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AbstractRecognizing difference of the Other is the basis of legitimacy of ethnopsychiatry that is necessarily multiple, changing, and itself bearing subtleties and variations. It is from their practice at the Service d'aide psychologique spécialisée aux immigrants et réfugiés (SAPSIR), that the authors propose another perspective of this discipline taking into account of course, the cultural and psychological dimension of the individual; they also consider existential and humanistic universals such as the need of giving meaning, of continuity of the self and coherence as well as the various dimensions of identity. Their clinical approach, respectful of the principles of ethnopsychiatry, is structured around three axis : work on links, work on different dimensions of identity, work on coherence and meaning of situations experienced. This approach allows to accompany and facilitate essential elaborations involved in the psychological work of refugees as well as individuals exposed to extreme situations such as torture.

ABSTRACTThis paper reviews the main treatment options for patients with borderline personality disorder. Pharmacological interventions are of marginal value, and hospitalization has not been shown to prevent suicide in this population. Psychodynamic psychotherapy has not been proven to be effective, but dialectical behavior therapy yields symptomatic improvement. Borderline patients present many special difficulties in therapy, particularly their chronic suicidality. Future developments in treatment could involve improved drug treatment combined with cognitive therapy.

AbstractEveryone has a certain knowledge of what psychologically constitutes him/her. Part of the therapist's ethical approach is to help this knowledge come to conscience. Apart from the analytical process, within one or a few therapeutic sessions, is the person consulting able to have access to a minimal knowledge about him-herself? Using this knowledge to guide certain aspects of his-her life, calls upon an ethics of responsibility on the part of the person consulting. To have this knowledge emerge demands on the therapists' part, a concept of the human being that takes into account subjective dimensions of the person.

SUMMARYThe author believes in the necessity of enlisting citizen participation in the resolution of psychological and social problems, and proposes a comparative study of the characteristics of two types of intermediaries : the social or professional intermediary, and the natural helper. Closer to those he helps, and unencumbered by bureaucratic norms, it is easier for the natural helper to give his best. The author esteems that collaboration with the natural helper must be based on a respect for natural helper, without seeking its modification or co-optation.

SUMMARYIn this article, the authors relate their experience as clinical psychologists in a CLSC. The study questions certain ideological foundations of CLSCs which, as a consequence, entirely discard psycho-clinical services. According to the authors, the major elements of the "CLSC approach" — namely multidisci-plinarity, global intervention and programming — lead to the denial of a person's psychic dimension. As well, the authors argue that this approach is the source of questionable decisions in the area of mental health; for example, individual requests to talk freely seem to be ignored in the public health care system. The authors raise the underlying issues surrounding the coexistence of willingness to offer services to "people" on one hand and exclusion of these people as free-talking subjects (sujets parlants) on the other, while at the same time requests of clients to do so are totally neglected

The year 2003 in France was particularly rich in planned legislative and institutional reforms in the field of psychiatry and mental healthcare. With a deliberate emphasis on what French psychoanalysts thought and sought, this paper underscores some major conceptual confusions and sociological shortcomings which presumably led to a new predicament.

Keywords: psychanalyse, santé mentale, législation, évaluation, France, Psychoanalysis, mental health, legislation, evaluation, France, psicoanálisis, salud mental, legislación, evaluación, Francia

Description of the use of the genogram as an in-clinic evaluation and intervention tool for the risk of act of suicide or for grief caused by suicide. Illustration of the convergence of intrapsychic and interactional factors. Emphasis is placed on the influence of unresolved grief within the previous generations in the family dynamic. The analytical model refers to the intergenerational family approach.

Keywords: suicide, famille, génogramme, suicide, family, genogram

The writer, a psychoanalytic clinician, describes how reading “La Guerre des Tuques” brought her closer to an enigma about infantile sexuality, an enigma that is also summoned in the analytic encounter with children. This inspired a reverie which led to a reflection on analytic work with children, based on a case study. Spanning inter-generational issues, the relation to the infantile in oneself and others as well as the transferential relationship, this reverie's primary aim is to spark reflections rather than provide definite answers.

Keywords: psychothérapie, enfants, infantile, rêverie, transfert, psychotherapy, children, infantile, reverie, transference

La première partie de ce travail consiste en l'étude psychanalytique des souvenirs. Elle présente le premier point de vue proposé par Freud (1895a, 1937), différents points de vue constructiviste ou herméneutique (Freud, 1937; Ricoeur, 1965; Viderman, 1973, 1974; Schafer, 1976, 1980, 1982, 1983; Spence, 1982, 1987) et celui plus spécifique de Laplanche (1986, 1987, 1997a, 1997b, 1998). La deuxième partie reprend la question des souvenirs et de leur remémoration en empruntant des points de vue associés à la psychiatrie et à la psychologie. Elle expose les faits marquants du débat opposant les tenants des faux souvenirs (false memory syndrome) à ceux des souvenirs retrouvés (recovered memory syndrome) en insistant sur les arguments auxquels les uns et les autres recourent pour défendre leurs positions respectives (Albert, …

La qualité de l’alliance thérapeutique est reconnue comme étant un facteur important lié au changement en psychothérapie. Dans le cadre de la psychothérapie d’orientation psychodynamique, il est considéré que les manifestations de résistance et la présence de transfert négatif peuvent créer des tensions nuisant à la qualité de l’alliance thérapeutique. Les études empiriques, ayant investigué l’impact du travail clinique interprétatif de la résistance et du transfert négatif sur la qualité de l’alliance thérapeutique, rapportent des résultats mitigés. Il semble pertinent de réaliser une étude en contexte naturel de psychothérapie psychodynamique permettant d’illustrer l’impact du travail clinique de la résistance et du transfert négatif sur la qualité de l’alliance thérapeutique de manière plus précise. Les objectifs principaux de ce mémoire doctoral sont d’observer et de décrire …