévères troubles du comportement dans une camisole glacée.

Fabien Joly, organisateur du congrès, a assisté à la manifestation, durant laquelle les parents se sont enveloppés dans des draps blancs et étaient masqués, puis est allé à leur rencontre les incitant à venir discuter à l'intérieur avec les professionnels présents. Les parents ont décliné la proposition. Après un dialogue de sourd entre les deux parties, l'idée de se retrouver prochainement lors d'un débat public autour du Packing a finalement été retenue.

[Murielle]

J'ai reçu le lien de la liste noire des établissements pratiquant le "Packing"...
cliquer ici pour la lire

[Jonquille57]

Ton lien ne fonctionne pas, Murielle...

[martinemj]

Je confirme ....