[Theoretical overview and interdisciplinary approach to Munchausen's syndrome (syndrome of factitious disorders)].
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Biomedical subjects
Publications and source records attributed to M Souris.
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The crisis comes from the breakdown of the usual frame in which one lives. This frame insures to the patient a feeling of continuity as well as his intra-psychic security. This crisis also creates an intra-psychic disturbance which appears under the form of multiple symptoms that are often hiding the internal conflicts. The psychotherapist's aim in a crisis situation is to give a meaning to the patient's crisis and to offer him by the relation and the new frame generated by this relation, a transitional field in which the subject will be able to solve his conflicts and work out new anaclisis.
The mourning's function and the usual phases of this process are described. Complicated and pathological kinds of mournings are analysed, as well as their inducing circumstances. Adequate behaviours about the therapeutic relation are discussed.
We are still far from a global understanding of the schizophrenic processes. A quick overall view of the concept modifications is to be considered simultaneously with the evolution of the psychiatrical institutions and the psychiatrical new knowledges. Will the schizophrenical vulnerability concept help us? Nobody knows. A comprehension of the pathological process is due to the fact that we know little about the psychical functioning prior to the affection development. Nothing tells us it is so "normal". The act that this process appears during the adolescence when new desires and projects emerge makes wonder if the processes elaborated during the latency period could have prepared the subject to this reorganization of his personality.