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Medium 9781855752627

CHAPTER TWO. Cotard’s syndrome and depersonalization

Salomon Resnik Karnac Books ePub

Some years ago, I analysed a female patient whose symptoms were depersonalization and negation of her body; these symptoms brought to my mind some of the clinical features described by Jules Cotard (1882-1884). I feel it may be of some interest to draw a parallel between the phenomenological aspects of the classic description and the analytic experience.

In 1861, Baillarger (1890) drew attention to a particular form of hypochondriac delusion which included feelings of destruction or non-existence of parts of the body; he had encountered these in cases of general paralysis, and in fact had thought them typical of and belonging almost exclusively to this ailment.

In 1880, Cotard read to the Paris Societe Medico-Psychologique a paper in which he described a particular kind of hypochondriac delusion in cases of severe melancholia; he called it “delusion of negations”. For Cotard, this delusion was a feature of certain severe forms of chronic melancholic anxiety. He describes six major symptoms: melancholic anxiety; the ideas of damnation and of diabolic possession (demonopathy); disposition towards suicide or self-injury; analgesia; hypochondriac ideas of non-existence or destruction of organs or of the entire body, of the soul, of God, etc.; and ideas of immortality and enormity (hugeness).

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Medium 9781855754478

CHAPTER 1: Developments in psychoanalytic thinking and in therapeutic attitudes and services

Rachael Davenhill Karnac Books ePub

Rachael Davenhill

In the beginning

In 1896, Freud wrote of his father in his final illness “He is … steadily shrinking towards … a fateful date”. In 1939 the last book Freud read before his own death, according to his personal physician Max Schur, was Balzac's short story The Incredible Shrinking Skin [La peau de chagrin ]. The irony of his choice was not lost on Freud. According to Schur (1972), “When he finished reading it, he told me, as if by chance: ‘It was the right book for me to read, it talks about shrivelling and starvation’.” The skin is the boundary between the inside and the outside of the body, and at the beginning of life and toward the end of the lifespan the skin holds special significance as a repository for both internal and external reality. Early on, when all goes well, the skin of the baby is given privileged significance. It is touched, treasured, smelt, cooed over. Even the baby's filled nappy can be experienced as a sweet rather than repugnant smell. From the beginning “we inhabit the body and are inhabited by it at all times” (Britton, 1989). The way in which the mother can respond to and contain the pains and pleasures of her infants’ bodily needs will transform how these are experienced in terms of their emotional significance, and it will lead to the integration of the body itself as an internal object in the psyche (Laufer, 2003). However, this response does not often extend to the latter part of the lifespan. What is noticeable again and again in the care of older people is the lack of significance given to the body other than in a purely functional way—it is there to be washed, fed, toileted—but the emotional meaning of each of these tasks is often denuded. The fragility of the older person's skin can evoke anxiety in the caretaker (for example, a doctor recently expressed his anxieties about resuscitation following repeated traumatic experience of rupturing the older person's skin and breaking the rib cage in the process). The care of older people is often criticized for only focusing on physical care and not communication, but, of course, physical care is a nonverbal form of communication.

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Medium 9781936763443

Chapter 6: Using Student Feedback

John F. Eller Solution Tree Press PDF
Using Student Feedback

At Adams Elementary School, most of the teachers were doing a good job. However, Robert always seemed to get more out of his students. Those who came into his fourth-grade class not understanding core academic concepts were confident and competent by the end of the school year. Robert’s principal, Erin, has watched him teach and has seen how he engages students in his lessons. She has also seen how well he manages his classroom. Parents of students in Robert’s class sent Erin notes and talked to her at school events about how happy their children have been in Robert’s classroom. Over the years, Erin pointed out Robert’s strengths, but she found herself saying the same things over and over. She wanted to help Robert understand what he’s doing right in his classroom by using another data source in addition to her observations. In their fall planning meeting, Erin suggested that Robert survey his students to find out what they identify as effective in his teaching. Robert thought this was a great idea and worked with See more
Medium 9780596101152

1. Using Your BlackBerry

Dave Mabe O'Reilly Media ePub
Medium 9781936111343

Manifesto Principle 7: Cage the Monsters

Matt Murdoch Treion Muller FranklinCovey Publishing ePub

We’ve tolerated and nurtured the webinar as it is for years. We’ve made some real advances and done some very cool things. But we still have a long way to go. We don’t believe that webinars can continue to evolve incrementally, like some single-celled amoeba waiting another million years to get closer to the edge of the ooze and start growing some legs. And so we’re declaring war on bad webinars, and we want you to join us. We want you to join us in committing to KEEP doing the things that work and STOP doing the things that don’t work, that never worked…THAT NEVER WILL WORK.

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