La tanière et le territoire : esquisse d'une topo-analyse des troubles du comportement alimentaire
Détails
Télécharger: 1-s2.0-S0003448721003887-main.pdf (395.66 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY-NC-ND 4.0
Etat: Public
Version: Final published version
Licence: CC BY-NC-ND 4.0
ID Serval
serval:BIB_6533E490890E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
La tanière et le territoire : esquisse d'une topo-analyse des troubles du comportement alimentaire
Périodique
Annales Médico-psychologiques, revue psychiatrique
ISSN
0003-4487
Statut éditorial
Publié
Date de publication
02/2022
Peer-reviewed
Oui
Volume
180
Numéro
2
Pages
119-126
Langue
français
Résumé
Objectives
Clinical and phenomenological exploration of the manner in which patients with eating disorders inhabit their dwellings.
Methods
Discussion of a series of four adult patients treated in long-term psychotherapy.
Results
We describe two distinct, interrelated modes of dwelling: the den and the territory. The territory is the parental home, where the patients grew up; the den is the current place of living. The territory is an arena of rivalry and conflicts with parents and siblings. Patients have a strong attachment to the territory, exerting a sharp surveillance through frequent inspection visits, with violent reactions to changes happening in the house. Even in their absence, they haunt the territory. In contrast, the den is a place where they disappear, severing all links with the outside world and abandoning themselves to binge eating. The den is an escape from the demands of social relationships, painfully experienced as intrusions or the threat of desertion.
Conclusions
Eating disorders, because they are related to fundamental difficulties in the processes of emancipation, result in specific, altered modes of dwelling. These alterations are mutually reinforcing, and can be understood as pathological solutions developed in response to difficulties in the emancipation process. Systematic, empirical studies would help to shed more light on modes of dwelling in eating disorders. These aspects of the patients’ experience should be included in clinical care.
Clinical and phenomenological exploration of the manner in which patients with eating disorders inhabit their dwellings.
Methods
Discussion of a series of four adult patients treated in long-term psychotherapy.
Results
We describe two distinct, interrelated modes of dwelling: the den and the territory. The territory is the parental home, where the patients grew up; the den is the current place of living. The territory is an arena of rivalry and conflicts with parents and siblings. Patients have a strong attachment to the territory, exerting a sharp surveillance through frequent inspection visits, with violent reactions to changes happening in the house. Even in their absence, they haunt the territory. In contrast, the den is a place where they disappear, severing all links with the outside world and abandoning themselves to binge eating. The den is an escape from the demands of social relationships, painfully experienced as intrusions or the threat of desertion.
Conclusions
Eating disorders, because they are related to fundamental difficulties in the processes of emancipation, result in specific, altered modes of dwelling. These alterations are mutually reinforcing, and can be understood as pathological solutions developed in response to difficulties in the emancipation process. Systematic, empirical studies would help to shed more light on modes of dwelling in eating disorders. These aspects of the patients’ experience should be included in clinical care.
Mots-clé
Clinical case, Covid-19, Eating disorder, Emancipation, Family relationship, Housing, Phenomenology
Web of science
Open Access
Oui
Création de la notice
14/12/2021 9:00
Dernière modification de la notice
08/10/2024 6:13