Swan song: el advenimiento del núcleo psicótico / Swan song: the advent of the psychotic nucleus

Introducción: Diversas formas de expresión artística, como la literatura y el cine, constituyen fuentes inagotables para el estudio de la enfermedad mental. La aplicación de modelos psicodinámicos puede contribuir al entendimiento del espectro entre los trastornos de personalidad y la psicosis, enriqueciendo su abordaje fenomenológico en la práctica clínica psiquiátrica. Objetivo: Examinar, desde puntos de vista psicodinámicos, al personaje central de la película estadounidense Black Swan, así como la naturaleza de sus síntomas psicóticos. Métodos: Revisión de fuentes y corrientes teóricas relevantes. Resultados y conclusiones: El análisis resalta la utilidad de considerar un modelo dimensional psicodinámicamente orientado en el entendimiento de las llamadas incursiones psicóticas; así como la aplicabilidad de teorías psicoanalíticas de la psicosis a la práctica psiquiátrica general, buscando un abordaje clínico más flexible, y, quizá, más cercano a la experiencia subjetiva del paciente…

Introduction: Different forms of artistic expression, such as literature and cinema, constitute an inexhaustible source for the study of mental illness. The use of psychodynamic models may contribute to a better understanding of the spectrum between personality disorders and the psychosis spectrum, thus enriching the phenomenological approach in the psychiatric clinical practice. Objective: To examine from psychodynamic standpoints the main character of the American film Black Swan, and the nature of her psychotic symptoms. Methods: Re-viewing of sources and relevant theoretical currents. Results and conclusions: Analysis shows the usefulness of a psychodynamically- oriented dimensional model for understanding the so-called psychotic breaks as well as the applicability of psychoanalytic psychosis theories in general psychiatric practice, as they may provide a more flexible clinical approach, closer to the patient’s subjective experience…

[Swan Song: The Advent of the Psychotic Nucleus]. / Swan song: el advenimiento del núcleo psicótico.

INTRODUCTION: Different forms of artistic expression, such as literature and cinema, constitute an inexhaustible source for the study of mental illness. The use of psychodynamic models may contribute to a better understanding of the spectrum between personality disorders and the psychosis spectrum, thus enriching the phenomenological approach in the psychiatric clinical practice. OBJECTIVE: To examine from psychodynamic standpoints the main character of the American film Black Swan, and the nature of her psychotic symptoms. METHODS: Reviewing of sources and relevant theoretical currents. RESULTS AND CONCLUSIONS: Analysis shows the usefulness of a psychodynamically- oriented dimensional model for understanding the so-called psychotic breaks as well as the applicability of psychoanalytic psychosis theories in general psychiatric practice, as they may provide a more flexible clinical approach, closer to the patient's subjective experience.