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By their textual and musical dramaturgy, operatic mises en scène offer a perfect view of the conflicts inherent in human nature. The passions of Madam Butterfly - the eponymous opera of G. Puccini - foment a tragic fate that is paradigmatic of masochism and melancholy. This remarkable opera offers avenues for figuration and identification that can help inform psychoanalysts and psychotherapists in their understanding and treatment of patients with extreme psychical organisations, where neither loss and separation nor ambivalence (which links together love and hate) can be elaborated. Having recalled the bases of the dialogue between psychoanalysis and cultural productions and introduced the story of Madam Butterfly and the figures making up the narrative, the article proposes to examine the cathectic process at work. Through the many twists and turns in her story, Madam Butterfly is seen to invest in Pinkerton, irremediably sealing her fate as a young wife. The Butterfly figure is a perfect illustration of the different forms of masochism, of passiveness and the snare of melancholy. These movements highlight the intensity of the narcissistic challenges so strongly expressed through the confrontation with the loss of the object. Butterfly cannot mobilise any form of ambivalence towards Pinkerton. Only such ambivalence would, however, in the recognition of otherness, have afforded her the means to survive the admittedly painful openness to the reality of loss. She offers and abandons herself to the one who derives pleasure from breaking her butterfly wings, stubbornly refusing to turn to any other person for succour, irremediably sealing her fate for eternity., Mediterranean Journal of Clinical Psychology, Vol 8, No 3 (2020)

Introduction: Since the emergence of Hikikomori syndrome in Japanese literature, special attention has been given to this phenomenon all over the world concerning adolescents and young adults. Several questions have risen: the novelty or not of such syndrome, its psychopathological and nosographical status, but also its social and cultural implications. Material and method: We have first realized an analysis of studies published in French in order to confront them with the reference studies of international literature. As soon as 1950, a description of a “claustration syndrome” occurred with its psychological implications and transnosographical, mainly based on adult subjects. During the 2000’s, the interest for these adolescent behaviours increase, stressing the complexity both of its functioning and the treatment modalities, but also the access to these young secluded. Then we present two forms of Hikikomori, built after a clinical study of a cohorte of 30 adolescents, and illustrated them by to two clinical vignettes Results and discussion: The predominance of Hikikomori among boy teenagers and young adults has led us to explore the functions of this behaviour during adolescence and its specific stakes: excitement treatment, passivity treatment, confrontation with loss and with ideal’s demand. We make the hypothesis of a double figure of Hikikomori. The first concerns temporary and defensive adjustments of conflicts, the other stresses the impossibility to treat the adolescence process. Therefore, the therapeutically propositions have to take into account these two figures of Hikikomori., Mediterranean Journal of Clinical Psychology, Vol 8, No 2 (2020)