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[Survival].

X Hoff

    Annales Medico-Psychologiques
    |August 1, 1991
    PubMed
    Summary

    Demented patients demonstrate a unique reality attestation through naming, where knowledge and creation become intertwined. This challenges traditional psychological frameworks by highlighting the creative power within subjective experience.

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    Area of Science:

    • Psychology
    • Cognitive Science
    • Philosophy of Mind

    Background:

    • Dementia is often associated with cognitive decline and loss of reality.
    • However, some patients exhibit moments of profound insight and accurate perception.
    • The relationship between subjective experience and objective reality in altered mental states is complex.

    Purpose of the Study:

    • To explore the phenomenon of "naming" or designating accurate reality by demented patients.
    • To investigate the nature of knowledge and creation in these instances.
    • To analyze the implications for understanding consciousness and the "life of spirit."

    Main Methods:

    • Observational analysis of demented patients' utterances and behaviors.
    • Phenomenological interpretation of subjective experiences.
    • Comparative analysis with existing psychoanalytic theories (Freud, Lacan).

    Main Results:

    • Patients' naming acts attest to the quality or spatial placement of objects, suggesting a form of "precarious certainty."
    • Knowledge and creation are observed as identical in these moments; the patient creates the object through assertion.
    • This creative hallucination, particularly in the maternal-infant dyad, highlights the richness of mental life.

    Conclusions:

    • The findings challenge binary algorithms and formalizations in psychoanalysis, such as Freud's negative hallucination and Lacan's Name-of-the-Father.
    • Subjective creation plays a significant role in how reality is perceived and asserted, even in dementia.
    • A richer conception of the "life of spirit" is needed to encompass these complex phenomena.

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