A relation between time, space and hallucinated voices: a psychopathological point of view

Le rapport au temps, à l'espace et au discours des voix d 'un point de vue psychopathologique

Ingrid Guigo-Banovic (1) , Guy Gimenez (2) , Jean-Louis Pedinielli (2)

1 PsyCLÉ - Centre de Recherche en Psychologie de la Connaissance, du Langage et de l'Émotion
2 LPCLS - Laboratoire de Psychopathologie Clinique, Langage et Subjectivité

Voices are considered in this paper as subject of speech without perceptive conception. Descriptive results, already published, are deepe ned with a study case of a psychotic woman. The links she has with voices, time and space are examined as hallucinated stories then as a psychopathological point of view. This work attempts to set a paradigm of voices: hallucination in psychosis is a mean to manage intrapsychic tensions. It is a representation of unthinkable and it contains the psychic tension that psychotic people is not able to transform. Hallucinations are often viewed as a perception disorder or a cerebral dysfunction. DSM-IV considers them as a central symptom of schizophrenia. This paper, in a phenomenological approach, takes account auditory hallucinations (voices) as a clinical phenomenon and examines them as stories. These stories are studied with the narratives of psychotics patients. Voices are considered in this paper as subject of speech without perceptive conception. The methodology used is a discursive analysis of speech. Descriptive results, already published, are deepened with a study case of a psychotic woman. Discursive analysis focuses on the choice of common words of French language considered as indicators. It permits a systematic descriptive analysis. The indicators are those of localization in time, in space and those of reported speech. The study c ase completes these processes. Empirical results show that psychotics are able to control their speech to an aim. The indicators of localization in time and space are linked with voices. Reported speech shows that the hallucinated speech must be told as it was produced by voices: there is no transformation. Study case of a psychotic woman describes the links she has with voices, time and space. They are examined as halluci-nated stories then as a psychopathological point of view. This work attempts to set a paradigm of voices: hallucination in psychosis is a mean to manage intrapsychic tensions. It is a representation of unthinkable and it contains the psychic tension that psychotic people is not able to transform.

L'hallucination acoustico-verbale (voix) est ici appréhendée comme objet de discours en dehors de toute conception perceptive. Les résultats descriptifs, déjà publiés, sont repris et approfondis par l'étude de cas d'une patiente psychotique. Les relations qu'elle entretient avec les voix, le temps et l'espace sont analysées d'un point de vue discursif (en tant qu'histoire hallucinée) puis psychopathologique (en référence au modèle psychanalytique). L'hallucination dans la psychose est appréhendée dans ce travail comme une tentative de gestion des tensions intrapsychiques. Elle figure l'impensé et permet la mise en dépôt de la tension qui n'a pu être gérée par le sujet.

Mots clés: Space; Psychopathology; Time; Narrative; Hallucinations

Mots clés: Temps; Espace; Psychopathologie; Récits

Domaines: Psychologie

Ingrid Guigo-Banovic, Guy Gimenez, Jean-Louis Pedinielli. Le rapport au temps, à l'espace et au discours des voix d 'un point de vue psychopathologique. Annales Médico-Psychologiques, Revue Psychiatrique, 2005, 163, pp.726-731. ⟨10.1016/j.amp.2004.04.021⟩. ⟨hal-01383869⟩