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Countertranference Issues and Its Implications in the Clinics of the Extreme: the Peculiarity of the Penitentiary Clinic.

Published online by Cambridge University Press:  15 April 2020

F. Dr NYEGUE
Affiliation:
Unité Sanitaire Psychiatrique and LIRCES, centre psychothérapique de Nancy (Laxou), Université de NICE Sophia-Antipolis, Nancy, France
L. Mlle FORT
Affiliation:
Psychologie, Université de Lorraine, Nancy, France

Abstract

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Clinical practice in the prison environment is part of a special epistemological and praxeological clinic generally classified in the field of the clinical of extreme. The last one is itself defined as: «… clinical practice where all the practitioner technic, personal and ethical abilities are simultaneously and extremely requested i.e. with a particular intensity, in a way generally recognized as excessive, in the limit of what is usually tolerable for a human being.

We find necessary to pose a very particular look on the activities of the staffs implied in this clinical practice. Our experiment allows us to think that it is more complex to consider a neutral clinical practice in such situations where our human condition is exposed by a constant tension carried by the distress of the patient in front of us, his potential dangerousness and factors of guiltiness that sometimes are invited in the encounter.

Objective

understand how to escape the real or imagined aggressive of the patient, presented as a sex offender, offender, murderer…?

Goal

Consider care of patients whose guilty countertransference are moderate and do not impede the clinics.

Method: psychoanalysis

catharsis

Result

ongoing

Conclusion

It is very important to consider the countertransferencial process in support of the jailed patient. However, it should in no way be confused with compassion for the victim. The countertransference will in this case take into account all the emotions of the patient (shame, guilt …).

Type
Article: 1543
Copyright
Copyright © European Psychiatric Association 2015
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