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[Biology of pleasure].

Pleasure is not an "extra", or bonus bringing a little more soul to certain of our acts; it is a fundamental part of animal life. It is just as difficult to define as spirit, but nonetheless man is very conscious of it, and it is found to be associated with certain animal behaviours. The study of the biology of pleasure entails 1) showing how it intervenes in relation with "need" in the regulation of major homeostatic functions, 2) studying its participation in the opponent processes which determine given behaviours, 3) categorising the hormones and neurotransmitters it brings into play, 4) determining its presence in drug addiction and pathological consommatory behaviour.

Animals↗

[Anhedonia and sensation seeking].

The relationship between anhedonia and sensation seeking has been studied in 56 normal subjects of both sexes (33 males, 23 females). Anhedonia and sensation seeking were respectively defined by two reliable rating scales: Physical Anhedonia Scale of Chapman (PAS), Zuckerman's Sensation Seeking Scale (SS form V -40 items). The results have shown a negative correlation between this scales for males but not for females. These finding suggest that lowered levels of sensation seeking could constitute for males, like anhedonia, a risk factor of schizophrenia.

Adolescent↗

[Historical review of the concept of anhedonia].

During the last decades, the term "anhedonia", conceptualized as a incapacity to experience pleasure, have become associated with conditions as different as schizophrenia and depression. This paper deals with the conceptual and historial frames in which anhedonia was first constructed, and shows that the sources for the current fuzziness of this concept include neglect of the fact that anhedonia is conceptually parasitical upon the notion of pleasure, that it has been rather superficially conceptualized as the reduction or abolition in a "putative" function which itself is unlikely to be unitary in nature, and that it has never been quite specified whether the mechanism concerns a deficit in brain signal or not.

Affective Symptoms↗

Ladies of fashion: pleasure, perversion or paraphilia.

The author considers the reasons why interest in fashion is important in female development. Freud's comment that 'all women are clothes fetishists' and his explanation that a woman uses clothes to show that 'one can find in her everything that one can expect from women' are amplified and challenged by other authors and psychoanalytic evidence. Caper's (1994) focus on the erotic meaning of his patient's clothing is contrasted with the use ego-psychologists have made of 'appropriate' clothing and grooming as markers of mental health and intact functioning. A case of a woman who had a shopping symptom is considered. The roots of the symptom in her fantasy life, its replacement of genital satisfaction, its precursors in interactions with her parents and its use in enacting sado-masochistic fantasies is elaborated in the case material. A second case briefly illustrates the role ascetic refusal of clothing may play in some women's psychic lives. Use of clothing as a way of displaying the body, as an indicator of economic power, as an incitement to envy, and as a sexual enticement is discussed. Examples of understanding of the psychological aspects of interest in clothing are drawn from art, anthropology, sociology, political science and philosophy. The paper concludes with the idea that clothing and shopping for clothing can range from normal pleasure to paraphilia and leaves open the question whether it can be a perversion. Focusing on clinical material about shopping for fashionable clothing, the author shows how shopping can become central in some women's lives as it is important in many. It considers the boundaries between source of pleasure, paraphilia and sexual fetish as they are exemplified in women's attitudes towards clothing and their use of it.

Adult↗

Evolution of the dopaminergic system and its relationships with the psychopathology of pleasure.

This paper summarizes the fundamental steps in the evolution of the dopaminergic system. A rudimentary dopaminergic system is present in primitive creatures, already able to select information processing, modulate "emotional" behaviours and react to perturbations in environmental conditions. Pharmacological manipulations of the dopaminergic transmission are able to modify basic behaviours present in all animals from fishes to lizards to mammals. The ability to put the organism in motion and the hedonic capacity of giving pleasure, would justify the conservation through evolution of such a neuronal system. The fact however that the dopaminergic system has remained identical for the last several centuries, while many external conditions which interfere with its physiology have dramatically changed, may contribute to explain the transition from the original vital advantages of the dopaminergic system to its crucial role in the psychopathology of pleasure.

Animals↗

On borderline phenomena.

The author describes his struggle to resolve some theoretical and technical problems posed by borderline patients. For this he has made use of an ancient Indian myth of King Trishanku taken from Bhagwat Puran--the Hindu Book of Genesis. He has tried to demonstrate, step by step, how fruitfully this myth has helped him to understand such patients. Special emphasis has been laid on the language used by borderline patients. The contrary and apparently meaningless nature of this language is likened to the formulation of King Trishanku's unique desire, 'to go to heaven without actually dying'. The author then proceeds to show that this language is not quite as meaningless as it appears to be--that it is the result of a complicated system of projective identification devised by these patients to manipulate their objects in order to achieve their own omnipotent ends. Detailed clinical examples are given to describe the handling of the problems of appropriation, manipulation and consequent suspended state of such patients. Taken from three different stages of various analyses these examples show how a very slow and gradual change was brought about in the mental structures of the patients treated by the author.

Adult↗