” Where the body experiences itself, it is always of the order of tension, of forcing, of and medicine defense, even of exploit and micine . There is indisputable pleasure at the level where pain begins to appear, and we know that it is only at this level of pain that a whole dimension can be experienc which otherwise remains veil and medicine . ” [1]
Chronic pain is pain in “desperation, because nothing, neither treatment nor explanation, answers it” [2 ]. It is often silent, mark by the difficulty of saying something about it. So, how do doctors and psychoanalysts deal with it?
Marc Ruivard, professor of internal micine at the Clermont Ferrand University Hospital, and Christian Hullen, anesthesiologist and algologist at the Center for the Study and Treatment of Pain at the Saint Blandine hospital in Metz, spoke about their practice, each in their own style, during the round table on the links between painful bodies and micine, which was held in Metz on March 5 as part of the ACF-Est conference, “Painful Bodies.”
Beyond the symbolic and medicine therapeutic
paraphernalia, fruits of technological evolution and science, each person encounters a hole in their knowlge: a place where the demands made of them by chronic pain patients dislodge them from their position of knowlge, and invites them to consider the enigma differently.
From there, there appears a shift from a mobile database reading of “Pain” in a universal perspective, objectifiable, assessable, localizable on a living and treatable organism, towards a reading of pain inscrib in the body of the one who experiences it and towards all the surprises and singularities that this awakens. Fac with this encounter, each has varna can be issu number list for various develop their own know-how. They therefore move from the position of knowing subject, equipp with knowlge and a certain number of techniques that modernity offers them in the treatment of their patients.
Fac with chronic pain
Marc Ruivard will find part of the answer with a quote “to name is to reassure!” which he will use as a compass. He thus identifies in his patients the effect of a nomination. This is an inscription in the symbolic order of something that is meaningless, pure experience. This allows the subject to be mov, to be detach from the complaint, and from this incessant demand for a diagnosis. Thus, he will resort to the diagnosis “Fibromyalgia”, which he defines as a “somewhat catch-all bag”, which can act as a necessary quilting list of real mobile phone numbers point for the patient, while being careful not to make it too consistent thanks to this definition: “the name of inexplicable pains”.
Dr. Christian Hullen, for his part, has notic that his battery of treatments and technologies could allow him to silence a pain, but do not silence the subject in relation to his pain. So, he tries to know how to deal with the gap in his knowlge, in order to welcome the singular words of a patient in pain for whom there are no answers. A whole field opens up to him that confronts him with doubt, with questions, where he finally manages to position himself by supporting himself with a few other colleagues whom he makes his partners. He takes the side of the subject, and “believes in his pain”. He can thus let himself be taught.