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Retentissements psychiques du cancer gynécologique pelvien sur la sexualité féminine

机译:盆腔妇科癌对女性性行为的心理影响

摘要

Pelvic gynaecological cancer is a disease that fits into internal reproductive organs of women : vagina, uterus, cervix and ovaries. These cancers are treated in patients of the study by hysterectomy, extended or not (removal of genitals), chemotherapy, radiotherapy and brachytherapy. It is a castration that these women experience in the reality of a body that suffers. Cancer and treatments are corporal effractions that reiterate a psychic representation of the penetration as the passive reception of the other in oneself. This figure of the foreigner inside the ego summons fantasies, affects and penetrating representations that damage body image, generates passivity images and rekindles passivation experiences. Moreover, this effraction takes place specifically on the intimate sex place, where the growing into a woman and then into a mother incarnates itself, summoning the feminine of the woman in his plurality but also in his connections to feminity. After clearing, in a very broad literary repository, the few studies that put into perspective the effraction of the gynaecological cancer and its treatments with feminine sexuality, we set our own research in the approach of psychoanalytic psychopathology in its relations with psychosomatics. A consistent identification of psychoanalytic theory of the two major fields requested by the subject of the study ensues : feminine sexuality and body in the disease. The original methodology implemented fits into an exploratory process supported by the administration of two projective tests : Rorschach and TAT, along with clinical research interviews. This is a longitudinal methodology at three selected steps of the therapeutic course of these women. The results, treated initially in the singular dimension of the case study are then grouped according to the hypotheses to show the shared adjustments in these patients. The analogy between the situation of the infans and the women under passivity constraints accompanies the description of the three steps of the study. It responds to the hypothesis of a mobilization of psychic modalities specific to corporal effraction treating process which summon, mistreat, wound and remove internal genitalia. The study reveals specifically feminine primitive anxiety such as penetration anxiety, treated by limit modalities, narcissistic and anal around a holed body fantasy and a dangerous interiority. Finally, the study explores the entire set of drives in order to figure out fusion and defusion movements subtending the erotic decathexis of the genital, summoning the feminine in its passive potentialities and accompanying the reorientation of the object-relation under the death drive influence.
机译:盆腔妇科癌是一种适合女性内部生殖器官的疾病:阴​​道,子宫,子宫颈和卵巢。本研究的患者可通过子宫切除术,延长或不延长(切除生殖器),化学疗法,放射疗法和近距离放射疗法来治疗这些癌症。这些妇女在遭受身体痛苦的现实中cast割。癌症和治疗是一种体罚,重申了渗透作为通向他人自身的被动接受的心理体现。自我中的外国人形象唤起了幻想,影响和渗透了破坏人体形象,产生被动形象并重新激发钝化经历的表征。此外,这种嘲讽特别发生在亲密的性场所,在那里长大为女人,然后变成母亲,这本身就化身了,召唤出女人中的女性,包括其多元性以及与女性的联系。在一个非常广泛的文学资料库中,清除了一些将妇科癌症的疗效及其对女性性行为的治疗方法视为透视的研究之后,我们在心理分析心理病理学与心理疾病的关系中进行了自己的研究。对研究主题所要求的两个主要领域的精神分析理论的一致认定是:女性的性行为和疾病中的身体。实施的原始方法适合于探索性过程,并通过两种射影测试(Rorschach和TAT)以及临床研究访谈来支持。这是这些妇女治疗过程中三个选定步骤的纵向方法。首先根据案例研究的单一维度处理的结果,然后根据假设进行分组,以显示这些患者的共同调整。在研究的三个步骤的描述中,对处于被动约束下的婴儿和妇女的处境进行了类比。它回应了动员特定于身体效果治疗过程的心理模式的假说,该过程召唤,虐待,伤口和去除内部生殖器。这项研究特别揭示了女性原始焦虑症,例如穿透性焦虑症,通过极限方式,自恋和肛门周围有洞的身体幻想和危险的内在性进行治疗。最后,该研究探索了整个驱动器集合,以找出对生殖器的色情性痴呆进行归并的融合和解体运动,从而激发女性的被动潜能,并伴随着死亡驱动影响下对象关系的重新定向。

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    Venturini Elisa;

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  • 年度 2014
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