Troubé Sarah
Department of Psychology, EUR CREATES, LIRCES, Université Côte d'Azur, Nice, France.
Psychopathology. 2023;56(3):165-172. doi: 10.1159/000525425. Epub 2022 Jul 29.
The article traces the hypotheses of the contemporary French psychiatrist Henri Grivois, concerning what he calls nascent psychosis. In a perspective close to descriptive phenomenology, Grivois tries to identify the alteration of subjective experience specific to the first moments of a psychosis. He thus describes the experiences of concernment and centrality as consisting in a disruption of the tacit mechanisms of mimesis and interindividual attunement. Using the common points between Grivois's aim and that of the phenomenological approach, the article puts these two conceptions of first-episode psychosis into dialog, questioning in particular the prereflexive register of experience. The notion of centrality questions the conditions of the constitution of intersubjectivity: it places the question of the bodily and gestural incarnation that founds the relationship to the other at the center of our understanding of psychosis. Grivois's hypotheses and the phenomenology of psychoses together contribute to the questioning of the therapeutic methods employed in the early stages of treatment. Centrality, in particular, questions the limits of verbal descriptions of psychotic experiences and invites us to think about methods that are based more on the anchoring and bodily attunement of the patient and the therapist.
本文追溯了当代法国精神病学家亨利·格里瓦瓦（Henri Grivois）关于他所称的初期精神病的假说。从接近描述现象学的视角出发，格里瓦瓦试图识别精神病发作最初时刻特有的主观体验的改变。因此，他将关切体验和核心体验描述为模仿和个体间协调的隐性机制的中断。本文利用格里瓦瓦的目标与现象学方法的目标之间的共同点，使这两种首发精神病的概念展开对话，尤其对体验的前反思层面提出质疑。核心体验的概念对主体间性构成的条件提出了疑问：它将身体和姿态体现的问题置于我们对精神病理解的中心，而正是这种体现奠定了与他人关系的基础。格里瓦瓦的假说和精神病现象学共同促使人们对治疗早期阶段所采用的治疗方法提出质疑。尤其是核心体验，它对精神病体验的言语描述的局限性提出了疑问，并促使我们思考更多基于患者与治疗师的扎根和身体协调的方法。
