Abstract This article presents a clinical description of the solitary aspect of alcoholism and an original psychopathological theorization of alcoholic isolation. Our aim is to better understand this vulnerability of alcoholic patients and their secret sufferings. Solitary intoxication, whether or not in the presence of another or in a group, facilitates the avoidance of a reality experienced as too painful. This isolation would result from an early feeling of insecurity, close to that experienced in psychosis. A prototypical clinical case aims to explain how the problematic nature of this isolation can be identified and then elaborated, within a psychotherapeutic setting “that gives confidence” and starts from the “offer of speech.” We emphasize how the alcoholic individual can revisit the capacity to be alone in the presence of the other, which is a necessary condition for mentalizing a nonpathological solitude.

中文翻译：

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酒精与孤独：在我的孤独中

摘要 本文介绍了酒精中毒孤独方面的临床描述和酒精孤立的原始精神病理学理论。我们的目标是更好地了解酗酒患者的这种脆弱性及其秘密痛苦。单独的陶醉，无论是否在另一个人或一群人面前，都有助于避免经历过于痛苦的现实。这种孤立是由早期的不安全感造成的，与精神病患者的经历很相似。一个典型的临床案例旨在解释如何在“给予信心”并从“演讲提议”开始的心理治疗环境中识别和阐述这种隔离的问题性质。我们强调酗酒者如何重新审视在他人面前独处的能力，