[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.

[Relevance of the transcultural approach to improve the care relationship in the perinatal period]. / Pertinence de l'approche transculturelle pour améliorer la relation de soins en période périnatale.

The international literature review highlights higher neonatal morbimortality in migrant patients and their babies. The explanatory hypotheses include late pregnancy follow-up with difficulty accessing care, language barriers, and different cultural representation in pregnancy support. On the one hand, we propose to explain the cultural factors that can impact the caring relationship during the perinatal period. On the other hand, we set out tools for anthropological and psychological understanding to enhance the sharing of cultural representations around pregnancy follow-up, the needs of a baby, and obstetrical or postnatal complications. The request for a specialised transcultural opinion needs to be more systematic; the transcultural posture is adaptable to each care professional. This requires the professional to address explicitly the impact of culture in care and consider their own cultural distance. Specialised advice is recommended in certain situations of cumulative vulnerability (complex trauma, perinatal depression with cultural coding of symptoms), blockage or refusal of care for cultural reasons and to avoid cultural misunderstandings. We detail two modalities: mediation and a discussion group around cultural issues set up in the maternity ward. The institutional work we propose within the multidisciplinary team in the maternity ward also allows the acquisition of transcultural competencies.

[Trauma, grief and culture in humanitarian work]. / Trauma, deuil et culture dans le travail humanitaire.

Based on a clinical case, this work aims to illustrate the multiple dimensions and modalities of psychological support in humanitarian work. It  also shows the importance and relevance of implementing a transcultural approach when dealing with complex trauma and traumatic bereavement among refugees and asylum seekers in an emergency context.

[Latent posttraumatic stress disorder in psychiatry at the Mohammed VI university hospital in Oujda]. / État de stress post-traumatique latent en psychiatrie au CHU Mohammed VI Oujda.

INTRODUCTION: Posttraumatic stress disorder (PTSD) is a severe psychiatric disorder following exposure to a traumatic event. It is rarely diagnosed alone. High comorbidity has been observed between PTSD and other psychiatric disorders. OBJECTIVES: The purpose of this work is to evaluate the prevalence of latent PTSD in a population followed in a service of psychiatry and to describe the associated factors. MATERIALS AND METHODS: It is a descriptive cross-sectional study of 300 patients treated for psychiatric disorders, using a hetero-questionnaire containing sociodemographic data, personal and family history, clinical and therapeutic data, and characteristics of the traumatic event. The MINI was used to screen for PTSD and assess suicidal risk. RESULTS: Exposure to a traumatic event is reported by 46.7% of patients, and PTSD by 19.7%. The suicidal risk is 47.7% in the presence of this comorbidity. An ESPT is significantly associated with a schizoaffective disorder and significant suicidal risk. The recentness of the traumatic event, the presence of a state of acute stress and the absence of family psychological support are significantly associated with the occurrence of PTSD. CONCLUSION: A significant number of patients with a psychiatric disorder have undiagnosed PTSD, thus explaining their clinical deterioration. Screening and treatment of the underlying PTSD would help to improve their management.

[Trauma of intensive care workers in the face of a health crisis: a two-step psychological support]. / Traumatisme des soignants de réanimation face à la crise sanitaire.

The COVID-19 crisis has profoundly affected intensive care units. To protect themselves from the violence of the circumstances, the caregivers relied on their team membership, but it is in the aftermath that these situations seem to take their full traumatic dimension. A clinical case illustrates the two-step work of the psychologist with the caregivers and his role in the traumatic elaboration passing by an individual and collective reconquest of the caregiving function.

["The temporality of victims of sexual abuse is longer than the legal obligation of the institution."] / « La temporalité des victimes d'abus sexuels est plus longue que celle de l'obligation légale de l'institution ¼.

From her six years of experience as a social worker at the Maison des adolescents de l'hôpital Cochin in Paris, Irène Jarry has developed the know-how to help caregivers report and support adolescents and their families. In recent years, the care team has reported a steady increase in disclosures of sexual abuse. Irène Jarry provides us with tools to best accompany these young people, while taking into account the traumatic context and its consequences, before reminding us of the useful foundations for any professional.

Cognitive treatment of post-traumatic stress disorder in the elderly. A longitudinal study.

OBJECTIVE: This article aims to verify whether a cognitive treatment of post-traumatic stress disorder (PTSD) by cognitive behavioural therapy (CBT) adapted to elderly subjects can lead to long-term improvement in symptomatology and quality of life. METHOD: We present a longitudinal study of 32 subjects over the age of 65 years, with no cognitive impairment or mild impairment, residing in two nursing homes. We compare a target group (n=16) with PTSD treated with 20 CBT sessions and a control group (n=16) with PTSD without symptom treatment. The two groups are compared in four stages: (T1) before treatment of the target group's PTSD, (T2) after treatment of PTSD, (T3) after six months of follow-up and (T4) after 18 months of follow-up. The absence of cognitive impairment is verified with the MMSE. The evolution of PTSD is monitored with the CAPS. The evolution of the quality of life of the subjects in the target group is verified with the ADRQL. RESULTS: If both groups show elevated PTSD symptoms at the beginning of the study (T1), the signs of PTSD disappear for the target group at the end of treatment (T2) at the same time as quality of life improves (scores more than doubled). These improvements continue for more than 18 months (T4). Conversely, the control group retains high PTSD symptoms, without significant decrease over time. CONCLUSION: The treatment of PTSD by cognitive-behavioural therapy adapted to elderly people without cognitive impairment, or with mild cognitive or memory disorders, allows for a lasting disappearance of symptoms and an improvement in quality of life.

[Psychological traumas in adults (2/2)]. / Les traumatismes psychologiques de l'adulte (2/2).

When they are exposed to potentially traumatic events, adults can develop psychological trauma of varying degrees of severity. For preventive and therapeutic purposes, this psychological trauma must be assessed and treated by psychologists and/or psychiatrists with adequate training and experience in dealing with these complex cases.

[Drawing in the elaboration of psychological trauma in a humanitarian context]. / Le dessin dans l'élaboration du traumatisme psychique en contexte humanitaire.

In humanitarian contexts where children are exposed to major traumatic events, psychological care is fundamental to enable them to escape psychological and social isolation. A group care system, that also offers time dedicated to drawing, shows how children can find the necessary internal and external resources that will help them to restore their confidence in a possible future.

[Trauma transmission and identity construction]. / Transmission du trauma et construction identitaire.

Individual, family and collective stories are closely connected. The study of a clinical situation enables the processes of identity construction and transgenerational mandate to be identified, in particular when the family history is marked by a collective trauma such as that of the Holocaust.

Trauma, proceso y representación / Traumatisme, processus et représentation / Trauma, process and representation

El autor reflexiona desde una perspectiva contemporánea sobre el concepto de trauma y su relación con los procesos de representación. Partiendo de una dicotomía en la que todo se centraría en el conflicto intrapsíquico o bien al contrario solamente en las vivencias externas que interfieren en el desarrollo, se busca una posición sintética en que los aspectos traumáticos puedan irse integrando. Teniendo en cuenta lo traumático como algo que no solo depende de la intensidad del trauma, sino también de la capacidad de los objetos circundantes para ayudar a tramitarlo, se reflexiona sobre la actitud técnica más propicia en el analista: se da una especial importancia a su implicación en las construcciones, así como la trascendencia de poderse involucrar en la relación con los pacientes. Se trae el caso de un paciente con la historia de unos padres divorciados poco implicados en su crianza, y se relata cómo el involucrarse el analista en sus planes de veraneo supone un poderlo despertar de un cierto letargo. (AU)

The author articulates a contemporary perspective on the concept of trauma and its relationship to the processes of representation. Shifting from a dichotomy where the entire focus is on intrapsychic conflict, versus a focus only on the external experiences that interfere with development, a synthetic position, more integrative of traumatic aspects, is sought. Considering the traumatic as something that not only depends upon the intensity of the trauma, but also upon the capacity of the surrounding objects in helping to process it, the author reflects upon the most conducive technical attitude, according particular importance to the analyst’s involvement in constructions, as well as the vital importance of the ability to engage in their relationship with patients. Case material is presented, detailing a patient with divorced parents who had little involvement in his upbringing, and how the analyst becoming involved in his summer plans brought about a certain awakening from lethargy within him. (AU)

Partant d’une perspective contemporaine, l’auteur réfléchit sur le concept de traumatisme et sa relation avec les processus de représentation. A partir d’une dichotomie où tout se centrerait sur le conflit intrapsychique ou bien au contraire seulement sur les vécus externes qui interfèrent dans le développement, il cherche une position synthétique dans laquelle les aspects traumatiques peuvent peu à peu s’intégrer. Considérant ce qui est traumatique comme quelque chose qui ne dépend pas seulement de l’intensité du traumatisme mais également de la capacité des objets environnants pour aider à le traiter, il réfléchit sur l’attitude technique plus propice chez l’analyste: il attribue une importance spéciale à son implication dans les constructions, ainsi qu’à la transcendance de pouvoir s’engager dans la relation avec les patients. Il apporte le cas d’un patient avec une histoire de parents divorcés peu impliqués dans son éducation, et il raconte comment l’implication de l’analyste dans ses projets d’été suppose pouvoir le réveiller d’une certaine léthargie. (AU)

O Grupo de Suporte como espaço promotor de holding para mulheres com câncer de mama / The Suport Group as a holding promoter for women with breast cancer / Le Groupe de Soutien comme espace promoteur de holding pour des femmes ayant un cancer du sein / El Grupo de Apoyo como un espacio de promoción de sostén (holding) entre mujeres con cáncer de mama

Fundamentado na psicanálise e no conceito de suporte social, este trabalho busca explorar as repercussões psíquicas do adoecimento de mulheres com câncer de mama e o potencial de reintegração do Grupo de Suporte. Os resultados apontam para o fortalecimento das defesas psicossomáticas, através dos vínculos estabelecidos no Grupo, considerado um espaço promotor de holding, por propiciar suporte social, compartilhamento de sentimentos e melhor integração entre psíquico e somático, possibilitando a reinserção social e o enfrentamento da doença.

Anchored on psychoanalysis and on the concept of social support, this paper aims to explore the psychic repercussions of the illness of women with breast cancer and the reintegration potential by the Support Group. The results point to the strengthening of the women's psychosomatic defenses, by means of the ties created in the Group, regarded as a space that promotes holding, by providing social support, sharing of feelings and better psychological and somatic integration, making social reintegration and the confrontation of the disease possible.

Sur la base de la psychanalyse et du concept de soutien social, ce travail vise à explorer les répercussions psychologiques de la maladie des femmes atteintes du cancer du sein et de la réinsertion potentielle du Groupe de Soutien. Les résultats indiquent un renforcement des défenses psychosomatiques à travers des liens établis au sein du groupe, considéré comme un espace promoteur de maintien, pour apporter un soutien social, partage de sentiments et une meilleure intégration entre le psychique et le somatique, rendant ainsi possible la réinsertion sociale et la lutte contre la maladie.

Basado en el psicoanálisis y en el concepto de apoyo social, este trabajo pretende explorar las repercusiones psíquicas, entre las mujeres, repercusiones provenientes del diagnóstico de cáncer de mama, y el potencial de reintegración del Grupo de Apoyo. Los resultados apuntan al fortalecimiento de las defensas psicosomáticas de las mujeres, a través de los vínculos establecidos dentro del Grupo, que es considerado un espacio que promueve el sostén (holding) al proporcionar apoyo social, permitir compartir sentimientos y promover una mejor integración entre lo psíquico y lo somático, haciendo posible la reintegración social y el manejo de la enfermedad.

Basierend auf die Psychoanalyse und auf das Konzept der sozialen Unterstützung, zielt diese Arbeit darauf ab, die psychischen Auswirkungen der Erkrankung bei Frauen mit Brustkrebs und das Wiedereingliederungspotential einer Unterstützungsgruppe zu erforschen. Die Ergebnisse deuten darauf hin, dass die psychosomatische Widerstandskraft der Frauen durch die in der Gruppe geknüpften Verhältnisse gestärkt wurde. Die Gruppe wird als Raum beschrieben, der das Holding fördert, da sie soziale Unterstützung leistet, es erlaubt Gefühle zu teilen, die Integration psychologischer und somatischer Aspekte fördert, die soziale Wiedereingliederung ermöglicht und den Patientinnen hilft, die Krankheit zu konfrontieren.

[Traumatic events and psychological support for caregivers]. / Événements traumatiques et prise en charge psychologique des soignants.

When a major event such as a terrorist attack occurs, caregivers may not only be confronted with a life-endangering situation as they tend to the victims but are also faced with particularly harrowing scenes, the massive influx of seriously injured victims, the distress of the injured and their families and the disorganisation of the care structure. The psychological trauma must be treated on an individual or collective level.

[Drawing with children in situations of war]. / Le dessin avec les enfants en situation de guerre.

In situations of conflict, children are subjected to or witness acts of violence and traumatic events. In the care systems put in place in this context, drawing is an effective means of enabling children to express their emotions and favours a process of restoration.

[Supporting a teenager confronted with a traumatic experience]. / Accompagner l'adolescent confronté à une expérience traumatique.

Everyone reacts differently to a traumatic event. There is a risk of underestimating a teenager's traumatic experience by considering only the usual post-traumatic stress diagnosis criteria. However, when the trauma has not been able to be sufficiently developed, the adolescent's suffering is revealed through their behaviour. The therapeutic support of the youngster and their family enables them to reposition the traumatic event within the continuity of their history and to relaunch a thought process, often frozen by the traumatic experience.

[Clinical forms of post-traumatic depression]. / Formes cliniques des dépressions post-traumatiques.

INTRODUCTION: As a result of determinants specific to the psychopathological structure of the psychological trauma, psycho-traumatised patients very rarely solicit the health care system directly with a request for treatment centred on their trauma. The medical profession is consulted for non-specific symptoms and complications, which are mainly somatoform, addictions and depressive disorders. After a few epidemiological reminders followed by a discussion concerning contemporary depressive and post-traumatic nosographic features, we define, through our clinical experience collated with the data in the literature, different clinical and etiopathogenic contexts of post-traumatic depression in order to control their therapeutic treatment. CLINICAL FINDINGS: Burnout post-traumatic depression in response to re-experiencing is the most common: it is a reactive psycho-physiological burnout in response to the emotional distress re-experienced during flashbacks, insomnia, a constant feeling of insecurity and the deleterious consequences of this symptomatology in terms of social adaptation. A common genetic predisposition affecting serotoninergic regulation seems to be a vulnerability marker of both depressive and psychotraumatic symptoms. In this case, SSRI will be effective on sadness. In addition, these antidepressants have been widely prescribed for the first-line treatment of depressive and psychotraumatic symptoms. However, this pharmacological class is often insufficient in relieving autonomic hyperactivity such as re-experiencing which are mediated more by noradrenergic hyperactivity. SNRI such as venlafaxine can be used as a first-line treatment. Post-traumatic depression with psychotic features congruent with mood is dominated by a feeling of incurability; the subject blames himself and feels guilty about the traumatic event and its consequences. Symptoms of denial of identity are sometimes observed: confined by an intense depersonalization, the psycho-traumatised subject evokes that he is "no longer himself" and that his mind "is disconnected". Confronted with the psychological emptiness of the traumatic scene, the psycho-traumatised subject remains devoid of thought as if their mind has left him. In addition to antidepressant therapy, an atypical antipsychotic drug must be prescribed to relieve the melancholic symptoms as well as the concomitant psychotraumatic symptoms. Post-traumatic depression masked by peripheral physical injuries is the result of accidents combining psychological and physical impairment. The physical pain resulting from the accident regularly recalls the drama in the same way as traumatic re-experiencing. Depression masked by this somatic suffering is difficult to diagnose, but the repeated somatic complaints at the forefront of the request for treatment, the breakdown of self-esteem as well as the level of subjective strain due to pain and dysesthesia are all indications. The psychotherapy will focus on the symbolic reconstruction of the organs that have been damaged or destroyed, with the aim of healing the extensive narcissistic impairment. Post-concussive depression is diagnosed following a head trauma, however severe. It is sometimes assigned to neurological lesions and at other times recognised as the expression of a purely psychological reaction. Antidepressant therapy, or possibly trial therapy, is often indicated. The terms traumatic grief and post-traumatic grief are often used synonymously in publications: a conceptual opposition must however been recalled. If the traumatic grief is the result of the loss of an object that holds much psychological importance for the individual, the subject has not however been traumatised by this event and is not suffering and will not suffer from re-experiencing. The therapy will include methods used in the psychotherapeutic treatment of grief; antidepressants are often insufficient. Differently, post-traumatic grief takes shape when the loss of another is concomitant with the confrontation with the reality of the death witnessed in a moment of peri-traumatic dissociation. This grief is often observed following the discovery of the body of a close friend or family member who has committed suicide, or when part of a family has been decimated by an accident whilst the survivors watch their close relations die pending the arrival of the emergency services, or when a military comrade is wounded in combat in front of his partner. The mourning process cannot really begin until the flashbacks cease. CONCLUSIONS: Clinical depression or even melancholia, possibly masked by somatic or post-concussive complaints, is often the initial mode of contact with the health care system for the psycho-traumatised subject. The different clinical and etiopathogenic contexts of post-traumatic depression that we have developed in this work use specific therapies which need to be clarified by further research based on this nosography.

Figuras psíquicas do trauma: uma leitura lacaniana / Trauma’s psychic figures: a lacanian interpretation / Les figures psychiques du traumatisme: une lecture lacanienne

A partir da escuta psicanalítica a pacientes vítimas de traumatismos corporais, este artigo interroga as figuras psíquicas que se inscreveriam para esses sujeitos, para além do trauma físico. Discute-se a definição do trauma para a medicina e para a psicanálise e de que modo esta noção convoca uma discussão sobre a urgência subjetiva. Algumas hipóteses são esboçadas: se o trauma psíquico se inscreve nesta situação, de trauma físico, poderíamos considerá-lo na ordem da repetição, da fantasia ou do gozo? Como os sujeitos respondem a essa inscrição física permeada pelo psíquico? Podemos dizer que o trauma é um conceito eminentemente freudiano, na medida em que adquire importância considerável em sua obra. Em Lacan é, sobretudo, o conceito de real que nos fornece o enquadre teórico a partir do qual podemos pensar o trauma como inassimilável

From the psychoanalytic listening patients victim of physical trauma, this article researches what psychic figures would arise for these subjects, beyond the physical trauma. Discusses the definition of trauma for medicine and for psychoanalysis and in which way this notion convenes a discussion about the subjective urgency. Some hypotheses are sketched: if the psychic trauma inscribes itself in this situation of physical trauma, we could consider it in the order of repetition, fantasy or of enjoyment? How the subjects respond to this physical inscription permeated by the psychic? We can say that the trauma is a eminently freudian concept, in the extent that it acquires considerable importance in his work. In Lacan it is, especially, the concept of real that provides us with the theoretical framework from which we can think trauma as non-assailable

De l'écoute psychanalytique de patients souffrant de lésions corporelles, cet article examine les chiffres psychiques qui s'inscrivent pour ces sujets, au delà des traumatismes physiques. Il traite de la définition d'un traumatisme à la médecine et pour la psychanalyse et comment cette notion engendre un débat d'urgence subjective. Quelques hypothèses sont présentées: le traumatisme psychique est inscrit dans cette situation, les traumatismes physiques, nous pourrions considérer de l’ordre de la répétition, fantaisie ou la jouissance? Comment les sujets répondent à cette inscription physique envahie par le psychique? Nous pouvons dire que le traumatisme est un concept éminemment freudien, en ce sens qu'il revêt une importance considérable dans son travail. Chez Lacan, c’est, avant tout, la notion de réel qui nous donne le cadre théorique à partir de duquel nous pouvons penser à un traumatisme comme étant inassimilable.

Figuras psíquicas do trauma: uma leitura lacaniana / Trauma’s psychic figures: a lacanian interpretation / Les figures psychiques du traumatisme: une lecture lacanienne

A partir da escuta psicanalítica a pacientes vítimas de traumatismos corporais, este artigo interroga as figuras psíquicas que se inscreveriam para esses sujeitos, para além do trauma físico. Discute-se a definição do trauma para a medicina e para a psicanálise e de que modo esta noção convoca uma discussão sobre a urgência subjetiva. Algumas hipóteses são esboçadas: se o trauma psíquico se inscreve nesta situação, de trauma físico, poderíamos considerá-lo na ordem da repetição, da fantasia ou do gozo? Como os sujeitos respondem a essa inscrição física permeada pelo psíquico? Podemos dizer que o trauma é um conceito eminentemente freudiano, na medida em que adquire importância considerável em sua obra. Em Lacan é, sobretudo, o conceito de real que nos fornece o enquadre teórico a partir do qual podemos pensar o trauma como inassimilável.

From the psychoanalytic listening patients victim of physical trauma, this article researches what psychic figures would arise for these subjects, beyond the physical trauma. Discusses the definition of trauma for medicine and for psychoanalysis and in which way this notion convenes a discussion about the subjective urgency. Some hypotheses are sketched: if the psychic trauma inscribes itself in this situation of physical trauma, we could consider it in the order of repetition, fantasy or of enjoyment? How the subjects respond to this physical inscription permeated by the psychic? We can say that the trauma is a eminently freudian concept, in the extent that it acquires considerable importance in his work. In Lacan it is, especially, the concept of real that provides us with the theoretical framework from which we can think trauma as non-assailable.

De l'écoute psychanalytique de patients souffrant de lésions corporelles, cet article examine les chiffres psychiques qui s'inscrivent pour ces sujets, au delà des traumatismes physiques. Il traite de la définition d'un traumatisme à la médecine et pour la psychanalyse et comment cette notion engendre un débat d'urgence subjective. Quelques hypothèses sont présentées: le traumatisme psychique est inscrit dans cette situation, les traumatismes physiques, nous pourrions considérer de l’ordre de la répétition, fantaisie ou la jouissance? Comment les sujets répondent à cette inscription physique envahie par le psychique? Nous pouvons dire que le traumatisme est un concept éminemment freudien, en ce sens qu'il revêt une importance considérable dans son travail. Chez Lacan, c’est, avant tout, la notion de réel qui nous donne le cadre théorique à partir de duquel nous pouvons penser à un traumatisme comme étant inassimilable.

Na outra cena da representação: considerações ferenczianas sobre o trauma / In another scene of representation: Ferenczi's considerations about trauma / En otra escena de la representación: consideraciones sobre el trauma en Ferenczi / Dans une autre scène de la représentation: considérations ferencziennes sur le traumatisme

O objetivo deste artigo é abordar as contribuições ferenczianas acerca do trauma para enaltecer a pluralidade do psiquismo, seja formado por traços psíquicos representados ou por marcas traumáticas que extrapolam o campo da representação. Por conseguinte, propõe-se que as vertentes estruturante e desestruturante do trauma sejam compreendidas não como predicados de diferentes tipos de trauma, mas como movimentos inerentes à constituição psíquica. Assim sendo, a clínica psicanalítica deve extrapolar um modelo estanque de psiquismo para contemplar as produções subjetivas que se dão na outra cena da representação, dentre elas a dimensão sensível da linguagem.(AU)

The aim of this paper is to approach ferenczi's contributions about trauma to emphasize the diversity of the psychism, which is formed by represented psychic traits and also by traumatic brands that go beyond the field of representation. It is therefore proposed that the structural and deconstructive aspects of trauma are understood not only as predicates of different types of trauma, but also as movements inherent to the psychic constitution. Thus, the psychoanalytic clinics must extrapolate a model of psychism to contemplate all the subjective productions that take place in another representation scene, among them sensitive dimension of language.(AU)

El objetivo de este trabajo es abordar la contribución de Ferenczi sobre el trauma para enaltecer la diversidad de la psique, sea formada por rasgos psíquicos representados o por marcas traumáticas que van más allá del campo de la representación. Por ello se propone que las vertientes estructurante y desestructurante del trauma sean comprendidas no como predicados de los diferentes tipos de trauma, sino como movimientos inherentes a la constitución psíquica. Por lo tanto, la clínica psicoanalítica debe extrapolar un modelo hermético de psiquismo para contemplar las producciones subjetivas que tienen lugar en otra escena de la representación, entre ellos la dimensión sensible del lenguaje.(AU)

Le but de cet article est d'aborder le traumatisme chez Ferenczi a fin de mettre en evidence la pluralité du psychisme, soit construit par des traits représentés soit par des marques traumatiques qui sont au-delà de la représentation. Par conséquent, on propose que les vertentes constructive et déconstructive du traumatisme ne soient pas seulement entendues comme des differentes types de traumatismes, mais aussi comme des mouvements inhérentes de la constitution du psychisme. Ainsi, la clinique psychanalytique doit extrapoler un modèle étanche de psychisme pour considérer les productions subjectives qui ont lieu dans une autre scène de la répresentantion, dentre elles la dimension sensible du langage.(AU)

Na outra cena da representação: considerações ferenczianas sobre o trauma / In another scene of representation: Ferenczi's considerations about trauma / En otra escena de la representación: consideraciones sobre el trauma en Ferenczi / Dans une autre scène de la représentation: considérations ferencziennes sur le traumatisme

O objetivo deste artigo é abordar as contribuições ferenczianas acerca do trauma para enaltecer a pluralidade do psiquismo, seja formado por traços psíquicos representados ou por marcas traumáticas que extrapolam o campo da representação. Por conseguinte, propõe-se que as vertentes estruturante e desestruturante do trauma sejam compreendidas não como predicados de diferentes tipos de trauma, mas como movimentos inerentes à constituição psíquica. Assim sendo, a clínica psicanalítica deve extrapolar um modelo estanque de psiquismo para contemplar as produções subjetivas que se dão na outra cena da representação, dentre elas a dimensão sensível da linguagem.

The aim of this paper is to approach ferenczi's contributions about trauma to emphasize the diversity of the psychism, which is formed by represented psychic traits and also by traumatic brands that go beyond the field of representation. It is therefore proposed that the structural and deconstructive aspects of trauma are understood not only as predicates of different types of trauma, but also as movements inherent to the psychic constitution. Thus, the psychoanalytic clinics must extrapolate a model of psychism to contemplate all the subjective productions that take place in another representation scene, among them sensitive dimension of language.

El objetivo de este trabajo es abordar la contribución de Ferenczi sobre el trauma para enaltecer la diversidad de la psique, sea formada por rasgos psíquicos representados o por marcas traumáticas que van más allá del campo de la representación. Por ello se propone que las vertientes estructurante y desestructurante del trauma sean comprendidas no como predicados de los diferentes tipos de trauma, sino como movimientos inherentes a la constitución psíquica. Por lo tanto, la clínica psicoanalítica debe extrapolar un modelo hermético de psiquismo para contemplar las producciones subjetivas que tienen lugar en otra escena de la representación, entre ellos la dimensión sensible del lenguaje.

Le but de cet article est d'aborder le traumatisme chez Ferenczi a fin de mettre en evidence la pluralité du psychisme, soit construit par des traits représentés soit par des marques traumatiques qui sont au-delà de la représentation. Par conséquent, on propose que les vertentes constructive et déconstructive du traumatisme ne soient pas seulement entendues comme des differentes types de traumatismes, mais aussi comme des mouvements inhérentes de la constitution du psychisme. Ainsi, la clinique psychanalytique doit extrapoler un modèle étanche de psychisme pour considérer les productions subjectives qui ont lieu dans une autre scène de la répresentantion, dentre elles la dimension sensible du langage.