Corps et addiction

FRANÇAIS :
Le corps est au centre de la consultation sur les conduites addictives, conceptualisées par J. Mc Dougall comme une maladie de la désaffection. Les sujets, au cours de leur adolescence, développent des attitudes particulières à l'égard de leur corps, reposant sur une perception persécutive de ce corps. Les conduites addictives sont des comportements d'incorporation et doivent être vues comme une façon d'éviter la dépression liée à un échec narcissique fondamental. Ils révèlent, de ce fait, une déficience dans l'investissement libidinal du corps.
ENGLISH :
The body is at the very center of addictive behaviours clinics. As these subjects, from a psychodynamic point of view, stumble against the adolescence process, they develop particular attitudes their body. These attitudes are based on a persecutory perception of the body, i.e., as a strange object in which all affective threats lie. Addictive behaviours are incorporative behaviours and as such they indicate that a refusal of mourning and loss processes is occuring. Rather than considering them as equivalent to depression, addictive behaviours should be thought of as a defence mechanism against depression and as an avoidance of the depressive position. They are, among other ways to do so, a mean of reacting against a major narcissistic failure and as such they reveal a deficiency in the libidinal investment of one's own body (as J. McDougall theorized it as a "desaffectation" illness). Only the encounter of the addictive patient with his addictive object makes him different from the typical psychosomatic patient who is directly confronted to his esential depression.(Author's abstract)