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AbstractInterpersonal Psychotherapy was conceived as a psychotherapeutic approach to treating Depression, but has since now been broadly used to treat many other disorders. It has also recently been adapted to delivery in the group setting, with both advantages and disadvantages as other group psychotherapies. This adaptation, first used by Wilfley and colleagues, maintained the main features of IPT, i.e. the central role of the interpersonal focus and identification of one (or two) out of four problem interpersonal areas (Grief; Role Transition; Role Disputes; Interpersonal Deficits). It also kept the active role of the therapist and individual patient within the group. To date, G-IPT has been used for several diseases (Eating Disorders not Otherwise Specified, Bulimia Nervosa, Depressive Disorder, Posttraumatic Stress Disorder) and several populations (Adolescents, Older People, Pregnant Women or “New-Mothers,” Substance-abusing Female Prisoners). Although the overall quality of most of outcome studies is to date quite poor, the review of the current state of knowledge shows the G-IPT may be helpful and present a number of advantages to treat different psychiatric disorders in several populations of patients.

Forty patients with alcohol use disorders (AUD) or bulimic disorders (BD) which benefited from mental care are classified "improved" (AC) or "still" (SC) from the CGI scale. The comparison of their Rorschachs at the beginning (t1) and at an advanced moment in their treatment (t2) shows significant differences between both groups in the evolution of the "expressive" and "counterxpressive" answers. An idiographic study of some cases specifies the way the answers evolve between t1 and t2. The interest of using the Rorschach to contribute to observing the development of the mentalisation is discussed.

Keywords: addiction, soins psychiques, représentation, mentalisation, Rorschach, addiction, mental care, representation, mentalisation, Rorschach

AbstractThe paper presents a discussion on psychoanalytic research, dividing it into three forms: psychoanalytic research proper, research on psychoanalysis and psychoanalytically informed research in an attempt to distinguish and explain the contribution of each. Some myths concerning research on therapeutic efficacy and empirically validated practices are also deconstructed. Also the paper proposes the view that subjectivity can be used as a valid research tool as well as criteria for scientifically valid psychoanalytic research.

SUMMARYSchizophrenia is caused above all, by a biochemical disorder, and, consequently, the treatment should be primarily of a psycho pharmacological nature. The author examines the most important researches related to this subject to demonstrate the gaps both at the level of actio-logical theories and of treatment methods centered, above all, on biochemical aspects. Schizophrenics are not cured and they are hardly treated, since delusional thoughts and the psychotic life style remain present many years. Schizophrenia stymies the knowledge and the power of therapists as a result of its inexplicable and irréductible character.

SUMMARYIn this text the author presents the account of a psychotherapy with an ereuthrophobic psychotic. According to the account of the patient, the treatment took place in three stages: self analysis before an analyst, analysis with an analyst, and finally analysis without analysand. For each of the three stages, different stakes, and for the analyst, a role which evolves slowly through the growing capacity of the young woman to connect herself to a whole object. Then the end, which is never truly one with psychotics, the mourning process having never begun, and the analysis remaining as a safety screen, as a possible bumper. Finally, a brief theoretical elaboration concerning this treatment which, as with all treatment of the psychotic, aims at a structuration of the psychic apparatus and at an organization of defences.

After an overview of the ways in which running away can be conceptualized as a move toward psychic reorganization, this paper proposes to explore the impact of an adolescence marked by such an experience. Spanning about 15 years, Sophie's psychotherapy serves as the lens through which to observe the deferred impact of her adolescent runaway experience. It is tempting to think in terms of a form of resilience. However, it may be more accurate to refer to a “good enough adaptation” in personalities that continue to suffer and are at frequent risk of decompensation. The discussion centres on the positive and adverse future consequences of this form of acting out—while making a distinction between running away and truancy—, and on the potential benefits of an analytic-type psychotherapy to work on the aftermath of extreme experiences combined with borderline dynamics.

Keywords: errance, fugue, incestuel, procédé autocalmant, recours à l'acte, passage initiatique, truancy, running away, incestuous, self-soothing, acting out, rite of passage

The definition of “clinical impasse” depends not only on the clinician who—as the proposed argument suggests—would be faced to his powerlessness in specific situations, but this definition is tributary to the clinical and theoretical field inscribed within this clinician's practice. Thus, for example, the practice of psychotherapy and the practice of psychoanalysis implies very different if not opposed positions of the clinician, bringing on the patient's side, very specific difficulties and impasses. In the field of psychoanalysis conceived essentially as a practice of the ethical, one cannot address this notion of “clinical impasse” without first questioning the position of the analyst, not as much in his rapport with theory and technique used but mainly by questioning the point and the locus within himself from which he directs the treatment. Likewise, for the analysed, can what entails impasse in the treatment be indissociable to the ethical position of the subject?

SUMMARYThe author describes a new psychotherapeutic approach called Gestalt Synergy. After presenting it's originality among others Body/Mind approaches, the author retraces the history of it's development through the personal history of the founder of Gestalt Synergy : Ilana Rubenfeld. Then follows an introduction of the Alexander Technique and the Feldenkrais Method which, with Gestalt, inspired Gestalt Synergy. The concepts and techniques of Gestalt Synergy are discussed and, the sequence of one session is illustrated. The author concludes on some personal changes noted from her use of this approach.