Biomedical subjects

Serge Lecours

Publications and source records attributed to Serge Lecours.

2 recordsLinked to original sources

PubMed2006

Inhibition and object relations in borderline personality traits after traumatic brain injury.

This study aims to assess the nature and severity of borderline traits after traumatic brain injury (TBI). Thirty subjects with moderate or severe TBI were compared to 30 normal controls on the Revised Diagnostic Interview for Borderlines (DIB-R), a dimensional measure of borderline traits, the Go-no go inhibition task, the Complexity of Representations of People and Affect-Tone Relationships Paradigms, two scales from the Social Cognition and Object Relations Scale (SCORS) evaluating the quality of object relations, an estimation of pre-morbid borderline severity, the Beck Depression Inventory (BDI) and various neuropsychological measures. Results indicate that TBIs present more borderline symptoms and traits than controls. However, the severity of borderline symptomatology remains comparatively low for the vast majority. As expected, the TBI group showed a poorer performance on the Go-no go task, a characteristic neuropsychological inhibition deficit. Yet, both samples present similar profiles on the SCORS. Finally, the DIB-R was correlated with the Affect-Tone scale, the BDI and with the pre-morbid severity estimation. Results suggest that post-TBI borderline traits remain rare and relate more to the affective quality of object relations, negative affects and pre-morbid borderline pathology than inhibition deficits.

Adult↗

PubMed2004

Analyzing forms of superego functioning as mentalizations.

The concept of mentalization seeks to understand the transformation processes of physical quantity into psychical quality through the emergence, development and organization of mental representations. Often discussed in relation to the functioning of both the id and the ego, it is here proposed that the degree of mentalization also determines the level of functioning and maturity of the hostile, self-punitive superego. Luquet's description of four layers of thought (primary mental representations, metaprimary thinking, metaconscious intuitive thinking, conscious verbal thought) serves as a guide to explore issues of the forms of thinking involved in punitive superego activity. Technical implications are also examined to suggest that three steps can be differentiated in the developing capacity to represent the superego and to become conscious of its workings. The first objective is to help the ego observe its own activity, in the face of a still, unobserved hostile endopsychic agent (Gray, 1994). The second step is to meet the form and intentions of this agent, to facilitate its mental representation and elaboration. Achievement of the final step implies a growing capacity to take some responsibility for this hostile inner agent, once its activity is comparatively more available to self-observation.

Cognition↗