{"id":6327,"date":"2015-11-23T12:10:10","date_gmt":"2015-11-23T12:10:10","guid":{"rendered":"https:\/\/psicoclinicabarcelona.com\/adicciones-la-psicoterapia-de-grupo\/"},"modified":"2024-05-17T12:00:26","modified_gmt":"2024-05-17T10:00:26","slug":"adiccions-la-psicoterapia-de-grup","status":"publish","type":"post","link":"https:\/\/psicoclinicabarcelona.com\/ca\/adiccions-la-psicoterapia-de-grup\/","title":{"rendered":"Addiccions: La psicoter\u00e0pia de grup"},"content":{"rendered":"

Al grup d’orientaci\u00f3 anal\u00edtica no hi ha joc, no hi ha \u00fas representatiu del cos. Tot \u00e9s filtrat per la paraula com a \u00fanic mitj\u00e0. A continuaci\u00f3, diferenciar\u00e9 tres temps cronol\u00f2gics al llarg d’un tractament per a les addiccions<\/a> grupal.<\/p>\n

PRIMER TEMPS: DEL CONSUM A LA INSTITUCI\u00d3<\/strong><\/p>\n

L’entrada a la instituci\u00f3 t\u00e9 lloc pel tr\u00e0mit d’una demanda d’ajuda dirigida a un altre capa\u00e7 de recon\u00e8ixer els subjectes a partir d’un tret. En aquest sentit, aquest tipus d’instituci\u00f3 no \u00e9s gaire diferent d’altres com, per exemple, les destinades al tractament de depressius, d’anor\u00e8xiques o de TLPs, que, de la mateixa manera, persegueixen el mateix objectiu de reclutar pacients que es reconeixen com a homogenis a partir del tret que els identifica. Aix\u00f2 no obstant, aquest mecanisme identificatori tendeix a excloure la difer\u00e8ncia i, per tant, la subjectivitat. Com m\u00e9s certesa identificat\u00f2ria, podr\u00edem dir, menys marge perqu\u00e8 emergeixi la subjectivitat. Des de Freud, estem advertits de la relaci\u00f3 entre les identificacions de masses i el discurs de l’amo, per aix\u00f2, l’exist\u00e8ncia de tantes institucions basades en la ideologia, com si es tractessin de sectes.<\/p>\n

El significant addicte permet la identificaci\u00f3 que atorga un nom un subjecte. Es tracta d’una mena de met\u00e0fora social que unifica subjectes diferents sota un significant amo.<\/p>\n

La q\u00fcesti\u00f3 crucial per a la psicoan\u00e0lisi i per als psicoanalistes \u00e9s esbrinar com actuar al si d’aquestes institucions que es recolzen en la l\u00f2gica de la identificaci\u00f3 col\u00b7lectiva i que garanteix al subjecte certa forma d’identitat i d’integraci\u00f3 social, a fi d’introduir-la a ells el principi anal\u00edtic de la divisi\u00f3 subjectiva, per tal de produir la transformaci\u00f3 del que \u00e9s id\u00e8ntic al que \u00e9s singular. \u00c9s a dir, com produir un s\u00edmptoma no sols social, sin\u00f3 subjectivat i, per tant, indicatiu no d’un tret com\u00fa, sin\u00f3 de la veritat inconscient d’un subjecte?<\/p>\n

L’estrat\u00e8gia de la psicoter\u00e0pia grupal d’orientaci\u00f3 psicoanal\u00edtica \u00e9s acceptar aquesta identificaci\u00f3 inicial, sabent de la seva l\u00f2gica. Per\u00f2 nom\u00e9s com un moviment t\u00e0ctic inicial. No es pot exigir que la psicoan\u00e0lisi s’apliqui restrictivament nom\u00e9s on entra en acci\u00f3 la divisi\u00f3 del subjecte, el s\u00edmptoma com a met\u00e0fora subjectiva, la demanda articulada en la transfer\u00e8ncia\u2026 El nostre treball a la psicoter\u00e0pia grupal est\u00e0 enfocat cap a la producci\u00f3 de la divisi\u00f3 subjectiva, per\u00f2 permetent en un temps inicial que s’assumeixi l’engany de l’etiqueta addicte i del poder d’unificaci\u00f3.<\/p>\n

SEGON TEMPS: DE L’HOMOGENI AL SINGULAR<\/strong><\/p>\n

Una q\u00fcesti\u00f3 preliminar a tot tractament possible del grup \u00e9s, doncs, la que fa refer\u00e8ncia a la transici\u00f3 que va des de l’entrada del subjecte addicte a la instituci\u00f3 fins al dispositiu de psicoter\u00e0pia grupal. No \u00e9s nom\u00e9s una transformaci\u00f3 quantitativa, sin\u00f3 de dispositius que responen a l\u00f2giques de funcionament diferents: la de la instituci\u00f3 unifica i identifica, el dispositiu grupal separa i desidentifica. En aquest sentit, podem afirmar que la psicoter\u00e0pia grupal pot brindar a l’analista la possibilitat de col\u00b7locar sota transfer\u00e8ncia el fenomen de massa de la identificaci\u00f3 al significant toxic\u00f2man. Les resist\u00e8ncies del pacient durant aquest tr\u00e0nsit habitualment no s\u00f3n poques. \u00c9s molt freq\u00fcent observar en els dirs del subjecte participant del grup, un intent de resist\u00e8ncia, moltes vegades molt fixat, per conservar-ne la identificaci\u00f3. Moltes vegades davant l’assenyalament de la difer\u00e8ncia per part del psicoanalista, trobem una escolta furiosa del pacient, davant del que podr\u00edem entendre es tracta d’una resist\u00e8ncia a deixar anar all\u00f2 que li d\u00f3na un nom.<\/p>\n

El resultat \u00e9s una identificaci\u00f3 que no trenca l’enlla\u00e7 social sin\u00f3 que ho consenteix. En aquest sentit, \u00e9s una identificaci\u00f3 que alleuja l’angoixa. En moltes situacions \u00e9s all\u00f2 que s’oposa a la deriva mort\u00edfera de l’addici\u00f3. \u00c9s el grup com a sinthome, \u00e9s a dir, com un nou anudament per al gaudi, la deriva del qual, en un altre cas, conduiria el subjecte cap a la destrucci\u00f3. El grup es pot convertir aix\u00ed en un nou company, en una cosa que el subjecte addicte pot situar entre si mateix i l’empenta cap a la mort que l’habita.<\/p>\n

Si el grup \u00e9s, per si mateix, un lloc que tendeix a produir identificaci\u00f3 ia ampliar els seus poders imagin\u00e0riament, l’operaci\u00f3 de l’analista estar\u00e0 encaminada m\u00e9s aviat a buidar la identificaci\u00f3. En aquest sentit, \u00e9s possible concebre l’evoluci\u00f3 del tractament al grup com marcada pels dos moments l\u00f2gics i cronol\u00f2gics necessaris: una primera fase en qu\u00e8 el grup s’estructura sobre el poder del que \u00e9s id\u00e8ntic, sobre la identificaci\u00f3 especular i una segona fase en qu\u00e8 s’ha de produir una divisi\u00f3 del subjecte que permeti que tregui el cap una mica de la veritat de l’inconscient. Com succeeix aquesta reobertura de la divisi\u00f3 subjectiva al treball grupal? A trav\u00e9s de la trobada-desencontre amb aquest real de la separaci\u00f3. Per exemple, \u00e9s molt freq\u00fcent escoltar per a aquests pacients l’equival\u00e8ncia entre el mateix s\u00edmptoma igual al mateix tractament. Una creen\u00e7a totalment imagin\u00e0ria que es pot trencar amb el descobriment subjectiu que del grup cadasc\u00fa \u00e9s diferent i t\u00e9 un temps per comprendre i per concloure que \u00e9s absolutament particular per a cadasc\u00fa. Aquest no tots en el mateix moment o aquest no tots junts, desvetlla una zona de no coincid\u00e8ncia al cor de la identificaci\u00f3 que afavoreix el tr\u00e0nsit cap a all\u00f2 singular. Aix\u00f2 sempre es produeix en la mesura que es posa en joc el desig de l’analista, tal com ho ent\u00e9n Lacan, un desig dirigit cap a la producci\u00f3 d’una difer\u00e8ncia absoluta. Aix\u00f2 \u00e9s, justament, all\u00f2 que donar\u00e0 pas al tercer temps del tractament grupal.<\/p>\n

TERCER TEMPS: LA CONSTRUCCI\u00d3 D’UN NOU S\u00cdMPTOMA<\/strong><\/p>\n

\u00c9s el temps de la producci\u00f3 d’un s\u00edmptoma diferent del cristal\u00b7litzat pel discurs social. \u00c9s el temps de la realitzaci\u00f3 d’un nou s\u00edmptoma com a met\u00e0fora del subjecte. \u00c9s a dir, una met\u00e0fora no social sin\u00f3 subjectiva. Aquest proc\u00e9s nom\u00e9s ser\u00e0 possible a trav\u00e9s del desig de l’analista com a garant de la condici\u00f3 \u00e8tica de la psicoan\u00e0lisi. Quan fem refer\u00e8ncia al desig de l’analista evoquem l’\u00fanica condici\u00f3 veritablement insubstitu\u00efble per a la efic\u00e0cia cl\u00ednica de la psicoan\u00e0lisi<\/a>. El desig de l’analista no \u00e9s nom\u00e9s el desig de curar, de guarir, ni de saber, sin\u00f3 un desig separat radicalment de tota demanda, un desig de producci\u00f3 de la difer\u00e8ncia absoluta, per tant, de dissociaci\u00f3 de la particularitat del subjecte respecte a l’ideal de l’Altre.<\/p>\n","protected":false},"excerpt":{"rendered":"

Al grup d’orientaci\u00f3 anal\u00edtica no hi ha joc, no hi ha \u00fas representatiu del cos. Tot \u00e9s filtrat per la paraula com a \u00fanic mitj\u00e0. A continuaci\u00f3, diferenciar\u00e9 tres temps cronol\u00f2gics al llarg d’un tractament per a les addiccions grupal. PRIMER TEMPS: DEL CONSUM A LA INSTITUCI\u00d3 L’entrada a la instituci\u00f3 t\u00e9 lloc pel tr\u00e0mit…<\/p>\n","protected":false},"author":2,"featured_media":1849,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,126,12,139,36],"tags":[],"post_series":[],"class_list":["post-6327","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-psicolegs-barcelona","category-psicologo-adicciones-barcelona-ca","category-psicologo-adicciones-barcelona","category-psicologo-barcelona-ca","category-psicologo-barcelona","entry","has-media"],"yoast_head":"\nAddiccions: La psicoter\u00e0pia de grup<\/title>\n<meta name=\"description\" content=\"Addiccions: La psicoter\u00e0pia de grup. Psic\u00f2legs a Barcelona, truqueu 640 067 146. La psicoter\u00e0pia de grup. 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