L’algodystrophie: Une affection psychosomatique exemplaire

ArticleinDouleur et Analgésie 13(4):189-199 · November 2000with140 Reads
Impact Factor: 0.09 · DOI: 10.1007/BF03013842


    Reflex Sympathetic Dystrophy (RSD), a relatively ailment wich can often be incapacitating, is a localised deviant neurovascular reaction, wich calls into question the causes of psychomatic disease over and beyond biased questions about its psychological or somatic origin. Our review of 95 patient records first favoured a psychoanalytical approach concerning the person. This angle relativizes methods whereby patients are identified by a series of tests, according to a psychiatric and emotional semeiology, to consider the unconscious psychic etiology of the pathology. RSD is an odd disease linked to a defect of the unconscious structure; it is not a type of neurosis or psychosis and only seldom dœs it present caracterisitcs described as typical of the unconscious layout of psychosomatic disorders. In some respects, it is related to these entities and can be combined with a prior mental illness, neurosis or psychosis, or with other affections of a psychosomatic nature. This mostly clinical study describes the conditions which initiate the psychosomatic reaction of a person, in a perspective inspired by F. Dolzo and J. Lacan. This is only a tentative theoretical approach, formulating prospects for research on the non univocal factors triggering a psychomatic disease and its connections with psychotic and neurotic manifestations. Our conclusions are open to question and criticism.