Neuropathologies of the Id

 

Jose Fernando Muñoz Zúñiga, M.D.

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Through the clinico-anatomical method, patients with focal brain injury have taught us a lot about the workings of the mind, and they have allowed us to ask new questions to psychoanalytic metapsychology. Some cases of patients with lesions in limbic and paralimbic areas will be presented. An argument with be made that this set of patients not only have some neuropsychiatric symptoms in common, but also that they have metapsychological changes in common as well. Specifically, a first attempt to integrate clinical and theoretical findings will be made regarding patients that have both a compromise in the hierarchical processing of affects, and postlesional changes in mental agencies like the ego and the id. These ‘neuropathologies of the id’ may serve as clinical evidence supporting the rationale of separating the system unconscious and the id at a theoretical level. They may also help neuropsychiatry to conceptualize the changes these patients experience in their inner world.

Bio
Jose Fernando Muñoz, MD. Psychiatrist (Pontificia Universidad Javeriana, Colombia). Neuropsychiatrist (Universidad Nacional Autónoma de México, Mexico). Psychoanalytic candidate (Sociedad Psicoanalítica Freudiana de Colombia). Professor of psychiatry (Fundación Universitaria Sanitas, Colombia).