For an evolutionary psychopathology

The evolution of society has changed our view of certain aspects of psychopathology. The emphasis shifts from the pathology of conflict favoured by a repressive society to a pathology of bonds, limits and dependence facilitated by a liberal society. The drive issue of aggressiveness or sexuality can no longer be thought of in any other way than dialectically with that of identity, limits, fear of being overwhelmed or of being abandoned by those affected. The failures of narcissism, as well as the importance of early insecure relationships of these subjects, occupy a central position in the understanding of these pathologies. Adolescence is a privileged moment of expression of these problems. The weight of limitations, both biological and social, give the ego a central role in their management. Its ability to cope or, on the contrary, its vulnerability to trauma are central variables in the prognosis. This evolution questions the classical models of psychotherapy and, in a general sense, the most effective tools for promoting change in subjects.