Claiming and attributing (dis)taste: Issues of sharing a meal as a competent member.

Eating together is a primordial social activity with robust normative expectations. This study examines a series of instances where appreciative elements about the food during a shared meal are treated as noticeably absent and where some of the participants are attributed to exhibit a negative stance towards the food, which furthermore is used as a resource for engaging in membership categorization. Situated within the cognate approaches of ethnomethodology and conversation analysis, this study draws on video recordings of an integrated language and cooking workshop organized for immigrants in the French speaking part of Switzerland. The participants include a French teacher, two chefs and five immigrant women with various native languages. The detailed sequential, multimodal analysis details and explains how the participants treat gustatory features of eating as publicly available and accountable, and how the absence of evaluative elements contribute to the situated achievement of a plural "you" as a group that does not like "this" food. Ascribing (dis)taste for food on behalf of others, occasions accounts for just how to eat, showing the strong normative features that make up to the recognizability of sharing a meal as a competent member - including how sensorial experiences are evaluated and expressed. In this way, this study contributes to our understanding of the (non)ordinary features of eating together as a situated, embodied achievement and social institution that is built in and through interaction.

[Being born moderately premature: a risky developmental trajectory]. / Naître moyennement prématuré : une trajectoire développementale à risque.

Babies born prematurely are frequently prone to developmental disorders, which are all the more severe in babies of low gestational age. However, medium prematurity also generates its own set of difficulties, including sensory, motor, cognitive, behavioral, relational and emotional disorders. It is essential to gain a better understanding of the developmental trajectory of these children and its various ups and downs, in order to support their development as early as possible.

[Towards an ideal environment in neonatology]. / Vers un environnement idéal en néonatalogie.

The establishment of sensory systems occurs gradually along a transnatal continuum. During premature birth, hospitalization in neonatology, through its atypical sensory stimulations, can disrupt the development of the baby's still immature brain. To promote harmonious development in children, caregivers and parents must learn to take into account their sensory expectations in order to create the most suitable environment possible for their development.

Measurement of quality of life in orthognathic surgery using an original questionnaire: About a series of 123 cases.

INTRODUCTION: The aim of this study was to measure changes in the quality of life of patients who had orthognathic surgery using an original questionnaire, designed for this purpose. MATERIAL AND METHOD: This single-center retrospective study included all patients who had orthognathic surgery in our center between 2014 and 2019. An original questionnaire comprising 13 items in 4 domains was sent to patients postoperatively by email after telephone contact and obtaining their consent. Items were scored on a 5-point scale ranging from (-1), worse than before surgery, to (+3), better than before surgery. RESULTS: All data were collected in a standardized way. In total, 123 patients responded. The mean score for all surgeries combined was +1.14, indicating an improvement in QOL considered to be "low to moderate". A total of 118 patients (95.9%) reported an improvement following surgery, including 18 patients (14.6%) who reported a marked improvement. The greatest improvement was observed for psychosocial aspects and morphology. CONCLUSION: This study shows a positive effect of orthognathic surgery on patients' QOL, including self-perception, relationships with others, or functional aspects as mastication and breathing. We propose an original tool that is easy to use by patients to measure quality of life following orthognathic surgery.

Fonctions de la sensorialité dans la prise en charge thérapeutique de l'autisme infantile / Funções da sensorialidade no manejo terapêutico do autismo infantil / Functions of sensoriality in the therapeutic management of infantile autism / Funciones de la sensorialidad en el manejo terapéutico del autismo infantil

La sensorialité tient plusieurs fonctions dans l'élaboration psychique de l'individu autiste et dans son évolution psychique au cours de sa prise en charge thérapeutique. Nous suivons dans cette recherche l'idée de la transformation d'un usage défensif de la sensorialité en un processus mutatif, d'une construction du moi corporel, ainsi qu'un travail de symbolisation primaire, d'inscription, de représentation et de figurabilité.Avec la psychothérapie d'un enfant autiste en institution, nous explorons les fonctions de la sensorialité sur la base de l'attention particulière portée aux éprouvés corporels dans la dimension transférentielle et contre-transférentielle. Celle-ci permet au thérapeute d'éprouver les angoisses en lien avec des expériences sensorielles primaires. En s'appuyant sur la résonnance contre-transférentielle des différentes angoisses du patient, une sensorialité partagée aide à la métabolisation des éprouvés de catastrophe primitive ayant entravé l'organisation d'un sentiment continu d'exister. Cette dynamique thérapeutique ouvre sur de nouvelles perspectives psychiques et relationnelles.

Resumos A sensorialidade assegura várias funções na elaboração psíquica do indivíduo autista e em seu desenvolvimento psíquico durante os seus cuidados terapêuticos. Nesta pesquisa perseguimos a ideia da transformação de um uso defensivo da sensorialidade em um processo mutativo, de uma construção do eu corporal, bem como de um trabalho de simbolização primária, de inscrição, representação e figurabilidade. Na psicoterapia de uma criança autista em instituição, exploramos as funções da sensorialidade se concentrando mais particularmente nas experiências corporais a partir da dimensão transferencial e contra-transferencial. Esse trabalho permite que o terapeuta experimente angústias ligadas a experiências sensoriais primárias. Com base na ressonância contra-transferencial das diferentes angústias do paciente, uma sensorialidade partilhada ajuda na metabolização das experiências de catástrofe primitiva que impedem a organização de um sentimento contínuo de existência. Esta dinâmica terapêutica abre novas perspectivas psíquicas e relacionais.

Sensoriality has several functions in the psychic elaboration of the autistic individual and in his psychic evolution during his therapeutic care. We follow in this research the idea of the transformation of a defensive use of sensoriality into a mutative process, of a construction of the bodily self, as well as a work of primary symbolization, inscription, representation and figurability. With the psychotherapy of an autistic child in an institution, we explore the functions of sensoriality based on the particular attention paid to bodily experiences in the transference and counter-transference dimension. This allows the therapist to experience anxieties related to primary sensory experiences. By relying on the counter-transferential resonance of the patient's various anxieties, a shared sensoriality helps to metabolize the experiences of primitive catastrophe that have hindered the organization of a continuous feeling of existing. This therapeutic dynamic opens up new psychic and relational perspectives.

La sensorialidad tiene varias funciones en la elaboración psíquica del individuo autista y en su evolución psíquica durante la asistencia terapéutica. Seguimos en esta investigación la idea de la transformación de un uso defensivo de la sensorialidad en un proceso mutativo, de una construcción del yo corporal, así como de un trabajo de simbolización primaria, inscripción, representación y figurabilidad. Con la psicoterapia de un niño autista en una institución, exploramos las funciones de la sensorialidad a partir de la particular atención prestada a las experiencias corporales en la dimensión transferencial y contratransferencial. Este trabajo le permite al terapeuta experimentar ansiedades relacionadas con las experiencias sensoriales primarias. Apoyándose en la resonancia contratransferencial de las diversas angustias del paciente, una sensorialidad compartida ayuda a metabolizar las experiencias de catástrofe primitiva que han impedido la organización de un sentimiento continuo de existir. Esta dinámica terapéutica abre nuevas perspectivas psíquicas y relacionales.

Herança do negativo e incestualidade nos laços familiares / Inheritance os the of the negative and incestuality in family ties / Herencia de lo negativo y incestualidad en los lazos familiares

A transmissão psíquica trabalha no sentido de vida e de morte, por meio das alianças inconscientes, entre e através das gerações. O objetivo deste artigo é discutir o lugar da incestualidade e da sensorialidade na transmissão psíquica do negativo. Enfatizamos que a herança do negativo faz parte da pré-história dos sujeitos, e que os traumatismos não elaborados, não acessíveis à memória, são inscritos no psiquismo familiar e nos corpos singulares. A fim de ilustrar a discussão proposta, apresentamos uma vinheta clínica de psicoterapia psicanalítica de família. Concluímos que a transmissão do negativo e a qualidade incestual atuantes nos laços familiares se evidenciam por meio da sensorialidade, no atravessamento dos espaços psíquicos e na temporalidade da família, causando prejuízos no reconhecimento das diferenças e nos processos de subjetivação (AU).

Psychic transmission works in the sense of life and death, through unconscious alliances, between and across generations.The purpose of this article is to discuss the place of incestuality and sensoriality in the psychic transmission of the negative.We emphasize that the inheritance of the negative is part of the prehistory subjects and that the untreated traumas, not accessible to memory, are registered in the family psychism and in the singular bodies.In order to illustrate the proposed discussion, we present a clinical vignette of family psychoanalytic psychotherapy.We conclude that the transmission of the negative and the incestual quality acting in the family bonds are evidenced through sensoriality, in the crossing of psychic spaces and in the family's temporality, causing losses in the recognition of differences and in the subjectification (AU).

La transmisión psíquica funciona en el sentido de vida y muerte, por las alianzas inconscientes, entre y a través generaciones. El objetivo de este artículo es discutir el lugar de la incestualidad y de la sensorialidad en la transmisión psíquica de lo negativo. Destacamos que la herencia de lo negativo es parte de la prehistoria de los sujetos, y que los traumas no elaborados, no accesibles a la memoria, están inscritos en el psiquismo familiar y en los cuerpos singulares.Para ilustrar la discusión propuesta, presentamos una viñeta clínica de psicoterapia psicoanalítica familiar.Concluimos que la transmisión de lo negativo y la calidad incestual en el trabajo en los lazos familiares se manifiestan a través de lasensorialidad, en el cruce de espacios psíquicos y en la temporalidad familiar, provocando pérdidas en el reconocimiento de las diferencias y en el proceso de subjetivación (AU).

[Contribution of the Brazelton scale to the clinic and to the knowledge of the bases of development]. / Apport de l'échelle de Brazelton à la clinique et à la connaissance des bases du développement.

In addition to the experimental work devoted to the capacities of newborns - among others on the question of sensory receptivity - it is interesting to show how much this receptivity intervenes during the clinical dialogue with young infants. But also how, from birth, professionals can identify individual profiles of babies, notably thanks to the Brazelton scale, and thus adapt their care practices.

A Neuro-Phenomenological Perspective on the Autism Phenotype.

In the current paper, we present a view of autism spectrum disorder (ASD) which avoids the typical relational issues, instead drawing on philosophy, in particular Husserlian phenomenology. We begin by following the recent etiological perspectives that suggest a natural predisposition of a part of individuals with ASD towards hypersensitivity and the reduced influence of cognitive priors (i.e., event schemas). Following this perspective, these two characteristics should be considered as a sort of phenomenological a priori that, importantly, could predispose people with ASD towards a spiritual experience, not intended in its religious meaning, but as an attribute of consciousness that consists of being aware of and attentive to what is occurring in the present moment. Potential clinical implications are discussed.

Rearranjos sensoriais: possibilidades e entraves no processo de subjetivação / Sensory rearrangements: possibilities and obstacles in the subjectivation process / Reordenamientos sensoriales: posibilidades y obstáculos en el proceso de subjetivación / Réarrangements sensoriels: possibilités et obstacles dans le processus de subjectivation

Este artigo discorre sobre a sensorialidade e sobre como seus rearranjos interferem no processo de subjetivação. A sensorialidade, tal como entendida por Alberto Konicheckis, compreende a multiplicidade de experiências psíquicas que decorrem dos órgãos dos sentidos e comporta uma hibridez entre o interno e o externo, pois é despertada no encontro do corpo do bebê com os objetos. Essa oscilação entre o íntimo e o compartilhado, o familiar e o estranho, acompanha o sujeito durante a vida, mas é sentida com mais intensidade em alguns processos, como a adolescência, o envelhecimento e o adoecimento. Nesses casos, o reagenciamento sensorial é convocado com mais força, e o indivíduo pode sentir-se desalojado do seu corpo. O sentimento pessoal não está assegurado, e os rearranjos sensoriais precisam passar por reapropriações subjetivas para que o sujeito assimile um senso de identidade e de alteridade.

The present work discusses the sensoriality and how its rearrangements interfere in the subjectivation process. Sensoriality, as understood by Alberto Konicheckis (2018), comprises the multiplicity of psychic experiences that result from the sense organs and contains a hybridity between the internal and the external, as it is awakened in the encounter of the baby's body with the objects. This oscillation between the private and the collective, accompanies the subject throughout life, but is felt more intensely in some processes, such as adolescence, aging and illness. In such cases, sensory re-enactment is called upon with greater force, and the individual may feel dislodged from his body. Personal feeling is not assured, and sensory rearrangements need to undergo subjective reappropriations in order for the subject to assimilate a sense of identity and otherness.

El presente trabajo trata de explorar la sensorialidad y cómo sus reordenamientos intervienen en el proceso de subjetivación. La sensorialidad, sostenida por Alberto Konicheckis (2018), comprende la multiplicidad de experiencias psíquicas que surgen de los órganos de los sentidos e incluye una hibridación entre el interno y el externo, ya que despierta el encuentro del cuerpo del bebé con los otros objetos. Dicha oscilación entre lo íntimo y lo compartido, lo familiar y lo extraño, acompaña al sujeto durante toda su vida, aunque sea sentida con más intensidad en algunos procesos, como en la adolescencia, en la vejez y en la situación de enfermedad. En esos casos, el sistema sensorial se pone en juego con más fuerza, y el individuo puede sentirse desplazado de su cuerpo. El sentimiento personal no está seguro y se requiere que los reordenamientos sensoriales pasen por reapropiaciones subjetivas con el objetivo de que el sujeto pueda asimilar una noción de identidad y de alteridad.

Cet article traite de la sensorialité et de la façon dont ses réarrangements interfèrent dans le processus de subjectivation. La sensorialité, telle qu'elle est comprise par Alberto Konicheckis (2 018), comprend la multiplicité des expériences psychiques qui résultent des organes sensoriels, ainsi qu'un hybride entre l'intérieur et l'extérieur, dans la mesure où elle est éveillée dans la rencontre du corps du bébé avec les objets. Cette oscillation entre l'intime et ce qui est partagé, le familier et l'étranger, accompagne le sujet tout au long de la vie, mais se fait sentir plus intensément dans certains processus, tels que l'adolescence, le vieillissement et la maladie. Dans tels cas, le réaménagement sensoriel est sollicité avec plus de force et l'individu peut se sentir délogé de son corps. Le sentiment de continuité de l'être n'est pas assuré et les réarrangements sensoriels doivent être réappropriés subjectivement pour que le sujet assimile un sens d'identité et d'altérité.

"¿Qué está pasando aquí?" Impacto del lockdown y de las sesiones on line en las patologías graves / "Qu'est-ce qui se passe ici?". Impact du verrouillage et des sessions en ligne sur les pathologies graves / "What's going on here?". Impact of lockdown and online sessions on serious pathologies / "O que está acontecendo aqui?". Impacto do bloqueio e sessões online em patologias sérias

A través del caso clínico de un adolescente de trece años la autora reflexiona acerca del impacto del lockdown sobre el psiquismo del paciente. Considera los cambios que el confinamiento ha generado y la pérdida imprevista de los ritos cotidianos que acompañan la vida individual, familiar y social. Se afrontan algunas de las consecuencias y los fenónemos que genera el incremento de la vida on line, que las neurociencias señalan, entre otros, como fenómeno de dislocación. La autora asocia las dificultades del paciente para dar continuidad a las sesionas on line a algunas características de su funcionamiento a nivel sensorial. Se trata de un paciente con rasgos autistas que presenta dificultades en la coordinación sensorial. Conceptos como el desmantelamiento (Meltzer) o formas sensoriales autistas (Tustin) esclarecen ciertos aspectos del funcionamiento sensorial y de la organización psíquica de los pacientes graves. Haber leído algunas producciones inconscientes del paciente como un desplazamiento de la transferencia permitió afrontar el momento crítico determinado por el lockdown y el inicio de la adolescencia(AU)

À travers le cas clinique d'un adolescent de 13 ans, l'auteur réfléchit à l'impact du confinement sur le psychisme du patient. Elle considère les changements que le verrouillage a générés et la perte improvisée des rites quotidiens qui accompagnent la vie individuelle, familiale et sociale. Les conséquences et les phénomènes générés par l'augmentation de la vie en ligne sont pris en considération. Les neurosciences mettent en évidence, entre autres, le phénomène de dislocation. L'auteur associe les difficultés du patient à donner une continuité aux sessions en ligne à certaines caractéristiques de son fonctionnement au niveau sensoriel. Il s'agit d'un patient présentant des caractéristiques autistiques et des difficultés de coordination sensorielle. Des concepts tels que le démantélement de Meltzer ou les formes sensorielles autistiques de Tustin éclairent certains aspects du fonctionnement sensoriel et de l'organisation psychologique des patients gravement malades. Le fait d'avoir lu certaines productions inconscientes du patient comme un déplacement de transfert a permis de faire face au moment critique déterminé par le verrouillage et le début de l'adolescence(AU)

Through the clínical case of a 13-year-old adolescent, the author reflects on the impact of lockdown on the patient's psychism. She considers the changes that lockdown has generated and the improvised loss of the daily rites that accompany individual, family and social life. Considering the consequences and the phenomena generated by the increase of life on line, neurosciences point out, among others, the phenomenon of dislocation. The author associates the patient's difficulties in giving continuity to the on-line sessions to some characteristics of his functioning on a sensorial level. This is a patient with autistic features who presents difficulties in sensory coordination. Concepts such as Meltzer or Tustin (dismantling, autistic sensory forms) clarify certain aspects of the sensory functioning and psychic organization of severe patients. Having read some unconscious productions of the patient as a transference displacement allowed to face the critical moment determined by the lockdown and the beginning of adolescence(AU)

Através do caso clínico de um adolescente de 13 anos de idade, o autor reflete sobre o impacto do bloqueio no psiquismo do paciente. Ela considera as mudanças que o bloqueio gerou e a perda improvisada dos ritos diários que acompanham a vida individual, familiar e social. As consequências e fenômenos gerados pelo aumento da vida on line são levados em consideração. As neurociências apontam, entre outros, o fenômeno do deslocamento. O autor associa as dificuldades do paciente para dar continuidade às sessões on-line a algumas características de seu funcionamento em nível sensorial. Este é um paciente com características autistas que apresenta dificuldades na coordenação sensorial. Conceitos como a desmontagem de Meltzer ou as formas sensoriais autistas de Tustin lançam luz sobre certos aspectos do funcionamento sensorial e da organização psicológica de pacientes gravemente doentes. Tendo lido algumas produções inconscientes do paciente como um deslocamento de transferência permitiu enfrentar o momento crítico determinado pelo bloqueio e o início da adolescência(AU)

[Creation of a tool to help assess eating disorders in young children]. / Création d'un outil d'aide à l'évaluation des troubles de l'oralité alimentaire du jeune enfant.

In order to optimize the care of young hospitalized children with eating disorders, the Orality group at the Necker-Enfants malades University Hospital in Paris has created a therapeutic education tool: the Fleur des sens. This flower which is to be colored at the end of the meal with the child has nine petals representing nine foods that make up the meal, which were initially difficult or even impossible for the young patient to eat. This tool participates in the educational diagnosis and then in the formative evaluation of the child. It is also useful for the parents' understanding of the disease, making the link between sensoriality and food orality.

La movilización del afecto en la clínica del psicoanalista / La mobilisation de l'affect dans la clinique du psychanalyste / Mobilization of affect in the psychoanalytic clinic

La autora se interesa por el trayecto del afecto, encuentro entre una carga y una representación. En los análisis clásicos de pacientes neuróticos, el afecto aparece a pesar de estar a menudo reprimido mientras que en algunos tratamientos de pacientes difíciles parece ausente. A menudo aparece bajo forma de angustia. Solo a través de su movilización en el juego tránsfero-contratransferencial podemos tener acceso a los materiales inconscientes. (AU)

The author explores the affective trajectory, the encounter between a cathexis and a representation. In the classical analysis of neurotic patients, affect appears despite frequently being repressed, whereas in some treatment of difficult patients it seems absent. Often it appears in the form of anxiety. Only via its mobilization in the transference-countertransference interplay may we gain access to unconscious material. (AU)

L’auteur s’intéresse au trajet de l’affect, rencontre d’une charge et d’une représentation. Dans les psychanalyses classiques de patients névrosés l’affect, souvent refoulé, apparait alors que dans certaines cures de patients difficiles il semble absent. Il apparait souvent sous forme d’angoisse. Ce n’est alors qu’au travers de sa mobilisation dans le jeu transféro-contretransférentiel que nous pouvons avoir accès au matériaux inconscients. (AU)

Las lágrimas de Eros. Elaboración de la pérdida de la relación primera con el cuerpo materno / Les larmes d’Eros. Elaboration de la perte du lien premier avec lecorps de la mère / The tears of Eros. Working through the loss of the early relationship with the maternal body

Se presenta la experiencia clínica con una adolescente dentro de un marco teórico que considera que la relación del adolescente con su cuerpo mantiene las huellas del encuentro primero corporal madre-hija. Lucía se muestra prisionera de un tiempo de infancia ante la imposibilidad de elaborar la perdida prematura de la interacción sensorial y afectiva con la figura materna. La escucha de su dolor, expresado a través del cuerpo, y la escucha también de la figuración-representación de la analista, junto al trabajo de construcción, permiten dar un sentido a su llanto. El desarrollo de la capacidad simbólica y una mayor consistencia de su yo a lo largo del proceso de análisis han hecho posible que, ante la experiencia de pérdida de un nuevo objeto de amor, su llanto adquiera una calidad depresiva y se abra un proceso de duelo, expresión de la fuerza de Eros. (AU)

The author’s clinical experience with a teenage girl is presented within a theoretical framework whereby the adolescent’s relationship with her body is understood to bear the traces of the early mother-child bodily encounter. Lucía is a captive of her childhood, faced with the impossibility of working through the premature loss of the sensory and affective interaction with the maternal figure. By listening to her pain, expressed bodily, and by listening to the analyst’s figuration-representation, together with the work of construction, meaning is given to her grieving. Throughout the process of analysis, the development of the patient’s symbolic capacity and greater ego coherence enable her grief to take on a depressive quality, beginning a process of mourning when she is faced with the loss of a new love object, in an expression of the power of Eros. (AU)

L’expérience clinique avec une adolescente est présentée dans un cadre théorique qui comprend que la relation de l’adolescente avec son corps conserve les traces de la première rencontre corporelle mère-fille. Lucía se montre prisonnière d’une période de son enfance, face à l’impossibilité d’élaborer la perte prématurée de l’interaction sensorielle et affective avec a figure maternelle. L’écoute de sa douleur exprimée à travers le corps, mais aussi l’écoute de la figuration-représentation de l’analyste, ainsi que le travail de construction, permettent de donner un sens à ses pleurs. Le développement de la capacité symbolique et une plus grande cohérence de son Moi tout au long du processus d’analyse, ont permis que, avant l’expérience de la perte d’un nouvel amour, ses pleurs acquièrent une qualité dépressive et qu’un processus de deuil s’ouvre, expression de la force d’Eros. (AU)

A case of visuo-auditory sensory substitution in rats.

Sensory substitution refers to a process whereby an agent, by means of a removable specialized instrumentation, becomes capable of exploiting an available sensory modality in order to perceive properties of the environment which are normally accessible by means of a different modality. We describe a situation of visual-auditory sensory substitution in the rat. Rats were placed in complete darkness, and trained to follow a virtual path whose position was signalled by a sound activated by a video-tracking device. Our hypothesis was that the rats would be able to succeed in this task of spatial navigation, following the sound contour by means of sensory-motor coupling based on seeking the sound (all-or-none) and mastering the relation between their own actions and the expected sensory feedback. Our results confirm this hypothesis and show the progressive structuring of meaningful exploratory activity, leading from the appearance of stopping behaviour when the sound is lost or acceleration when the sound is discovered, up to a veritable sensory-motor strategy which maximizes the possibilities for discovering and following the sound path. Thus, the animals seem to have developed a new form of perception which translates in particular into motor behaviour adapted to the search for sound.

[The Snoezelen approach in pain management in psychiatry]. / L'approche Snoezelen dans la prise en charge de la douleur en psychiatrie.

The approach or practice known as Snoezelen is defined as the controlled multi-sensory stimulation of a person's sensoriality in a safe space. It has recognised benefits in the management of severe mental health disabilities. But, can it have a more specific benefit in psychiatry in terms of pain managment? Hospital caregivers go some way to answering the question by sharing their thoughts and experience regarding an innovative clinical experiment using the Snoezelen approach for this purpose.

The dead part: An overfulness of emptiness-Some reflections on psychotherapy with young psychotic patients.

Drawing on his experience of psychotherapy with psychotic children and adolescents, the author puts forward and discusses the idea that a psychically "dead part," "an overfulness of emptiness," lies at the core of the psychotic self. Through the presentation of his clinical work with Aldo, a psychotic adolescent, the author shows the deep sensorial, perceptive, presymbolic, and consequently preverbal nature of these originary psychic nuclei, together with the hard work that allows them to emerge during treatment. Moreover, the article focuses on regression-to-dependence phenomena and analysis of the primitive bodily features of countertransferential dynamics in work with these patients, which may be linked to the emergence of the "dead part" in the analytic relationship. The analyst's psychosomatic experience that characterizes the encounter with these intense anxieties, together with the complex work of figurability that the analyst has to perform, is examined and discussed.

Formas de (des)subjetivação infantil em tempos de aceleração: os transtornos de subjetivação arcaica / Forms of child's (de)subjectivation in frenetic times: disorders of archaic subjectivation

Neste artigo o autor tenta mostrar uma perspectiva psicanalítica sobre o que neste momento aparece como uma prevalência excessiva de crianças pequenas na suspeita de autismo. Para isso expõe uma série de suposições sobre os possíveis motivos para o aumento deste tipo de consulta, em relação tanto aos aspectos constitucionais da criança, quanto à incidência de fatores de ordem cultural que afetam o vínculo entre pais e filhos. Estabelece a hipótese de uma forma de funcionamento da criança que denomina transtorno de subjetivação arcaica descrevendo algumas das características observadas em sua experiência clínica e apresenta um caso para ilustrar a forma peculiar de abordagem tanto da criança (aspecto intrapsíquico) quanto dos pais (aspecto intersubjetivo(AU)

In this paper the author tries to show a psychoanalytical perspective on what currently appears to be an excessive prevalence of little children suspected of autism. In order to do this, a series of hypotheses are raised about the possible reasons for the increase in this kind of consultations, related both to the child's constitutional aspects and to the incidence of cultural factors affecting the bond between parents and children. The author puts forward the hypothesis of a form of child's functioning called disorder of archaic subjectivation. He describes some of the characteristics observed in his clinical experience and presents a case to illustrate the peculiar approach of both the child (intraphsychic aspect) and the parents (intersubjective aspect)(AU)

El autor en este trabajo trata de mostrar una perspectiva psicoanalítica sobre lo que en este momento aparece como una prevalencia excesiva de niños pequeños en sospecha de autismo. Para ello se plantea una seria de hipótesis sobre los posibles motivos del aumento de este tipo de consulta, en relación tanto a aspectos constitucionales del niño, como a la incidencia de factores de orden cultural que inciden sobre el vínculo padres-hijos. Establece la hipótesis de una forma de funcionamiento en el niño que denomina trastorno de subjetivación arcaica, describiendo algunas de las características que observa en su experiencia clínica y presenta un caso para ilustrar la forma peculiar del abordaje, tanto con el niño (aspecto intrapsíquico) como con los padres (aspecto intersubjetivo)(AU)

Psychotic functioning in adolescence: The perverse solution to survive.

A psychotic breakdown in adolescence marks the emergence of a manifest aspect of a more complex process that has its origins in the patient's family pre-history and in the patient's childhood story. This period of life is characterized by a sensorial explosion and adolescents will react differently according to the different resources they have at their disposal. Adolescents will attempt to create defensive solutions in order to face this decompensation on their own. In particular, polymorphously perverse behaviours can be utilized because of their specific characteristics in order to create a potent defence used to arrest a still more severe regression and at the same time providing the time necessary to safely navigate through a difficult and dangerous developmental phase. These solutions can be transitory or transform themselves into lasting defensive adaptations. These defensive modalities are very complex and articulated and can become fossilized in time, as, for example, in the case of a use of perverse defences against a breakdown. An analyst finding him/herself in these situations will find it difficult to differentiate in the diagnosis between a condition that is due to a perverse functioning used as a defence against decompensation, and a truly perverse structure that is beginning to emerge after puberty.

Realidade sensorial e realidade psíquica: trânsito e turbulência / Sensory reality and psychic reality: transit and turbulence / Realidad sensorial y realidad psíquica: tránsito y turbulencia

Este trabalho clínico se propõe a examinar o trânsito de estados de mente da analista e de sua paciente, trânsito que se dá entre a percepção de impressões sensoriais e a apreensão da realidade psíquica, que só é possível por meio da experiência emocional vivenciada na relação analítica. Traz reflexões sobre a capacidade da dupla analítica de se mover entre o mundo sensorial e o não sensorial e de sofrer turbulência na situação de análise.

This paper examines the transit of states of mind of the analyst and her patient, transit that occurs between the perception of sensory impressions and the apprehension of psychic reality, which is only possible through the emotional experience that occurs in the analytic relationship. It presents reflections on the capacity of the analytic pair to move between the sensory and non-sensory worlds and to suffer turbulence in the situation of analysis.

En este trabajo se propone examinar el tránsito de los estados de la mente del analista y de su paciente, tránsito que tiene lugar entre la percepción de las impresiones sensoriales y la aprehensión de la realidad psíquica, que solo es posible a través de la experiencia emocional en la relación analítica. Reflexiona sobre la capacidad de la díada analítica para moverse entre el mundo sensorial y el mundo no sensorial y sufrir turbulencia en la situación del análisis.

Sobre o senso de inexistência: uma área em Reserve / Concerning the sense of inexistence: an area in Reserve / Sobre el sentido deinexistencia: un área en Reserve

A partir da ideia de que, durante a experiência emocional, há um trânsito constante entre os sensos de existência, potência e inexistência, a autora desenvolve elaborações sobre o senso de inexistência. Assinala que, se a observação da experiência emocional leva em conta os referenciais desses sensos, isso propicia a colheita de e o trabalho com elementos provindos da sensorialidade, uma vez que a teoria organizada e definida a partir de relações de objeto que privilegiam emoções e suas significações não permite tais desenvolvimentos. Recorre à ideia de Reserve, um conceito retirado das artes visuais, para aproximar-se de áreas que não foram tocadas pela emoção, mas que se constituem como interface com diferentes dimensões mentais que são acessíveis na experiência clínica. Essas elaborações provêm da conjetura de que as áreas inacessíveis e sem representação no psiquismo se propõem como interface com áreas mais desenvolvidas. Nesse sentido, a autora aponta que o senso de inexistência pode ser apreendido a partir de um fundo de existência, bem como a própria existência humana tem como fonte a inexistência.

Based on the idea that, during emotional experience there is a constant flow among the senses of existence, potency and inexistence, the author develops elaborations on the sense of inexistence. The author points out that, if the observation of emotional experience takes into consideration the references of these senses, this enables the harvest of and the work with elements derived from sensoriality, since the theory organized and defined based on object relations that privilege emotions and their meanings does not allow such developments. The author falls back on the idea of Reserve, a concept taken from the visual arts, to approach areas that have not been touched by emotion, but which constitute as interface with different mental dimensions that are accessible in the clinical experience. These elaborations originate from the speculation that the areas that are inaccessible and without representation in the psyche offer themselves as interface with more developed areas. In this regard, the author points out that the sense of inexistence can be apprehended based on a background of existence, just as human existence itself has, as its source, inexistence.

La autora desarrolla elaboraciones sobre el sentido de inexistencia, partiendo de la idea de que durante la experiencia emocional ocurre un tránsito constante entre los sentidos de existencia, potencia e inexistencia. Destaca además que si la observación de la experiencia emocional tiene en cuenta los referenciales de estos sentidos, esto permite la colecta de y el trabajo con elementos provenientes de la sensorialidad, una vez que la teoría organizada y definida a partir de las relaciones de objeto que privilegian las emociones y las significaciones no permite tales desarrollos. Se recurre a la idea de Reserve, un concepto extraído de las artes visuales, para acercarse a las áreas que no fueron tocadas por la emoción, pero que se constituyen como una interfaz con las diversas dimensiones mentales que son accesibles durante la experiencia clínica. Estas elaboraciones provienen de la conjetura de que las áreas inaccesibles y sin representación en el psiquismo se proponen como la interfaz con áreas más desarrolladas. En este sentido, la autora indica que el sentido de inexistencia puede ser aprehendido a partir de un fondo de existencia, como también la propia existencia humana tiene como fuente la inexistencia.