xuality: “does not indicate the activities and the pleasure which depend on the operation of the genital apparatus, but a whole series of excitations and activities present as of childhood, which present an irreducible pleasure at the satisfaction of a fundamental physiological need (hunger, function of excretion) and which is found as component in the form known as normal of the sexual love (Laplanche and Pontalis: Dictionary of the psychoanalysis).
Physiological changes of ageing and
• At the
woman, ageing does not involve sufficiently important
modifications to block the sexual intercourse and to
reach the orgasm.
menopause can constitute one period of crisis, during
which the woman must give up her capacity
cause suffering (can lead to a anxio-depressive
changes are more numerous in the sexual behavior of the
man: it would seem that ageing more affects the sexual
life of the man that of the woman.
important data: the shortage of the male partners, due
to the difference between the life expectancy female and
male life expectancy.
of the sexuality of the old people belongs to a cultural
stereotype which wants that these last are regarded as
ugly, impotent, unhappy and impotentes.
related on the body and the beauty would belong to
youth, while old age would share the loss of autonomy
and the pain.
difficult for us to consider the sexuality of the old
people because let us perceive we them like parents: it
is the phantasm of the primitive scene (sexual
intercourse of the parents) which becomes here still all
its extensive (this aspect of their life represents a
too important threat for Ego).
people have to make with the glance of their family (the
age and the dependence operate an inversion of the
responsibilities relative/children, which confers to the
children a right of glance on the life of their
sexuality in the institution: it is subjected to the
social stereotypes of the sexuality of the old people,
but as to the place as looking after them agree to leave
reactions of the professionals vary from one person to
another, which can involve contradiction on the level of
hospital it is the collective whole, the permanent
glance of the other; whereas sexuality needs autonomy
and does not put up itself with the community.
Ageing, Handicap, autonomy and
As of our
youth, our way of life, the way in which we build
ourselves are founded on our dependence and our capacity
of autonomy with respect to our environment.
one period of the life during which we are brought to
find balances between our aspirations, our capacities,
our means and those of the people who surround
various concepts being able to lead to a
Deficiency: existence of a disturbance, compared to the
biomedical standards, which is responsible for a fall of
Incapacity: measure the importance of the
handicap (or the disadvantage): measure how the
incapacity is compensated or not.
of dependence underlies a relation of need.
dependence: incapacity to achieve without the assistance
of a third person 3 acts of the everyday life (to
mobilize themselves, nourish themselves, get dressed,
deal with the care of hygiene).
dependence: gets along within the framework of normality
like a need to communicate and a refusal of
Psychological dependence: incapacity to even control
dependence: it can be induced by the passage to the
not defined like the absence of dependence, but like the
capacity which has an individual to even control him,
including managing its dependences.
It is about
an independence compared to a decision and not compared
to a means.
Physiological ageing is responsible for a fall of
performance of the various bodies of our body; it does
not involve a fall of the functions being able to be
responsible for a physical dependence.
physical dependence is the consequence various diseases
whose frequency increases with the age.
the dependence is one of the major objectives of the
of response to the dependence and to maintains autonomy
belongs to the various speakers.
its level on a scale, the dependence dune nobody must
cause a reflexion of the team in order to avoid her
aggravation. The answers go from substitution to the
But it is
always necessary to make in kind avoid the loss of
autonomy at the time of the hospitalization (in the acts
of the everyday life, the nursing and the care…).
action of looking after will have a considerable
importance in the capacity of the patient to maintain
the hospital is not always regarded a place of life for
the patients but as a place of work for looking
There is a
culture of the pain: the institutions thus privilege the
care the diseases, and the assumption of responsibility
of the pain.
bodies and bodies of pleasure do not belong to the same
Evolution of sexuality with the age and the
answers of looking after:
observes behaviors regressed towards:
mouth: the pleasure related to this zone takes as object
the food, the embraces, relational greed (old people
which “vampirisent” their entourage)
there are a pleasure of touched through the prolonged
contacts (handshakes), but there are also somatic
complaints which call the examinations and
• The anal
zone and faeces: certain authors evoke this investment
through functional pathologies like the diarrhoea or the
regression at this stage leads to fecal plays index of
aggressiveness and of great anguish, this regression can
be maintained in the language without there being
passage to the act.
genital zone: it can be the subject of exhibition more
or less controlled, of more or less discrete
• There are
sublimated sexual behaviors: they make it possible to
express desires and impulses on an intellectualized mode
can be sexual but it is not accompanied by one passage
to the act.
other hand it offers to the individual a satisfaction by
slackening the sexual instincts.
Posting of page 176