De la thymie dépressive au risque d’effondrement psychotique, évaluation psychanalytique des effets morbides de l’idéal et de ses conséquences dans la conduite de cure

RésuméUne relecture de Kretschmer et des textes freudiens impose l’idée d’une contingence psychotique liée au social. Les manifestations corporelles permettent d’appréhender cette dimension thymique spécifiquement liée à la décompensation. Celle-ci s’analyse à partir des effets morbides de l’idéal, entre moi idéal et idéal du moi, indiquant la nécessité de l’étude du social. Les troubles bipolaires s’analysent également entre endogénéité et troubles dans l’idéal, et entre troubles dans l’idéal et solutions sociales à l’inconscient.

A second reading of Kretschmer and Freud's texts imposes the idea of a psychotic contingency connected to the social realm. Bodily manifestations enable the understanding of this thymic dimension, specifically connected to decompensation. Psychoanalytical anthropology enables one to question the dimension of gender and femininity by a second reading of the classic texts of psychiatry, while updating the clinical study of the discontents of civilisation by a study of the female crowd. A generic debarment of the pre-oedipal maternal imago shows a porosity between neurosis and psychosis, imposing the idea of a psychotic contingency connected to the social realm. Its analysis is derived from the morbid effects of the ideal, between the ego ideal and the ideal self, demonstrating the necessity of the study of the social realm. Bipolar disorders are also analysed between endogenicity and disorders in the ideal, and between disorders in the ideal and social solutions to the unconscious. This approach has a direct impact on the technique of the analytical cure. When the clinician is confronted with a risk of psychic collapse, at the beginning or during an analytical cure, it becomes necessary to work on the psychic coordinates of the act of language. Physical and dynamic processes of formation of the unconscious experienced by the subject between the ego ideal and the ideal self provide information on the stability of the “moi-corps”, ego-body.