@article{ref1,
title="Between the "reactional"and the "compulsive ": Dynamics of suicidal repetition",
journal="Psychiatrie de l'enfant",
year="2014",
author="Boissière, L. and Chabert, C.",
volume="57",
number="1",
pages="85-155",
abstract="Starting with a clinical and projective analysis of the reasoning of 9 suicidal subjects who have made multiple attempts on their lives, we study the dynamic and economic underpinnings of suicidal repetition at adolescence. Discussing the hypothesis of a failure in the fantasmatic elaboration of aggressive instinctual drive movements, in relation to the specific and persistant difficulties encountered in treating loss, we differentiate between processes of &quot;reactional&quot;and &quot;compulsive&quot;suicidal repetition. The &quot;reactional&quot;processes are part of the traumatic resonance of external losses after the fact, or in conjunction with pre-morbid internal reality. In this way, they determine these random repetitions. The &quot; compulsive&quot;processes stem from a depressive pain which cannot be elaborated and which fuels a continuous currant of destructive instinctual demands. The masochistic/melancholic reversal constitutes the main path of deviation. As a result, an autonomous cycle of suicidal repetition is established which is likely to increase in frequency as a function of an instinctive defusion and a correlative disobjectalisation.<p /><p>Language: fr</p>",
language="fr",
issn="0079-726X",
doi="10.3917/psye.571.0085",
url="http://dx.doi.org/10.3917/psye.571.0085"
}