19 juin 2012 2 19 /06 /juin /2012 18:22


What is "integrative psychosomatic"?

Integrative Psychosomatic has been taught at the Faculty of Medicine, La Pitié-Salpêtrière, since October 2006 through the Postgraduate Studies and Continuing Education of the University of Paris 6 (Pierre et Marie Curie) (see description of degree).

At the beginning of the XXI century, in this postgraduate degree, a new scientific approach to psychosomatics,  INTEGRATIVE PSYCHOSOMATICS was proposed, integrating psychoanalysis, medicine, and neuroscience and referring to new disciplines such as psycho-neuro-immunology, psycho-neuro-endocrinology, neuro-psychoanalysis, etc.

This new approach represents a break with traditional psychosomatic approaches, namely psychoanalytic psychosomatic and psychosomatic medecine.

This is a fresh approach for the patients and their diseases away from the psychogenesis of disease and disease organogenesis (see History of Psychosomatic). We want to challenge the belief of the dominance of  mind over  body (psychogenesis) or the predominance of organ function (organogenesis) to understand and treat patients and diseases.

This new discipline includes, regarding  the psychic system, the model of psychic functioning of metapsychology (Freud), and other systems, the most recent findings on the biological functioning and recent approaches to neuroscience.

This training emphasizes the need to address somatic patients in their biological, psychological and neural dimensions and repositioning them within their family and professional environments to facilitate both diagnosis and therapeutic care.

"Man is a psychosomatic unity" (Jean-Benjamin Stora), this unit is a system of systems in reference to the scientific approaches of Ludwig von Bertalanffy.

This complex system includes the psychic system, the central nervous system, the autonomic nervous system, the immune system and the genome "(JBStora, during the process of somatization, 2006-2008)

It is within the dynamic interrelationships among these five systems that we must study the different states, especially balances and imbalances.

The human being is an open dissipative energy system (I. Prigogine) and not a closed system as  Sigmund Freud suggested in the 19th century which referred to the second law of Carnot to provide a scientific basis for its metapsychological concept of "economic point of view" (free energy and energy related) ; we update the Freudian approach referring to the second law of thermodynamics, i.e. the law of entropy in a closed system. We propose to replace the Freudian proposal contemporary scientific proposals referring to human beings as "open dissipative energy systems."

Jean Benjamin Stora, June 19, 2012.

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Published by Jean Benjamin Stora - dans La psychosomatique intégrative

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