[Round table: Institutional psychotherapy and compartmentalized practice].
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Biomedical subjects
Publications and source records attributed to J Ayme.
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The choice of an antidepressant drug, at the present time of our knowledge, doesn't proceed from any strict appropriateness between the clinical picture and the chemical substance. If we wish a more rational, less empiric use in the field of a pharmacokinetics and pharmacodynamics, one has to face the problem of the subjective dimension is a most interesting study of research so as to get away from the sterile opposition, that is often not subject to a dialectic approach between psychotherapeutists and chemotherapists and thus develop a pragmatic logic in the Art of Prescribing. This explains the tentative approach in the frame work of pluridisciplinary research to find a common language for concepts coming from fields as different as psychoanalysis and neurochemistry. Notions such as transference, whishes, drives (like an biopsychological interface) and an approach in prescribing of manifest meaning in the Freudian sense all could help throw a new light on the subject and permit a better contribution, not only of the therapeutic effects of molecules but also the various psychopharmacological mechanisms of actions.
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