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Scuderi C.,Psychanalyste | Herlant-Hemar K.,Groupement Des Hopitaux Of Linstitut Catholique Of Lille Ghicl
Cliniques Mediterraneennes | Year: 2015

Appearing at the same time as a resistant to the ambient consumerism and as the prototypical figure of the current capitalism, the anorexic embodies an aporetic mode of the being. Furthermore, being characterized from the effect which it arouses at the Other, it is a pathology of the intersubjectivity. Taking note of this double feature, we suggest to draw the consequences for a psychopathology of anorexia, then to figure out from her act a theory of the political action. © ERES.

Toumi H.,University of Orléans | Davies R.,Princess of Wales Hospital | Mazor M.,University of Orléans | Coursier R.,University of Orléans | And 4 more authors.
BMC Musculoskeletal Disorders | Year: 2014

Background: This study reports the changing prevalence of ankle (Achilles and plantar) spurs with age, in order to comment on their significance to rheumatologists. Methods. 1080 lateral ankle radiographs from each of 9 (50 men and 50 women) age cohorts from 2 to 96 years old of patients attending a trauma clinic were examined and spurs classified as small or large. Results: The prevalence of both Achilles and plantar spurs in relation to the age categories and sex was variable. Overall, there was 38% of the population who had a spur (Achilles or plantar) and only third (11%) with spurs at both sites (Achilles and plantar). Large spurs were more prevalent in older individuals (40 to 79 years). There were no large plantar spurs in individuals <40 years of age and only 2% for the Achilles. The prevalence of spurs (Achilles and plantar) was significantly higher for woman than men in individuals <50 years of age. There was a notable moderate positive correlation (r = 0.71) between both plantar and Achilles spurs for women <30 years of age but no correlation for men (r = -0.03). Conclusion: Plantar and Achilles spurs are highly prevalent in older people and the radiographic appearance of spurs differs between men and women. In individuals < 50 years of age, spur (Achilles and plantar) formation is more common in women than in men. Additionally, there was a notable moderate positive correlation between Achilles and plantar spurs for women <30 years of age. © 2014 Toumi et al.; licensee BioMed Central Ltd.

Herlant-Hemar K.,Groupement Des Hopitaux Of Linstitut Catholique Of Lille Ghicl | Caron R.,University Paris Diderot
Evolution Psychiatrique | Year: 2013

Reaching a very elderly age can be a critical experience, involving massive often painful loss. Losing one's physical capacities, loved ones, social status, home, etc. can provoke an identity crisis, potentially leading to a new approach to self, or in certain persons, to psychiatric disorders. As life expectancy, and by consequence the prevalence of age-related morbidity, increases, the human and social impact of psychopathological disorders in the very elderly is becoming a major challenge for scientific research. Based on the clinical case of a 70-year-old nursing home resident, we propose a reflection on persecutory delusions as a mode of deterioration in a context of early-stage dementia. Considering the patient's past history and her own comments on her life experience as an institutional resident, as well as the transfer movements operating during the interviews, we attempt to highlight the way in which delusional construction and reconstruction processes created meaning for her, examining the way delusion can function as a supportive element for a coherent identity. In a determinedly clinical approach, articulating an analytical reading and a phenomenological approach, we shall be interested in her history as well as her current real-life experience in institution such as she delivers it to us during the conversations. By pressing us on the movements in the transfer, we shall try to bring to light the way the delirious construction and the reconstruction can make sense for her, and which functions the delusion can have in the preservation of a shape of identical cohesion. © 2013 Elsevier Masson SAS.

Herlant-Hemar K.,Groupement Des Hopitaux Of Linstitut Catholique Of Lille Ghicl | Scuderi C.,Groupement Des Hopitaux Of Linstitut Catholique Of Lille Ghicl
Psychotherapies | Year: 2015

Encounters with patients suffering from anorexia generate an uncanny resonance. Faced with the frailness of the patient's body presented as a personification of the living dead, the clinician cannot avoid the question of life and death, whether in a mode of transference or in the real world of the clinical dialogue. Here, the authors start by presenting a psychotherapy session with a young anorexia nervosa patient to show how interweaving transference-countertransference movements unveiled the underlying network interlacing Other with Self, exposing a possible psychopathological lecture of what might be called a «paradigm of anorexia».

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