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Nevroses and dellusions are self-induced language in which the uttered statement is implemented in an immanent and intransive way, through the psycho-pathological language itself. The narrative pattern and the pathological process are closely linked together in the same two-sided utterance, clinical and at the same time narratological; as is demonstrated by the analysis of two cases.
Purpose of this paper is to point out the interest in case of post-concussional syndroma following an head or whiplash injury to practice both: a posturographic examination objectiving the functioning of the different sensori-motor systems who maintain the body equilibrium giving an approach of the possibility of an organic etiology, psychiatric one giving the psychogenic aspect. Different therapeutics are proposed in regard of this double approach. Four cases illustrate this purpose.
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Study of caracteristics of 50 protocoles of the PRM test obtained in "old" cranial traumatism. A comparison with the standards of Rey and various groups of results obtained for patients with traumatism (Rey, 1966; Crochelet, 1970) permits to situate our cases on a real scale of severity of memory deficit.
The test PRM, used in examinations of posttraumatic deficits, has allowed the elaboration of a score globalizing anomalies in this protocole, for this type of examination. This score, called "Score Fi", permits to detect doubtfull protocoles. The use of this PRM in a psychiatric hospital permits the hypothesis that the score Fi can also have value of an index of organicity. A study on this topic is in progress.
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Inhibition is a normal neuro-physiologic regulation phenomenon which antagonizes the dangerous aspects of excitation and which facilitates the adaptation of man to his surroundings. Inhibition becomes neurotic: -- when it fails in its normative-connection with excitation. -- when accompanied by anxiety, -- when the subject cannot control it, -- however without blocking all the psychic functions as the psychotic inhibition does. Accompanying symptoms diversify its ways of expression. Contemporary to trauma in neurasthenia, it proceeds from early trauma in psychasthenia and in hystero-phobic neuroses. For some authors, it may be innate, perhaps hereditary. It appears particularly severe, because it lasts when the symptomatology has disappeared during the analytic therapy and it seems to resist more than the excitation to chemotherapies.
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