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SUMMARYIs the current marketing of psychotherapy going to be its end ? The growing confusion induced by the commercialization of psychotherapy does not seem to worry the psychotherapists who think they profit from it as much as does the public. This paper argues that it is high time for psychotherapists to adopt a consumer perspective if they are to fully grasp the extent of the problem engendered by the commercialization of contemporary psychotherapy. The rules of the therapeutic relationship are not aimed only at serving the patient's objectives but are subject to other pressures such as institutional contexts, ideological and sociopolitical position of the therapists. The author analyses the constraints governing the practice of psychotherapy and points to various ways in which psychotherapists contribute to the decay of psychotherapy. On this critical basis, five areas are identified wherein concerted action by psychotherapists may help pull psychotherapy out of its present crisis.

This article presents the work involved in setting up a new psychotherapy group. Following a description of the therapeutic framework used in the organization where he practices, the author outlines how the institution, as well as the filiations and family narratives of the psychotherapists, influence the founding of the group. He then illustrates how the intertransference analysis helps reveal unconscious phenomena involved in establishing the group's foundations, the interconnection between the institution and the psychotherapists, as well as between the co-therapists. The account of the first sessions of a psychotherapy group illustrates how the group psychic envelope helps contain the anxieties triggered by the group setting and provides a space within which the therapeutic process unfolds.

Keywords: nouveau groupe, dispositif psychanalytique groupal, cadre institutionnel, contre-transfert, intertransfert, new group, group psychoanalytic device, institutional framework, countertransference, intertransference

There is a renewal of interest among psychotherapy researchers and psychotherapists towards psychotherapy case studies. This article presents two paradigms that have greatly influenced this increasing interest in psychotherapy case studies : the pragmatic case study and the theory-building case study paradigm. The origins, developments and key-concepts of both paradigms are presented, as well as their methodological and ethical specificities. Examples of case studies, along with models developed, are cited. The differential influence of the post-modern schools on both paradigms are presented, as well as their contribution to the field of methods of psychotherapy case studies discussed and assessed in terms of relevance for the researcher and the psychotherapist.

Objectives Within the Quebec context, as well as the larger Canadian and International context, increasing access to mental health care treatment has become a major health care priority (see Peachey, Hicks, & Adams, 2013). Initiatives to increase access through government-funded psychotherapy have been successfully implemented in Australia and the United Kingdom. The current study sought to document how licensed psychologists and psychotherapists in Quebec differ in their attitudes about the components of these government-funded psychotherapy programs and increasing access to psychotherapy treatment.Methods The target population for the study included both psychologists and psychotherapists whom were licensed to practice psychotherapy with the Ordre of Psychologists of Quebec. Participants (N = 1 275) were recruited by email to participate in an online questionnaire focusing on components such as the services that should be offered in a new government-funded psychotherapy model (eg., individual therapy, family therapy; including employment and debt counselling), the choice and autonomy clinicians have in their treatment interventions, the role of the referring General Practitioner (GP), the fees per psychotherapy hour, the hiring structure (e.g., in the public sector versus reimbursing private psychotherapy services), among others.Results The results indicated that psychotherapists were more in favour of including family and couple therapy, and employment/vocational counselling than psychologists. Psychologists were more in favour of using evidence-based practices as well as tracking treatment outcomes using validated measures, and publishing treatment satisfaction ratings to the public. Psychotherapists were more in favour of being paid on a session-to-session basis as opposed to be being hired on a salaried basis to offer government-funded psychotherapy.Conclusions Given that psychologists and psychotherapists differ in their training background and have historically played different roles in the health care system, it is important to understand how they differ in their perspectives on accessibility to psychotherapy. The implications for implementing government-funded psychotherapy initiatives in Quebec given the different professional perspectives of the two groups are discussed.

Keywords: psychologue, psychothérapeute, psychothérapie, sondage, accès, données probantes, assurance publique, État, accessibility, psychotherapy, psychologist, psychotherapist, survey, mental health care

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.