DIMENSIONS CONTRE-TRANSFERENTIELLES DANS LA THERAPIE DES CONDUITES ADDICTIVES.

The somatic continent is an unknown land for psychoanalysis and, for this reason, it is avoided. The patient's expression on this register is frequently ignored by the therapist, even if it refers to the deeper and structuralized levels of his personality. Considering the psychogenesis of the addictive behaviors, the pain subjected of the body symptoms finds his origin into the earliest stages of the psychic development, stages when the words were not yet skills of the psychic elaboration. The anxiety in front of the loss of the addictive or somatic symptoms is more intense because the capacity of psychic elaboration of the Ego risks to be overcome by the psychic movements. Through the signifiers that operate in the analytic space, except thing-representation and word-representation, it is necessary to consider also the affect, the body impression and the act. In the case of an addictive patient, the representation process didn't succeed in gaining the word-representation. Thus, he's utilizing the specific manners of representation and he tries to integrate them in the analytic space. In the transference, the analyst is challenged to recognize them, and he must try to help the patient to verbalize them. The addictive solution is a necessity of a psyché with the capacity of representations in deficit to the extent it finds in itself a response to his needs. The body functions are attributed a symbolic value, the erogenous functions and zones are invested so as to replace the the function of elaboration belonging to the thinking process. [ABSTRACT FROM AUTHOR]