Impulsive Phobia Within Same-Sex Couple: Alternative Family Building a Homosexual Woman and her Infanticidal Fantasy Volume 4 - Issue 2

Hugues Scharbach*

• Paris’s University past Head of psychiatric Service in C.H.U., Doctor in Psychology (LYON II) National Forensic Expert hon, France

Received:January 27, 2022;   Published: February 17, 2022

Corresponding author: Hugues Scharbach, Paris’s University past Head of psychiatric Service in CHU, Doctor in Psychology (LYON II) National Forensic Expert hon, France

DOI: 10.32474/JCCM.2021.04.000185

Abstract PDF

Identification requirements in modern societies seems primordial, including some-times the necessity of affirmation of it by password. The differentiation and the strength of the Self are obvious. A question appears: Does Oedipial Conflict remains central in the Psychic constitution and evolution. The contribution of the theorizations of Melanie KLEIN and of her epigones appears congruent with the notion of Impact during the first years of original fantasies/phantasmatic feelings (even ideation) and also with the Realistic Function. The recognition of Borderline psychopathology has been accentuated by KO-HUT (1971) on the basis of a conceptualization of neurotic condition in terms of transference neurosis [1]. M. GRESSOT believes that neurotic lack of the severity of ego damage and the in coordinated polymorphism of symptoms makes a real evidence concerning that could be observed by borderline disorders, as well as the inconsistency of objects relations. It seems that the psychic conflict remains pulsional in the neurosis. It’s more deeply basic, instinctual in the case of subjects suffering of the expression of borderline features, concerning their psychic self-organization, their affect’s quality and regulation and their objectual interrelations. The interest of the presentation of this linear clinical observation is to question the relevance of the old academic distinction in the psychopathological field between neurosis, psychosis and perversion. That may be a kind of demonstration of interest of longitudinal practice.

Keywords:New Psychic Economy; Deadly Compulsion Particularities of The Target Subject: The Young Baby of Her Companion Psychopathological Complexity Entangling Symptomatology of Different Conflicting Levels: Neurotic Obsessive-Compulsive Neurotic Narcissistic Fragility With Paranoid/ Paranoïaque like Accommodations Primitive Psychic Defense and Partial Objects

We have highlighted the motion of strengthening the characteristics of the individuation in the current technical-digitalnumeric societal anywhere in the contemporary world. These aspects are found also in the clinical and psychopathological approach of subjects in psychic suffering and the methods of therapeutic conduct have been influenced notably [2,3]. Some behavioral disorders do not unconsciously aim to find their place and status in an interactive context; Permit us here a digression: what is the hyperactive child looking for and doing his attentional spans scatter may be searching. Perhaps a conceptual target within the frame of a confident and serene identity. MEGANE is a nice 23-years old woman, well integrated as a nurse in an emergency service. We took care of her during upon admission to the emergency place of another hospital for a request of help. She researches a listening and a therapeutic support following the onset of anxiety attacks and impulse phobia with a deadly connotation concerning the baby of her friend -companion, with whom she was living as a couple for 9 years, since she gave birth to a boy a little over 3 months ago. The affective understanding and the relational exchanges in the couple remain good as much as the project had been well accepted [4].

MEGANE evokes as a triggering or determining factor the fact of having seen in a film presented on TV, in which a son strangled his father titled: «Why I kill my father» with M. BOUQUET and Ch. BERNIER as actors. Subsequently while giving the child bath, this image comes back to her and she will develop deadly thoughts, for which she felt very guilty. Afterwards, she was very scared when she approached him...With tachycardia. She consults her doctor, who prescribes an anxiolytic and an antidepressant: a serotoninergic one, without listening to her too much. The last drug increases her anxiety’s idea, and she felts suicidal thoughts by hanging. She wakes up at night after a nightmare and thoughts of strangulation or transfixion on child impose themselves on her mind. She specified however, that there was no rejection in every day. She describes different expressions of somatic anxiety. For instance, a type of tingling sensation in the arms a feeling of warmth in the head but also small noises, adding: « as if someone was deciding for me or that a sturdy hand strangled me » [5-8]. She seeks the opinion of another practitioner, who doesn’t envisage the implementation of psychotherapy and prescribes and other antidepressant from the same pharmacodynamic series. She has always questioned about her feelings and must overcome, even challenge difficult concerns, such as: « isn’t it not dangerous for the child? These ideas disturb me sometimes in everyday... Her existential journey becomes punctuated with mental ordeals, faced with this morbidity that Michel SCHNEIDER, in his study dabs: « Big Mothers3 -2002, would place or qualify on the father’s side morbidity.

That one is to be approached, to be disentangled, if we want to authentically to help our patient who is a prey, in her daily journey, of these intense anxieties. Her father has alcoholic encephalopathy and has been violent in his behavior within the family. In this regard, she will evoke scenes, including a dramatic one, during which he would have sprinkled the floor of the house with gasoline, threatening to set it on fire in front of his 4 children, if his wife didn’t give him back the car keys [9].

Her mother presented depressive sequences and then, advised her against relations with boys, adding: « quickly, they abandon you» Regarding the composition of the siblings, she is the second of 4 children. Her older, Laure, aged 36, is depressed and the youngest, age 16, is followed in a care service for adolescents for poor management of her affects and bad regulation of her behavior. Her older twin brother died of unexplained cardio-respiratory arrest, except in a festive context. He had taken SUBUTEX and probably too much alcohol. About him, she said: «his educator has said, that no one could do anything for him; he died 3 weeks later. After we were accomplices until the age of 17; gradually, he started to do anything, to marginalize himself. We took different paths. He was becoming as a psychopathic guy, perpetrating bad acting’s, sometimes violent, giving up massive aldolizations but also self-mutilations at the arms and even on the face and suicidal attempts. Notably, he used alcohol and a lot of medications. It was necessary many times to send him to hospital. He began even to use, sometimes, heroin [9,10].

We tried to help him as it was possible, but I could not obtain better conduct of himself and, I needed to go far away, to protect myself. I was too much sad, to see how he was on the way of causing his self-deterioration. It was many times to send him to psychiatric hospital but, often, he was opposite to that solution. At this level, she evoked the Development of her homosexual Desire, her Coming. She precises, that she has had before, between her 14 to 20 years boy-friends and add: « I had a small sexual experience and relational opportunities, as I was 18 years. My mother was in opposition of that, saying notably that men like to abuse of the girls. «For me, it was a ban ». The evocation of the gestation of the child could represent another highlight of the examen-interviews:

The two friends-companions had researched for a progenitor, who was introduced himself: a 36 years old African-Muslim student, who have sexual relations with her friend for 3 months in her presence. Admittedly, these times of fertilization would have been painful lived, but she said nothing about her feeling or about something affectively elaborated. The « father » would see the infant periodically. Obviously, she will not develop her feelings relating to the time of these visits. A TV program on Simone WEBER, who have killed and cut her friend’s body with a chainsaw was to relinkle her anxiety two days before she left the place of treatment, here we point to the suggestibility, and to archaïc anxieties and the primitive scene [11,12]. We were listening to her during long sequences of examination in the frame of free expression, no guided, that means without standardized references, but we ask for her to add to were busy in the drawing in a workshop of the place of care; That permit that she have accompanied her unconscious conflicting position by an abundant graphic and iconographic production, while the remember of dreams was poor [13-15].

Some aspects of her psychopathological history thus had to be refined: The first representation in the mode of drawing of a person locates an ambiguous adolescent. La second shows a couple with the mother holding the child at the arm’s length, while a lighthouse towers over them and the rocky shoreline by the sea seems to jut towards the trio an almost menacing fashion. The third shows dozens of infant heads surrounding two adult heads united by a kiss. Then comes the breastfeeding mother holding her baby in her arms, slightly leaning on one side, near the representation of the sun, in the middle of a path that crosses the leaf in a scarf, while a tree occupies fast the rest of the space on the leaf; The sun has often paternal connotation, while the tree tends to be a kind of person, who tends to occupy a too much important place, quite embarrassing some days of life [16,17].

Let us then note a vibrant representation with blackened silhouettes, with sharp and multiple contours. The sex of the father is clearly visible. Her head, the one of her twin brothers and her young sister, are located above her mother. We have to remember that that one, depressed, seemed to be erased, with the exception of her strong remarks aimed at denigrating concerning approach of guys. Then a depiction of her bedridden father watching TV, while on another part of the sheet, to the right, she is on the phone, possibly to call for help. Also, objects with the child could be injured, killed. She adds cut, sharp objects that I saw stuck in his body like the tip an umbrella, stones crushing him; shoelaces, shower hoses that could strangle him, forks, knives that could pierce him. Herself pregnant in AFRICA, standing in front of the child, who having reached one year and a half, has grown up, while through the window of a hut surrounded by palm trees appears the smiling face of her companion.

The anxious symptomatology, which seems to be inscribed on a hystero-phobic background with expression of a phobia of impulse concerning the infant in the homosexual couple, leads in fact to evoke several interpretations, in particular relating to the pregnancy of that aggressive impulses but also, for the violence in connection with pre-objectual of the imaginary representations, of an almost paranoid order, with an instinctual dimension as equation would be posed: the other or I, questioning of identity, strength of the narcissisc position and of the status:

a) The child substitutes the phallus-penis which has penetrated the friend-companion under the gaze, which she would have liked to strangle, pierce, to annihilate, a frustration concerning her role. A sexual provocation with a sensitive problem concerning her narcissic imago, which she doesn’t challenge.

That’s also the questioning of aspects of her status and the related rivalry. But also, what her choice of identity deprives her.

Complex relational aspects are always implemented within couples confronted with maternity/paternity and the psychic narcissistic maturing evolution implied by the nascent third party is always considerable, nodal in the fantasy, although subject to variations depending on the context. The conception of a child goes from the ablative act to the questioning of identity, more marked in cases like this and even during in vitro fertilization. We have to consider that all the different couples whatever their composition are going through a period marked by a complex identity call into question, as it is showed by the possible emergence of the postpartum and gravidic troubles, sometimes severe.

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