Biomedical subjects
Publications and source records attributed to J C Colombel.
Clinical configuration of borderline period of awakening is described based on the triangular relation (Patient, Family, Care Team) beginning during coma. The possible suffering before awakening (regressive attitude, downfall of immune defences, and so on ...) evokes a sort of reply of trauma and the hypothesis that mechanisms of "negative hallucination" play a part in post-traumatic amnesia.
The question of head trauma reasons, and the shock of traditional family and therapeutic references, make the authors examine clinic coma evolution till awakening. From signs of libidinal values collected by care-team, another way during coma and till life recovery, is rebuilt.
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Some clinical factors make coma a particullary significant time on human level: in so far as a receptivity to others exists during coma, could some residual marks of memory be found, and therefore possible desire? In other respects, after a coma why a statistical disproportion is noticed between psychotic states and depressive states? This questions expound why this research is based upon an intersubjective accompanying during the coma. Results introduces a reflection on coma, its libidinal mobilization and its signification.
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