Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To report problems to PEP-Web…

PEP-Web Tip of the Day

Help us improve PEP Web. If you find any problem, click the Report a Problem link located at the bottom right corner of the website.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

de Bilbao, F. Bonavitacola, P. (2016). The Abuses of a Certain Knowledge. Int. J. Psycho-Anal., 97(6):1677-1696.

(2016). International Journal of Psycho-Analysis, 97(6):1677-1696

The Abuses of a Certain Knowledge

Fabienne de Bilbao and Paola Bonavitacola

(Accepted for publication 15 January 2016)

In the psychiatric institution, the sex act is a matter of controversy, all the more so when elderly patients with dementia are concerned. Yet, a question imposes itself: thinking beyond the biomedical model, the current governing paradigm for explaining senile dementia, what effects does the repression of the sex act have on the symptoms of the demented patient? The psychoanalytic exploration of the institutional situation described here suggests that the sexual demands of the patient suffering from dementia would not be meaningless, but would constitute a defensive modality against the return of a former threat of castration. Their repression, by means of practices that impede the libido in its search of an object, would reinforce the process of dementia by encouraging a regression toward earlier stages of development. More generally, the authors argue that unconscious dynamic processes might play a major role in the development of senile dementia. They show that psychoanalysis constitutes an essential method for the understanding of dementia and challenges the predominance of the biomedical model and its therapeutic arsenal in this context.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

Copyright © 2021, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.