Tatiana Pellion : « head in the clouds », or some questions raised by the treatment of an adolescent suffering from migraines

The question of the migraine as a body event in an adolescent is treated with reference to its articulation with the drive. We thus explore the shared elements of both pain and drive, with respect to their connection to the body. Furthermore, we discuss one of the analyst’s interventions during a session, as well as its clinical consequences on the subject’s relationship with the invocatory drive and with its object, the voice. The function of the voice and of its drive shaping as mediation between primitive parental authority and the constitution of the subject’s superego is also developed here. We mostly insist on the function of extraction of the voice object from the body, and we therefore refer to the Freudian concept of « the thing », as well as to the Lacanian object a, in its primary dimension concerning the drive. We thus emphasize the relationship between the drive and the little object a during adolescence.

Adolescence, 2009, T. 27, n°1, pp. 143-155.