de Bilbao Fabienne
Département de Santé Mentale et de Psychiatrie, Hôpitaux Universitaires de Genève, 2 chemin du Petit-Bel-Air, 1225 Chêne-Bourg, Suisse.
Int J Psychoanal. 2011 Aug;92(4):859-77. doi: 10.1111/j.1745-8315.2011.00422.x. Epub 2011 Jun 13.
By imposing itself as the dominant model of modern medicine, the biomedical model leaves little or no place for the psychical/subjective dimension of illnesses. The author presents a clinical case illustrating the essential contribution psychoanalysis can make to understanding the causes of a serious neurological disorder of indeterminate origin, its psychic determinism and its unconscious dimension. This original contribution argues in favour of the idea that understanding the development of neurological disorders associated with an unexplained lesion cannot be reduced exclusively to the organic level, and must not overlook the notion of unconscious. More generally, it emphasizes that body and mind form an integrated inseparable unit, thus breaking with the traditional dualistic conception of the human being.
生物医学模式作为现代医学的主导模式,几乎没有或完全没有为疾病的心理/主观维度留出空间。作者呈现了一个临床案例,说明了精神分析在理解一种病因不明的严重神经系统疾病的病因、其心理决定因素及其无意识维度方面可以做出的重要贡献。这一原创贡献支持了这样一种观点,即理解与不明病变相关的神经系统疾病的发展不能仅仅局限于器质性层面,绝不能忽视无意识的概念。更普遍地说,它强调身心构成一个不可分割的整体,从而打破了关于人类的传统二元论观念。