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Article Dans Une Revue The Open Pain Journal Année : 2014

The Painful Analgesia of Cotard’s Syndrome

L'analgésie douloureuse du syndrome de Cotard

Résumé

In the present paper, we look into what is painful psychical analgesia in relation to what 19th century clinicians have named “moral pain” in melancholia, and more particularly in the delusion of negation described by the French psychiatrist Jules Cotard in 1880, a form of delusion that can be seen mostly in cases of chronic anxious melancholia. This condition is characterized by a painful absence of emotions, which occurs when the subject, in the Lacanian sense of the word, ceases to be touched by the signifiers, and consequently ceases to exist as a subject. Hence, these patients often declare themselves to be already dead or incapable of dying. The psychoanalytical approach to this delusion allows an understanding of the ‘’lack of lack’’ concept, as these patients, having lost the lack, affirm that their body’s orifices are clogged, that they have lost their mental vision, that they miss various visceral organs etc. The completeness of their body – the absence of orifices – can sometimes attain universal dimensions and these patients can thus identify themselves to the universe, which contains everything. The delusion of negation teaches us something important concerning the essence of desire, in relation to what has been named by Lacan area-between-two-deaths. This Lacanian concept refers essentially to the tragic hero, but also, more generally, to the lonely condition where anyone’s desire should be able to exist beyond any narcissistic commitment, which means beyond the pleasure principle as well.
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Dates et versions

hal-01467103 , version 1 (14-02-2017)

Identifiants

Citer

Georgios (Yorgos) Dimitriadis. The Painful Analgesia of Cotard’s Syndrome. The Open Pain Journal, 2014, Psychological Approach of Pain, 7, pp.36-40. ⟨10.2174/1876386301407010036⟩. ⟨hal-01467103⟩
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