Diebold G, Maillefaud T, Beauchesne H
Psychiatr Enfant. 1986;29(1):61-124.
The authors, starts with the apparent generalized lack of sense, the non sense, about everything to do with epilepsy; he tries to understand the meaning of this excess of non sense. He first tries to find the possible utility for the psychic economy of the patient and his environment. Then, based on beginnings of meaning which do emerge, particularly at the time of the first crisis, he sketches the broad lines for a possible framework of psychotherapy; this is followed by a more theoretical discussion. This attempted synthesis is based in particular on the frequency of observations of the patient's identification with a double of his death. The author adopts for his purpose the concept of the crypt from which is derived the notion of the double of the self. Finally, a hypothesis is proposed which aims at understanding the mechanism of the constitution of this double, based on the family secret. To construct this hypothesis the author uses the comparison between real and imaginary doubles, trying to find in that the sense of the lack of sense.
作者从与癫痫相关的一切明显的普遍无意义、荒谬之处入手;他试图理解这种过度荒谬的意义。他首先试图找到其对患者及其周围环境心理机制的可能效用。然后,基于确实出现的意义开端,尤其是在首次发作时,他勾勒出心理治疗可能框架的大致轮廓;随后进行了更具理论性的讨论。这种尝试性的综合尤其基于对患者认同其死亡替身现象的频繁观察。作者为实现其目的采用了隐义的概念,由此引出自我替身的概念。最后,提出了一个假设,旨在基于家庭秘密理解这个替身形成的机制。为构建这个假设,作者运用了真实替身与想象替身之间的比较,试图从中找到无意义感的意义所在。