[Measuring and speaking about respiration. Role and ethical function of a psychopathological interview in a medical service].
On the occasion of a respiratory function exploration, it was given to the patient the possibility of evoking, in respect of freely association, the psychical sense assumed by his symptom in his history. The unity of time, place and methodology, clinical psychopathology, defined our "experimental device". When the patient of this study, with SAS, said to the physician "I forget myself" with regard to ther apneas, the symptom, spoken, referred to a construction, "complementary" (Bohr, 1927) to another one described and objectivated by medicine. Each interpretation of the somatic phenomenon is related to the occurrence of speaking in the context of discursive associations and transference coordinates. The symptom is related to psychical reality, conflicts and desire of the patient. By the relations established between the advent of the spoken symptom and other events, the patient considers it as a response to a personal question. Then, he can reach a fragment of his verify, hear himself and hear the effects of his speaking. Without this possibility of reappropriating subjectively and intersubjectively the suffering in its irreducible singularity, he would remain alienated from his suffering, as to a trauma. Our approach gives evidence of the methodological as well as praxeological revision of the psychopathology contribution to the medicine.
Del Volgo
M J
MJ
Service d'Explorations Fonctionnelles Respiratoires, Hôpital Nord, Marseille.
Gori
R
R
D004992:Ethics, Medical; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology*; D012017:Referral and Consultation; D012129:Respiratory Function Tests; D012891:Sleep Apnea Syndromes / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology*
Mesurer et dire le souffle. Place et fonction éthique d'un entretien psychopathologique dans un service de médecine.