Symptôme… σύμπτωμα... sumptoma

del síntoma y de sus dimensiones etimológica, teórica y clínica. La primera dimensión aborda su etimología griega y latina; la segunda trata el síntoma en la enseñanza freudiana, desde el descubrimiento del inconsciente y su lazo con la estructura del sujeto y, por último, da cuenta del acercamiento lacaniano al síntoma y de sus mayores modificaciones, que han llevado a proponer la existencia de un anudamiento borromeo de lo real, lo simbólico y lo imaginario. A partir de la clínica del caso Joyce se propone un cuestionamiento de la función del sinthome como anudamiento singular que introduce creaciones particulares en la renovación del lazo social. Symptôme… sύmptwma..sumptoma L’auteur avance une étude du symptôme et de ses dimensions étymologique, théorique et clinique. La première dimension déploie son étymologie grecque et latine. La deuxième aborde le symptôme dans l’enseignement freudien dès la découverte de l’inconscient et de son lien à la structure du sujet. Finalement, compte est rendu de l’approche lacanienne du symptôme et des remaniements majeurs qui le conduisent à poser l’existence du nouage borroméen du réel, du symbolique, de l’imaginaire. À partir de la clinique du cas de Joyce, un questionnement sur la fonction du sinthome comme nouage singulier mettant en jeu des créations singulières qui participent à un renouveau du lien social est proposé. Symptôme… sύmptwma...sumptoma This article propounds a study about symptoms and their etymological, theoretical, and clinical dimensions. The first dimension concerns Greek and Latin etymology. The second approaches Freudian teachings based on the discovery of the unconscious and its relationship with the subject’s structure. The third accounts for the Lacanian approach to symptoms and the major overhauls that have led to the proposal of the existence of the Borromean binding of the real, the symbolic, and the imaginary. The clinical case of Joyce denotes an inquiry into the sinthome’s function as a singular knot that introduces particular creations in the renewal of social ties

Histoire et modélisation des dynamiques socio-environnementales Holocènes des paysages fluviaux de la côte d'Azur

History and modelling of the socio-environmental dynamics of the fluvial landscapes of Côte-d'Azur (France) during the Holocene A research program was initiated in 2006 in order to reconstruct the evolution of the coastal hydrosystems of the rivers Argens (Var), Loup, Cagne and Malvan (Alpes-Maritimes) during the Holocene. The paper presents the archaeological and palaeoenvironmental data and the me thods used to apprehend the effects of the landscapes mobility over settlement patterns, and the impact of human occupation over the ecosystems.Un programme de recherches a été initié en 2006 afin de retracer l'évolution des hydrosystèmes côtiers de l'Argens (Var), du Lou p, de la Cagne et du Malvan (Alpes-Maritimes) au cours de l'Holocène. L'article présente les données archéologiques et paléoenvironnementales mobilisées et les méthodes mises en œuvre pour appréhender les répercussions de la mobilité de ces paysages sur le peuplement et l'impact de l'occupation humaine sur les écosystème

Open versus laparoscopically-assisted oesophagectomy for cancer: a multicentre randomised controlled phase III trial - the MIRO trial

<p>Abstract</p> <p>Background</p> <p>Open transthoracic oesophagectomy is the standard treatment for infracarinal resectable oesophageal carcinomas, although it is associated with high mortality and morbidity rates of 2 to 10% and 30 to 50%, respectively, for both the abdominal and thoracic approaches. The worldwide popularity of laparoscopic techniques is based on promising results, including lower postoperative morbidity rates, which are related to the reduced postoperative trauma. We hypothesise that the laparoscopic abdominal approach (laparoscopic gastric mobilisation) in oesophageal cancer surgery will decrease the major postoperative complication rate due to the reduced surgical trauma.</p> <p>Methods/Design</p> <p>The MIRO trial is an open, controlled, prospective, randomised multicentre phase III trial. Patients in study arm A will receive laparoscopic-assisted oesophagectomy, i.e., a transthoracic oesophagectomy with two-field lymphadenectomy and laparoscopic gastric mobilisation. Patients in study arm B will receive the same procedure, but with the conventional open abdominal approach. The primary objective of the study is to evaluate the major postoperative 30-day morbidity. Secondary objectives are to assess the overall 30-day morbidity, 30-day mortality, 30-day pulmonary morbidity, disease-free survival, overall survival as well as quality of life and to perform medico-economic analysis. A total of 200 patients will be enrolled, and two safety analyses will be performed using 25 and 50 patients included in arm A.</p> <p>Discussion</p> <p>Postoperative morbidity remains high after oesophageal cancer surgery, especially due to major pulmonary complications, which are responsible for 50% of the postoperative deaths. This study represents the first randomised controlled phase III trial to evaluate the benefits of the minimally invasive approach with respect to the postoperative course and oncological outcomes in oesophageal cancer surgery.</p> <p>Trial Registration</p> <p><a href="http://www.clinicaltrials.gov/ct2/show/NCT00937456">NCT00937456</a> (ClinicalTrials.gov)</p

L'Aventure symbolique Clinique du sujet et du lien social contemporain

This thesis for the Habilitation to Supervise Researches is based on my researches and clinical experiences in the United States, Togo, Bolivia, Vietnam and France with children and families from different backgrounds and cultures. Gathering my most significant works, it enable me to put in coherence my positions and epistemological references and to reconsider the necessary distinctions and articulations between clinical psychology, psychopathology and psychoanalysis; while continuing to question major elements relating to the psychoanalysis with children and the close link which units the particularity of the child's symptom and the universal of the subject's structure. For that, throughout this work, I stress the importance of The Symbolic Adventure which is in the heart of any subjective construction and the Clinic of the Subject and the Social Contemporary Link which ensues from it. Sigmund Freud showed us the way in the Essays of psychoanalysis by assuming very early on the specific bond linking the subject and the society. With his continuation, Jacques Lacan posed the various modalities of this tying by the symptom making hold the subject in the inevitable discontent which carries each civilization.Ce mémoire d'Habilitation à Diriger des Recherches prend appui sur mes recherches et mon expérience clinique avec des enfants et des familles de différentes origines culturelles et sociales aux États-Unis, au Togo, en Bolivie, au Vietnam et en France. Regroupant mes travaux les plus significatifs, il me permet de mettre en cohérence mes positions et références épistémologiques et de repenser les distinctions et articulations nécessaires entre la psychologie clinique, la psychopathologie et la psychanalyse ; tout en continuant à interroger des éléments majeurs concernant la psychanalyse avec les enfants et le lien étroit qui unit la particularité du symptôme de l'enfant et l'universel de la structure du sujet. Pour cela, au fil de ce travail, je souligne l'importance de L'Aventure symbolique qui est au cœur de toute construction subjective et la Clinique du sujet et du lien social contemporain qui en découle. Sigmund Freud nous en a montré la voie dans ses Essais de psychanalyse en posant très tôt le lien spécifique unissant le sujet et la société. À sa suite, Jacques Lacan a posé les différentes modalités de ce nouage par le symptôme faisant tenir le sujet dans l'inévitable malaise dont est porteuse chaque civilisation

Data from: The size advantage model of sex allocation in the protandrous sex-changer Crepidula fornicata: role of the mating system, sperm storage, and male mobility

Sequential hermaphroditism is adaptive when the reproductive value of an individual varies with size or age, and this relationship differs between males and females. In this case, theory shows that the lifetime reproductive output of an individual is increased by changing sex (a hypothesis referred to as the size-advantage model). Sex-linked differences in size-fitness curves can stem from differential costs of reproduction, the mating system, and differences in growth and mortality between sexes. Detailed empirical data is required to disentangle the relative roles of each of these factors within the theory. Quantitative data are also needed to explore the role of sperm storage, which has not yet been considered with sequential hermaphrodites. Using experimental rearing and paternity assignment, we report relationships between size and reproductive success of Crepidula fornicata, a protandrous (male-first) gastropod. Male reproductive success increased with size due to the polygamous system and stacking behavior of the species, but females nonetheless had greater reproductive success than males of the same size, in agreement with the size-advantage theory. Sperm storage appeared to be a critical determinant of success for both sexes, and modeling the effect of sperm storage showed that it could potentially accelerate sex change in protandrous species