Systematic review and meta-analysis of cardiac neurosis for development of clinical practice guidelines of Korean medicine.

Background: The development of clinical practice guidelines in traditional medicine requires evidence that sufficiently reflects the medical field. Cardiac neurosis is a disease that occurs because of problems in the autonomic nervous system and is characterized by symptoms of the circulatory system that are representative of autonomic dysfunction. In traditional medicine, the heart is considered to be involved in mental health problems, and cardiac neurosis is accompanied by a variety of mental symptoms. Furthermore, there is a categorized diagnosis for cardiac neurosis, and active empirical research is being conducted in China. Objective: This study aimed to systematically review and quantitatively synthesize the effects of Korean medicine treatments in patients with cardiac neurosis to develop evidence-based clinical practice guidelines for the treatment of autonomic dysfunction. Methods: Nine databases were searched for articles published before September 13, 2022. The methodological quality of the studies was assessed using the RoB tool. The primary outcomes were somatization, depression, anxiety, and effectiveness rate. The secondary outcome was the rate of adverse effects. Results: Based on a systematic literature review, 151 randomized controlled trials were selected and analyzed. For patients with cardiac neurosis, herbal medicine, combined treatment of herbal medicine and Western medicine, combined treatment of herbal medicine and acupuncture, acupuncture, and combined treatment of acupuncture and Western medicine showed better overall effects than Western medicine alone. Furthermore, the combined treatment of herbal medicine and psychotherapy and that of herbal medicine, psychotherapy, and Western medicine showed an overall better effect than the combined treatment of Western medicine and psychotherapy. Conclusion: A meta-analysis of articles revealed the effectiveness of Korean medicine treatments and verified the effectiveness of a Korean medicine treatment alone, Korean medicine combined treatment, and combined treatment of Korean medicine and Western medicine on cardiac neurosis. Limitations included the inability to verify the cause of high heterogeneity between studies and the poor quality of the included studies. Nevertheless, this systematic review and meta-analysis of cardiac neurosis showed that the disease concept of traditional medicine can also be organized based on the latest research. Future research related to traditional diseases such as these should be conducted. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022347992, identifier CRD42022347992.

The Frequency of Design Studies Targeting People With Psychotic Symptoms and Features in Mental Health Care Innovation: Secondary Analysis of a Systematic Review.

This study examined and reflected on the frequency of people with psychotic symptoms and features as the target population in design studies for mental health care innovation.

[Anton Bruckner: the Linz cathedral organist, university teacher, symphonic musician : Could modern intensive care medicine have helped him and his illnesses?] / Anton Bruckner: Linzer Domorganist, Hochschullehrer, Symphoniker : Hätte die moderne Intensivmedizin ihm und seinen Erkrankungen helfen können?

BACKGROUND: Anton Bruckner was a famous cathedral organist, university teacher, and symphonic composer, but his life, illnesses, death and dying are little or not known to many. OBJECTIVES: Which illnesses determined Bruckner's life and did lifestyle and illnesses influence his compositional work? From today's perspective, could modern intensive care medicine have helped him? MATERIALS AND METHODS: A detailed analysis of Bruckner's diseases was carried out using the scientific databases PubMed® and MEDLINE®. All published articles were evaluated and examined in detail. In addition, data from a concert tour of the author to Linz and the St. Florian Abbey Basilica were collected. RESULTS: Anton Bruckner was born on 4 September 1824 in Ansfelden, Austria. As a child he received piano and organ lessons. After his father's death, he devoted himself to playing the organ and became in 1855 cathedral organist in Linz. His further career took him to Vienna, where he became a professor at the conservatory and turned to composition. His symphonies, his masses, and his Te Deum are his most famous works. During the first 40 years of his life, Bruckner suffered from psychopathological illnesses, including depression, delusions of persecution, and neuroses. Later, he suffered from chronic heart failure with recurrent right and left heart decompensation up to the development of cardiac cachexia, possibly caused by dilated cardiomyopathy due to alcohol toxicity. He died on 11 October 1896 in Vienna. CONCLUSION: Bruckners life was marked by a wide variety of illnesses. His penchant for death and the dead was also striking. Modern medicine would probably have improved his quality of life through consequent heart failure therapy; an implantable automatic defibrillator with resynchronization therapy would probably have prolonged his life.

Psychoanalytic Contributions to Psychodynamic Psychiatry and Psychotherapy: Freud's Structural Hypothesis.

Psychoanalysis has long lost its historical influence on U.S. academic psychiatry. Psychoanalytic theory, however, provides us with a rich and remarkably comprehensive knowledge of human development, both normative and pathologic. This article describes a psychoanalytic concept that enriches our understanding of the mind and its disorders: Freud's structural hypothesis. This core concept provides a theoretical foundation for understanding the clinical features of both neurotic and personality disorders. It also informs a psychodynamic psychotherapy.

The expansion of vanity of Simon in A Portrait of the Artist as a Young Man.

An aggressive personality is a distorted personality with dark traits such as arrogance, a sense of power over others, and exploitation. As per Karen Horney's theory of neurosis, all these traits make an individual, psychologically, neurotic, who is willing to go against other people in society. In this paper, drawing upon Horney's theory, I study the aggressive personality of Simon in James Joyce's A Portrait of the Artist as a Young Man from three aspects of frustrated selfishness, sense of dominance, and search for respect to make known his neurotic needs for power, admiration, prestige, exploitation and achievement and demonstrate that offensive conducts of Simon make him more insecure and leave him more aggressive toward everybody at home and society.

Bernard Hart (1879-1966) and his influence on British psychiatry.

Bernard Hart was among the most eminent 20th-century British psychiatrists. Following medical qualification at University College Hospital, London, he trained in psychiatry, which included two years studying in Paris and Zurich. He was appointed as the first psychiatric consultant at University College Hospital, then spent some time in Liverpool, where he specialized in treating war neurosis. Early in his career, Hart was one of the first to introduce the ideas of Freud and Janet, and the importance of unconscious processes, to the British public. After the First World War, Hart returned to University College Hospital, where he remained until 1947, building up a flourishing department. Hart was appointed to numerous senior offices and directed the psychiatric section of the British Emergency Medical Services in the Second World War. Hart is believed to be the last psychiatrist to certify someone (John Amery) as being of sufficiently sound mind to die for treason.

Variantes da neurose tipo / Variations of type neurosis / Variantes de la névrose type

Na obra de Sigmund Freud, é possível localizarmos outra teoria da neurose que não está ancorada na existência de sintomas oriundos do processo defensivo próprio ao recalque, como pudemos verificar na constituição da neurose de caráter e das neuroses atuais. A evidência de tal problemática, presente já na elaboração teórica freudiana, nos leva à atualidade de nossa clínica. Na prática psicanalítica contemporânea, nos deparamos, cada vez mais, com fenômenos sintomáticos que não correspondem a sintomas propriamente ditos. O fenômeno da obesidade para alguns sujeitos evidencia uma forma de defesa inconsciente primária, mais arcaica, sem a produção de conflito psíquico e não sendo possível a satisfação da pulsão por meio do sintoma. A obesidade pode ser localizada como uma variante da neurose.

In Sigmund Freud's work it is possible to locate another theory of neurosis that is not anchored in the existence of symptoms arising from the defensive process at work in repression, as we could see in the constitution of the character neurosis and in the current neuroses. The evidence of such a problem, already present in the Freudian theoretical preparation, takes us to the present day of our clinic. In contemporary psychoanalytic practice, we are increasingly faced with symptomatic phenomena that do not correspond to symptoms themselves. The phenomenon of obesity for some subjects is evidence of a primary, more archaic form of unconscious defense, without the production of psychic conflict, and in which it is not possible to satisfy the drive through the symptom. Obesity can be located as a variant of neurosis.

Il est possible de localiser, dans l'œuvre de Sigmund Freud, une autre théorie de la névrose qui n'est pas ancrée dans l'existence de symptômes issus du processus défensif propre au refoulement, comme nous avons pu vérifier dans la constitution de la névrose de caractère et des névroses actuelles. L'évidence d'une telle problématique, présente déjà dans l'élaboration théorique freudienne, nous conduit à l'actualité de notre clinique. Dans la pratique psychanalytique contemporaine, nous sommes confrontés, de plus en plus, à des phénomènes symptomatiques qui ne correspondent pas à des symptômes proprement dits. Le phénomène de l'obésité pour certains sujets met en évidence une forme de défense inconsciente primaire, plus archaïque, sans la production de conflit psychique, n'étant pas possible la satisfaction de la pulsion par le symptôme. L'obésité peut être localisée comme une variante de la névrose

[The work of mourning, getting through the loss]. / Le travail du deuil, traverser la perte.

Pain, mourning translate, in their indeterminacy of the affective experience, the suffering, the guilt, the anguish when the individuals are confronted with the death, the loss or the separation from the object. It doesn't matter if this object is a loved one or an abstraction... These different experiences each sign in their own way the human way of reacting to the inescapable encounter with this reality. To seize and overcome the experience of the affective experience makes it possible to understand and to put in form the significant mechanisms which underlie the processes of mourning. It also helps to apprehend its necessary and obligatory scope, given the attachment and identification that characterize the link between humans.

[Clinical features of schizotypal disorder in childhood and adolescence]. / Klinicheskie osobennosti shizotipicheskogo rasstroistva v detsko-podrostkovom vozraste.

OBJECTIVE: To identify psychopathological features, patterns of formation and course of schizotypal disorder (STD) in childhood and adolescence, to develop criteria for differential diagnosis. MATERIAL AND METHODS: A total of 151 patients, aged 7 to 16 years (mean age 12.3 years), with a diagnosis of schizotypal disorder were included in the study. Of these, 48 (31.8%) were women and 103 (68.2%) were men. Psychopathological, pathopsychological, psychometric and statistical methods were used. The Schizotypal Personality Questionnaire (SPQ) was used as a formalized tool for assessing the clinical symptoms of STD. RESULTS: Based on the prevailing symptoms, the clinical sample of patients was divided into 3 groups. The 1st group consisted of 56 (32.5%) patients with a predominance of neurosis-like disorders, the 2nd group - 50 (37.7%) patients with a predominance of behavioral disorders, the 3rd group included 45 (29.8%) patients with the dominance of stable personality anomalies. Significant differences between the groups were found in the frequency and severity of psychopathological symptoms, the structure of deficient (negative disorders), the age of onset of disorders, the characteristics of social activity and adaptation. According to the SPQ scale, positive disorders prevailed in group 1 compared to group 3: ideas of attitude (3.3 and 2.7 points respectively), unusual sensations and perceptions (3, 1 and 1.7 points respectively). CONCLUSION: STD is a spectrum of disorders, on one end of which there are variants with a predominance of positive disorders, on the other negative ones. The predominance of certain psychopathological symptoms is due to the age of onset of psychopathological disorders, age at the time of the current exacerbation, and the duration of persistence of the disease. The predominance of neurosis-like, psychopathic-like disorders and persistent personality anomalies makes it possible to classify STD as one of the identified types, which allows us to substantiate differentiated therapy and prognosis.

Functional Neurological Symptom Disorder Manifesting as Auditory Verbal Agnosia in a 19-Year-Old Patient.

Functional neurological symptom disorder (FNSD), otherwise known as conversion disorder (CD), is a condition in which neurological deficits cannot solely be explained by medical pathology. Auditory verbal agnosia (AVA) is the inability to understand speech. While these two conditions are well-documented independently, a case of FNSD manifesting as AVA has not been previously reported. We present a 19-year-old patient, with a history complicated by congenital cardiomyopathy resulting in chronic heart failure with reduced ejection fraction and alpha-thalassemia, who demonstrated these symptoms. This case details the effectiveness of a multi-pronged treatment approach that was implemented over several years, eventually leading to the resolution of the conversion symptoms.

Distinguishing between neurosis and psychosis: discourses on neurosis in colonial Korea.

This article analyses the origins and formation of medical and social discourses on neurosis in colonial Korea. With the introduction of Western medicine after the Opening of Korea in 1876, neurasthenia and hysteria began to be understood as neurotic diseases, and their importance was further highlighted during the colonial period of 1910-45. The article also addresses the role of neuropsychiatry in forming discourses on neurosis. In medical communities during the colonial period, the main source of these discourses gradually shifted from internal medicine to neuropsychiatry. In particular, Korean neuropsychiatrists distinguished between neurosis and psychosis as a way to reinforce their authority. Neuropsychiatrists tried to explain the temperamental and environmental factors of neurosis from a psychoanalytic standpoint.

Morcellement du corps et chirurgie bariatrique. De l'organique au corporel dans leur rapport aux logiques structrurelles / Body fragmentation and bariatric surgery. From the organic to the corporeal in their relationship to structural logics / Fragmentação do corpo e cirurgia bariátrica. Do orgânico ao corpóreo em sua relação com a lógica estrutural / Fragmentación corporal y cirurgía bariátrica. De lo orgánico a lo corpóreo en su relación con las lógicas estructurales

Les auteurs, cliniciens et chercheurs en psychopathologie, développent un phénomène psychique transtructurel rencontré chez des patients obèses opérés d'une chirurgie bariatrique: des fantasmes et des délires de morcellement corporel. C'est à partir d'un cas clinique de névrose et un autre de psychose, que l'impact psychique de la chirurgie bariatrique sera étudié, avec la mise en lumière d'une altération de l'image du corps et de ses sensations qui serait à l'origine de ce phénomène de morcellement.

The authors, clinicians, and researchers in psychopathology, developed a trans-structural psychic phenomenon found in obese patients who have undergone bariatric surgery: fantasies and delusions of body fragmentation. The psychic impact of bariatric surgery was studied based on a clinical case of neurosis and another one of psychosis, highlighting an alteration of body image and its sensations which would be at the origin of this phenomenon of fragmentation.

Resumos Os autores, clínicos e pesquisadores em psicopatologia, desenvolvem um fenômeno psíquico transestrutural encontrado em pacientes obesos submetidos à cirurgia bariátrica: fantasias e delírios de fragmentação do corpo. Com base em um caso clínico de neurose e outro de psicose, será estudado o impacto psíquico da cirurgia bariátrica, destacando uma alteração na imagem do corpo e suas sensações, que estariam na origem desse fenômeno de fragmentação.

Los autores, clínicos e investigadores en el campo de la psicopatología, desarrollan un fenómeno psíquico transestructural encontrado en pacientes obesos sometidos a la cirugía bariátrica: fantasías y delirios de fragmentación del cuerpo. Desde un caso clínico de neurosis y otro de psicosis, se estudiará el impacto psíquico de la cirugía bariátrica, destacando una alteración de la imagen corporal y de sus sensaciones, que serían el origen de este fenómeno de fragmentación.

As transformações do mal-estar e o lugar da psicanálise após a era da técnica / The changes in the malaise and the place of psychoanalysis after the technical era / Los cambios del malestar y el lugar del psicoanálisis después de la era de la técnica

O presente artigo tem como objetivo discutir as mudanças na leitura psicanalítica do mal-estar e da neurose com o início da era da técnica e a instrumentalização da relação do sujeito com o mundo, e com a mudança do lugar social da ciência. Veremos como tanto a ideia de mal-estar como a de sujeito neurótico se transformam desde a leitura freudiana em sua época. Nesse sentido, discutiremos a pertinência da psicanálise para pensar essas transformações, considerando sua relação com a ciência e com uma ideia de racionalização, inclusive de racionalização do desejo, nos dias atuais.

This article aims to discuss the changes in the psychoanalytic reading of malaise and neurosis with the beginning of the era of technique and the operationalization of the subject's relation with the world and with the change in the social place of science. We look at how both the idea of malaise and the neurotic subject have changed since Freudian reading in his time. Thus, the pertinence of the psychoanalysis will be discussed in thinking about those changes, taking into consideration its relationship with science and with an idea of rationalization, including rationalization the desire, in our days.

Este artículo tiene como objetivo discutir las transformaciones en la lectura psicoanalítica del malestar y de la neurosis empezando con el comienzo de la era de la técnica y la instrumentalización de la relación del sujeto con el mundo, y con el cambio del lugar social de la ciencia. Veremos como tanto la idea del malestar como la de un sujeto neurótico se cambiaran desde la lectura de Freud en su tiempo. En este sentido, debatiremos la relevancia del psicoanálisis para pensar sobre estas transformaciones, considerando su relación con la ciencia y con una idea de racionalización, incluido de racionalización del deseo, hoy en día.

Neuropsychopharmacology and the Forgotten Language of Psychiatry Madness: From Psychiatry to Neuronology via Neuropsychopharmacology.

This is an outline of a period in the history of "madness." It begins in the mid-19th century with the separation of the diagnostic concept of "psychosis" from the all-embracing diagnostic concept of "neurosis", and the discovery of "psychic refl ex" that was to become known as "conditional reflex." It continues with the development of the language of psychiatry, in "psychopathology" and "psychiatricnosology:" during the late-19th and early 20th century; the forgetting of the "language' by the late 1980s, and the revival of the language in the introduction of "structural psychopathology" and assessment instruments as the Diagnostic Criteria of Research (DCR) and Composite Diagnostic Evaluations (CODE), subsequently. The need for "nosological homotyping" is considered for the generation of pharmacologically homogenous psychiatric populations for neuropsychopharmacological research and the possibility of using "structural psychopathology" for linking mental pathology with conditional refl ex variables is raised. The outline concludes with the assertion that in the light of developments, time has come to replace the term "psychiatry" with the term "neuronology." (Neuropsychopharmacol Hung 2021; 23(2): 249-265).

[Hysteria: history of a concept and its clinical reality]. / L'hystérie : histoire d'un concept et de sa réalité clinique.

Hysteria is one of the oldest and best known clinical terms. Its history reveals the extent to which pathological entities, some more than others, are the fruit of successive conceptions of experts, themselves undoubtedly influenced by the prevailing currents of thought of their time. From its uterine origin to its psychogenic etiology, here is the history of hysteria and its controversies. A history that belongs to that of medicine, neurology, psychiatry, psychology and psychoanalysis.

Desencadeamento na neurose e sua relação com o sinthoma e a função do analista no contexto da clínica na atualidade / The concept of triggering in neurosis and its relationship with sinthome and the role of the psychoanalyst in the context of current clinical psychology / Le concept de déclenchement dans la névrose et son rapport avec le sinthome et le rôle du psychanalyste dans le contexte de la psychologie clinique actuelle) / El concepto de desencadenamiento en la neurosis y su relación con el sinthome y el papel del psicoanalista en el contexto de la psicología clínica actual)

Este trabalho aborda a noção de desencadeamento nas neuroses, considerando a clínica atual e, para isto, perpassa pela noção de encadeamento e desencadeamento considerando ensinamentos freudiano e lacaniano. Formalizações sobre sinthoma, como elemento que repara os erros do enlaçamento e índice de encadeamento, e sintoma, são convocadas para a conversa em que a neurose, mesmo no contexto da clínica, apresenta-se frequentemente em sua forma não desencadeada. A função do analista como perturbador da defesa e do sinthoma é, assim, questão que se coloca em cena.

This article addresses the concept of triggering in neurosis by taking into account current clinical psychology and based on the concepts of chaining and triggering, according to Freudian and Lacanian teachings. Formalizations about the sinthome as an element that repairs bonding mistakes and the chaining index, and the sinthome itself, are convened for a conversation in which neurosis, even in the context of clinical psychology, often presents itself in its non-triggered form. The role of the psychoanalyst as a disrupter of both defense and the sinthome is therefore a question that arises in this scenario.

Cette étude examine la notion de déclenchement dans la névrose en prenant pour base la psychologie clinique actuelle ainsi que les concepts de chaînage et de déclenchement selon les enseignements freudiens et lacaniens. Les formalisations sur le sinthome, en tant qu'élément qui répare les erreurs de liaison et de l'index de chaînage, ainsi que le sinthome, sont convoqués à la conversation dans laquelle la névrose, même dans le contexte de la psychologie clinique, se présente souvent sous sa forme non-déclenchée. Le rôle du psychanalyste en tant que perturbateur de la défense et du sinthome représente donc une question qui se met en évidence.

Este trabajo aborda el concepto de desencadenamiento en las neurosis, considerando la práctica clínica actual y, para ello, transita por los conceptos de encadenamiento y desencadenamiento, basándose en las enseñanzas freudianas y lacanianas. Las formalizaciones sobre el sinthome, como un elemento que repara los errores de cruce y el índice de encadenamiento, y el síntoma en sí, son convocados a la charla en la que la neurosis, incluso en el contexto de la práctica clínica, se presenta a menudo en su forma no desencadenada. El papel del psicoanalista como perturbador, tanto de la defensa como del sinthome es, por lo tanto, una cuestión que surge en la escena.

Neurose obsessiva: a construção de uma psiconeurose / Obsessive neurosis: the construction of psychoneurosis / Névrose obsessive: la construction de la psychonévrose

A neurose obsessiva é uma das duas psiconeuroses de defesa descritas por Freud e sobre as quais se baseou fundamentalmente a construção e desenvolvimento de seu modelo de aparelho psíquico. No presente artigo, nos propomos promover um estudo sobre a neurose obsessiva, sua dinâmica e mecanismos de defesa. Para tal, desenvolveremos uma revisão de literatura sobre o tema tomando como ponto de partida a consideração angular de Castel (2011), segundo a qual teria sido a neurose obsessiva e não a histeria a responsável pelo surgimento das bases da psicanálise e da construção da ideia de um aparelho psíquico. A fim de circunscrever a ideia proposta por Castel, nos dedicaremos prioritariamente a um percurso sobre a construção da neurose obsessiva pautados nas proposições freudianas. Seguiremos a linha temporal buscando lançar luz sobre o desenvolvimento de uma forma de organização própria a essa neurose e sua dinâmica do desejo em pauta. Por fim, apresentaremos as considerações de Abraham a partir das quais desenvolveremos a ideia de um movimento de regressão libidinal posta em questão nesses casos, e não uma lógica de fixação a um estágio específico do desenvolvimento libidinal.

Obsessive neurosis is one of the two defense psychoneuroses described by Freud and on which the construction and development of his model of psychic apparatus was fundamentally based. In this article, we propose to promote a study on obsessional neurosis, its dynamics and defense mechanisms. To this end, we will develop a literature review on the subject taking Castel's (2011) angular consideration as a starting point, according to which it was obsessive neurosis and not hysteria that was responsible for the emergence of the bases of psychoanalysis and the construction of the idea of a psychic apparatus. In order to circumscribe the idea proposed by Castel, we will dedicate ourselves primarily to a journey on the construction of obsessional neurosis based on Freudian propositions. We will follow the timeline seeking to shed light on the development of a form of organization specific to this neurosis and its dynamics of desire on the agenda. Finally, we will present Abraham's considerations from which we will develop the idea of a libidinal regression movement in question in these cases and not a logic of fixation to a specific stage of libidinal development.

La névrose obsessionnelle est l'une des deux psychonévroses de défense décrites par Freud et sur lesquelles reposait fondamentalement la construction et le développement de son modèle d'appareil psychique. Dans cet article, nous proposons de promouvoir une étude sur la névrose obsessionnelle, sa dynamique et ses mécanismes de défense. Pour cela, nous développerons une revue de la littérature sur le sujet en prenant comme point de départ la considération angulaire de Castel (2011), selon laquelle c'est la névrose obsessionnelle et non l'hystérie qui a été responsable de l'émergence des bases de la psychanalyse et de la construction de l'idée d'un appareil psychique. Afin de circonscrire l'idée proposée par Castel, nous nous consacrerons principalement à un voyage sur la construction de la névrose obsessionnelle à partir de propositions freudiennes. Nous suivrons la chronologie cherchant à éclairer le développement d'une forme d'organisation propre à cette névrose et sa dynamique du désir à l'ordre du jour. Enfin, nous présenterons les considérations d'Abraham à partir desquelles nous développerons l'idée d'un mouvement de régression libidinale en question dans ces cas et non une logique de fixation à un stade spécifique du développement libidinal.

Da cristalização à singularidade: a neurose obsessiva no diagnóstico estrutural / From crystallization to singularity: obsessive neurosis within structural diagnosis / De la cristalización a la singularidad: neurosis obsesiva en diagnóstico estructural: a neurose obsessiva no diagnóstico estrutural

Este artigo, partindo de uma reflexão acerca da abordagem e das singularidades existentes na condução do manejo psicanalítico associado à neurose obsessiva, perscruta os impasses relacionados à questão propriamente nosográfica que permanece como elemento problemático em toda a clínica psicanalítica. A partir de uma retomada crítica das categorizações da neurose formuladas por Sigmund Freud, e retrabalhadas e expandidas nos trabalhos de Jacques Lacan, propõe-se aqui uma abordagem que tensione qualquer tentativa nosográfica dentro da clínica em transferência. De fato, o enfoque em categorias preestabelecidas que se colocam como anteriores ao encontro com o paciente aparece cada vez mais comum ao longo do espectro de abordagens do campo da Psicologia, que muitas vezes se coloca à frente da própria singularidade do sujeito em busca de tratamento. Assim, na interseção entre a técnica e a teoria, pretende-se aqui desenvolver a ideia de como um diagnóstico estrutural é capaz de reintegrar a ideia de uma neurose obsessiva que não se apresente como categoria estanque e apriorística, e sim que se complexifique dentro do horizonte da clínica em transferência.

This article, based on a reflection about the approach and singularities existing in the conduction of psychoanalytic management associated with obsessive neurosis, scrutinizes the deadlocks related to the properly nosographic issue that remains a problematic element throughout psychoanalytic clinic. Starting from a critical reappraisal of neurosis categorizations formulated by Sigmund Freud, which were reworked and expanded by Jacques Lacan, we propose an approach that brings tension to any nosographic attempt within the transference practice. As a matter of fact, the focus on pre-established categories set before the encounter with the patient appears increasingly common along the spectrum of approaches in the field of Psychology, which often puts itself ahead of the subject's uniqueness. Thus, at the intersection between practice and theory, we intend to develop the idea of ​​how a structural diagnosis is capable to reintegrate the idea of ​​an obsessional neurosis that does not present itself as a rigid category, but one that is complex within the horizon of the transference in clinical practice.

Desde el punto de vista de una reflexión sobre el enfoque y las singularidades existentes en relación al manejo psicoanalítico de la neurosis obsesiva, este artículo examina los inconvenientes relacionados al problema más específicamente nosográfico que sigue siendo un elemento problemático dentro de la práctica psicoanalítica en su totalidad. Partiendo de una reevaluación crítica de las categorizaciones de neurosis formuladas por Sigmund Freud, que fueron reelaboradas y ampliadas por Jacques Lacan, proponemos aquí un énfasis que trae tensión a cualquier intento nosográfico dentro de la práctica de transferencia. De hecho, el enfoque en categorías preestablecidas colocadas antes del encuentro con el paciente es cada vez más común en todo el espectro de enfoques dentro del campo de la psicología, que a menudo viene antes de la singularidad del sujeto que busca tratamiento. Por lo tanto, en la intersección entre técnica y teoría, el objetivo aquí es desarrollar la idea de cómo un diagnóstico estructural es capaz de reintegrar el concepto de una neurosis obsesiva que no se presenta como una categoría rígida y a priori, sino que se desarrolla de manera compleja en el horizonte de la práctica de transferencia.

Crisis-based psychiatry curriculum update: A cross-sectional study and an expert reflection from Syria.

Throughout human history, humanitarian catastrophes had a profound impact on the health and wellbeing of the local populations where they took place. The Syrian war was no different, rather it was the worst humanitarian crisis since World War II. Syrians' wellbeing was severely affected during this past decade, as had Syria's healthcare and mental health facilities. Syrian doctors have faced unprecedented difficulties and challenges across clinical disciplines and services, particularly in psychiatry. Medical students may play a central role in attenuating the burden of psychiatric diseases on their local community. However, a modification of the psychiatry curriculum to meet the current needs is an urgent necessity. Most of the published reports in psychiatry about Syrians were done on refugee populations in neighboring countries and worldwide. In contrast, this study captured the opinions of professors of psychiatry, specialists practicing psychiatrists, psychiatry residents, and a sample of senior medical students around Syria regarding the impact of war on different psychiatric diseases, and their suggestions to increase/reduce the teaching hours allocated to each of them. The votes were weighted then tested against crisis-related published psychiatry reports. The results suggested significant adjustments to the allocated training hours in the curriculum of psychiatry in Syrian medical schools. Increasing the focus of the curriculum of psychiatry on the prevalent disorders and conditions such as post-traumatic stress disorder, acute stress disorder, anxiety, and depression would empower fresh graduates to manage the basic cases of psychiatry, thus alleviating the consequences of the large shortage of psychiatrists inside Syria.

Política e Conflito Psíquico: Uma Pergunta sobre o Desejo / Politics and Psychic Conflict: A Question about Desire / Política y Conflicto Psíquico: Una Pregunta sobre el Deseo

Neste artigo, será introduzido o debate acerca da condição do sujeito estruturalmente dividido enquanto ator político. Pensando a política pelo prisma da ação, encontramo-nos com a pergunta kantiana: "Que devo fazer?". Diante dela, o sujeito desejante se vê embaraçado, tanto mais quanto maior for sua liberdade para decidir. A tentativa kantiana de instituir uma Lei universal como princípio ético da ação desvia a orientação da política do caminho da liberdade e entrega o seu destino aos ditames do Supereu. As consequências desse desvio se verificam em diferentes sistemas políticos e ratificam a afirmação de Lacan, segundo a qual a pergunta pelo que fazer não pode ser feita senão por aquele cujo desejo que se apaga. Se a pergunta acerca do que fazer continua ressoando para os sujeitos enquanto agentes políticos, o modo como decidem exibe, no conflito, a marca imposta pelo seu desejo. A psicanálise, de Freud a Lacan, vem ao auxílio dessa investigação, no diálogo com a filosofia moderna e a ciência política. Resta a pergunta se, diante do conflito, que testemunha a divisão do sujeito, o desejo, poderia ser, ele mesmo, o fio condutor da ação. (AU)

In this article the debate about the condition of the structurally divided subject as a political actor will be introduced. As we think about politics from the perspective of the action, we find ourselves with the Kantian question: "What ought I do?" Before this question, the desiring subject finds oneself embarrassed. One finds oneself more embarrassed the greater is its liberty to decide. The Kantian effort to institute a universal Law as an ethical principle of the action changes the political orientation from the way of liberty and passes its destiny for Superego's rule. The consequences of this change is verifiable in different political systems and ratifies the assertion of Lacan, according to which the question about what to do cannot be made except for those whose desire is fading. Then, if the question about what to do continues to resonate for these subjects, as political agents, their decisions show, by the conflict, the mark imposed by desire. Freud's and Lacan's psychoanalysis helps us in this investigation on a dialog with modern philosophy and political science. One question remains: whether desire itself could be, in spite of the conflict that denounces the subject's division, thread of the action. (AU)

En este artículo, proponemos reflexionar sobre la condición del sujeto estructuralmente dividido como actor político. Pensando en la política a través del prisma de la acción nos encontramos con la pregunta kantiana: "¿Qué debo hacer?". Frente a ella, el sujeto del deseo se avergüenza cuanto más mayor es su libertad para decidir. El intento kantiano de instituir una Ley universal como principio ético de acción desvía la orientación política del camino de la libertad y entrega su destino a los preceptos del Superyó. Las consecuencias de esta desviación se ven en diferentes sistemas políticos y confirman la afirmación de Lacan, según la cual la pregunta de qué hacer sólo puede plantearse aquel cuyo deseo se borra. Por lo tanto, si la pregunta sobre qué hacer continúa resonando con los sujetos como agentes políticos, la forma en que deciden muestra en el conflicto la marca impuesta por su deseo. El psicoanálisis de Freud a Lacan viene en ayuda de esta investigación, en diálogo con la filosofía moderna y la ciencia política. La pregunta sigue siendo si, frente al conflicto, que es testigo de la división del sujeto, el deseo podría ser el hilo conductor de la acción. (AU)