Fundamentos da Clínica by Paul Bercherie, , Jorge Zahar edition, Paperback in Portuguese – 1 edition. Paul Bercherie Los fundamentos de la clínica. 1 like. Book. Fundamentos de La Clinica: Paul Bercherie: Books – Amazon. ca.

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Fundamentos da Clínica

In the new classification, the diagnosis of schizophrenia is now based on two essential criteria: In the s, randomized double-blind studies were instituted in the United States as the proper procedure for establishing the scientific validity of drugs so that their sale could be authorized by the Brrcherie and Drug Administration cf. In creating the name schizophrenia and proposing that it replaced dementia praecox, Bleulerp. The first line, the one of the dissociation, consists of the breakdown of funfamentos related to the psyche, the internal discordance of psychological phenomena.

Services on Demand Journal. The extreme objectification of diagnostic categories has led to a proliferation of categories.

However, despite their significant contributions — first, regarding psychosis-manic depression Abraham,and second, with regard to schizophrenia Jung, — it can be said that only with Lacan did psychoanalysis come to develop fundanentos theory of psychosis that was not based on notions borrowed from the neurosis clinic.

The cognitive slant of the DSM will reinforce this approach.

In these studies, patients with the diagnosis for which the drug is being tested are divided into two groups, one receiving the drug and the other receiving a placebo, and neither the doctors nor the patients know who is receiving the active substance hence the name double-blind. In the same year that Bleuler published his article, Freudp.

Obras completasv. Generally, schizophrenic psychosis is understood to mean a set xlinica disorders dominated by discordance, ideoverbal incoherence, ambivalence, autism, delusional ideas, poorly systematized hallucinations, and profound affective disturbances in the sense of detachment and strangeness of feelings — disorders that tend to evolve into bercberie deficit and a dissociation of personality Ey, Bernard, Brisset, s.

The near-ubiquity of schizophrenia in the current psychiatric clinic of psychosis, particularly in the field of mental health, forces us to use this category to address patients and clinical developments that, in some situations, ls be much better elucidated by other references of the psychiatric tradition. In the most serious cases, all manifestations of affect are abandoned; funndamentos less severe cases, affect is inappropriate.

Paul Bercherie (Author of Fundamentos de La Clinica)

Nouvelles perspectives pour le diagnostic psychiatrique: At the end of the nineteenth century, the advent of neurology showed that for most mental illnesses, the previously assumed injuries did not exist, unlike in neurological diseases; the emergence of psychoanalysis explained neuroses by assigning them to certain psychological mechanisms, capable of modification through psychoanalytic treatment.


This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Freud,p. Its evolution moves toward impoverishment. Psychoanalysis has been charged with sustaining the clinical and doctrinal validity of the psychosis category, to the point of spreading the feeling that this concept pertains more to psychoanalysis than psychiatry.

On a collective level, this contributed to the engenderment of identity groups, bringing together subjects identified by the fact that they belong to a certain pathology p. This new inflection represented a paradigm shift, weakening the description of mental illnesses based on assumptions we could call psychodynamic in favor of a physicalist approach to mental pathology. This is what is underscored by the princeps case of Freudian psychosis theory, which we have already mentioned, the Schreber case Freud, The second consequence is that conditions which had previously been recognized as psychotic have been relocated to fit under the heading of personality disorders.

I wish to thank Fernanda Costa Moura for her indispensable guidance in the research and in crafting the thesis, as well as in the final writing of this article.

This is one of the most controversial categories of clinical practice, and for sure carries the most risk of a moral approach to the patient. Dictionnaire de la psychiatrie. This new entity, dementia praecox, would later be called schizophrenia. Our emphasis lies in its recent transformations in terms of bercuerie description and classification of diseases and their consequences for the comprehension of the major mental illness, psychosis.

Fundamentos da Clínica ( edition) | Open Library

The personality disorder category deserves a more rigorous approach, which is beyond scope of this work, but we hope to address it xe some other opportunity. The greater or lesser clinical validity of these categories deserves to be discussed separately, and is obviously beyond the scope of this article. In all these clinical manifestations of psychosis, we can recognize a subject with the inability to integrate and develop these dimensions of the human, fundamentks who is still concerned with them.

Not each pathology, but that lady or that gentleman. Revista Latinoamericana de Psicopatologia Fundamentalv. Another part of this process was the transposition of the medical notion of the syndrome, or the syndromic diagnosis, from general medicine to psychiatry Aguiar,p. With regard to the first question, the authors demonstrate that the empiricist assumption, which requires so-called objective evidence, has obvious affinities with the physicalist view of mental clinixa Russo, Venancio,p.


The first is that although it claims to be free of theory, the DSM actually is related with the pragmatism of Peirce and empiricist theses. However, they have a particular form of existence, existing outside the general symbolization that structures the subject, outside any symbolization that would allow the subject to have them as the elements of his subjectivity. This may allow different splits to be produced, artificial separations in the approach to cases.

It can be said that throughout the twentieth century, these three disorders characterized the field of psychiatry.

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What is lost is the idea of continuity, a link between the elements that are present underneath and beyond the fundametnos. This established the terms psychosis and neurosis as antonyms, each hosting a certain group of psychological diseases. We will recall its fundamental bases that are sufficient for the argument we are pursuing here.

If we draw attention to this fact, it is not in order to cultivate nostalgia for these terms. The impact of the Berherie in the clinic, in research, and in the theorization of the field of psychiatry and psychopathology was enormous: The unity of the psychoses based on the structural elements that delineate their specificity has been lost, along with the clinical rigor that required psychiatrists to pursue the presentation of symptoms and particularities of evolution in every patient, in an attempt to locate the moments of psychosis and the terms with which it was equated cf.

It begs the question: In this sense, if one of the objectives behind the origin of the DSM-III was standardization of language in global psychiatric communication, this goal could be considered fully achieved, and catalyzed the rise of biological psychiatry as a dominant aspect not only in Fundzmentos psychiatry but around the world.

To do this, the DSM and then the ICD declared themselves to be atheoretical, excluding the categories which involved theoretical and psychodynamic assumptions and intending to base classification exclusively on symptoms that could be empirically observed and quantified.