Grandeur et tentations de la médecine psychosomatique : contributions théoriques et empirico-cliniques sur la pertinence de la démarche psychosomatique et sur les dérives de la pensée magique du 'psychosomatisme'
(2005)
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- In the first part, the thesis proposes some theoretical contributions in psychosomatic medicine: analysis of the problem of identification to the patient in the medical relationship, study of the somato-psychic interactions in celiac disease, investigation of the evolution of psychosomatic thinking with medical progress, and literature revue about psychogenesis in cancer. This part is then devoted to two empirico-clinic researches. The first one studies the somato-psychic determinants of anxiety and depression in haemodialysis patients. The correlations between anxio-depressive scores and some psychic and somatic variables are examined, in order to approach the respective contributions of somatic subjective sensations and of medical comorbidity and the ones of denial and alexithymia. The second research studies coping styles and links between the latter and anxio-depressive levels of breast cancer patients assessed the day before surgery and six months later. The second part of the thesis studies the contribution of psychoanalytic theories to the psychosomatic field and shows some deviations of the psychosomatic thinking. Some currents of thinking indeed transform all diseases into psychic productions and our body into a support for the projection of our inner disorders, following an obscure symbolic cartography. Physical recovery would depend on our ability to decipher the metaphor of the disease and to suppress the underlying mental conflict. This current which is called 'psychosomatism' proceeds to a confusion between psychosomatic symptom and hysterical conversion and responds to our desire of omnipotence of the thinking. It produces devastating effects on many patients, who are made guilty and sometimes got out of necessary cares. Psychosomatic thinking will be more credible if it keeps itself at a distance from so deviating currents. It tends for its part to be a rigorous method trying to understand the complex relationships between mind and body, and submitting in another way the hypothesis of a sense about the occurring of the disease.
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Jadoulle, V. (2005). Grandeur et tentations de la médecine psychosomatique : contributions théoriques et empirico-cliniques sur la pertinence de la démarche psychosomatique et sur les dérives de la pensée magique du ‘psychosomatisme’. https://hdl.handle.net/2078.5/110674