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Objectives The goal of this paper was first to review the contributions of Dr. Camille Laurin in the development of psychiatric services at Albert-Prévost, and more specifically the role he played in promoting psychoanalysis as a modality of thinking which informs the various therapeutic measures with psychic caring and therapeutic relationship as a main focus. Psychoanalysis and psychodynamic psychotherapy are currently taught; this teaching is informed by the contemporary challenges posed by the evidence-based medicine, the neuroscience and the recent technological developments in the field of communication.Methods In the first section of this article, a biographical research was completed. In the second section, a brief review of literature was conducted for each topic discussed.Results Dr. Camille Laurin played a major role in the development of psychoanalytic thinking at Albert-Prévost. His heritage is still alive, mainly in the different courses and training activities offered at the Psychotherapy Center of this institution. The efficacy of the psychodynamic psychotherapy as a treatment has now been confirmed for many years. Even if neuroscience and psychoanalysis are two totally different fields of investigation, each of those disciplines can benefit from an open dialogue. The development of new communication technologies and artificial intelligence could eventually modify the practice of psychotherapy.Conclusion Psychoanalysis in its basic theoretical tenets are still widely taught to psychiatric students who mostly apply its principles when they practice psychodynamic psychotherapy. Dr. Camille Laurin played a significant role in promoting this approach at Albert-Prévost and more generally at the Department of psychiatry and addictions of the Université de Montréal.

Keywords: modernisation, organisation des soins, culture psychiatrique, enseignement, thérapie dynamique brève, psychothérapie psychodynamique, psychanalyse, neurosciences, nouvelles technologies des communications, modernisation, care organisation, psychiatric culture, teaching, brief dynamic psychotherapy, psychodynamic psychotherapy, psychoanalysis, neuroscience, new communications technologies

The “settings” of psychoanalytical work have evolved, because of external (social, political) constraints, or internal ones, i.e., the representations of the effects and processes of change in psychotherapeutic work. Nevertheless, one can remain a psychoanalyst while working in a plurality of contexts and settings. Psychoanalysis is not only defined by its praxis. One can defend, for example, an equivalence between the terms “psychoanalysis” and “psychoanalytic psychotherapy”, the latter referring to a practice which is adjusted to the patient's reality, particularly its clinical and social dimensions. Whatever the setting, whether or not it is a classical analysis, the basis of the psychoanalytic position remains the same. It is an open-minded position and is fundamentally “transdisciplinary”. Such a position is centred on the core aspects of the caring relation—not to be confused with its artifices—, and it transcends the specific features of the concrete setting. The transdisciplinary approach, in psychological care, implies a “sharing” of the caring function. Parental care is a paradigm within this transdisciplinarity. It is always “caring”, because parenthood consists in the care of the child or of the infantile part of the adult who is in care. In this way, parental caring is a « transdisciplinary invariant ». Finally, the psychoanalytical position is also a political position. Psychoanalysis does indeed have a political function: it protects an awareness of subjectivity. The psychoanalyst is expected to take into account the reality of the body as well as social realities, including the political. The adjustments made to psychoanalytical practice are often in answer to political constraints, and in themselves they represent a political act.

Keywords: psychanalyse, psychothérapie psychanalytique, position psychanalytique, position transdisciplinaire, parentalité soignante, invariant transdisciplinaire, position politique, psychoanalysis, psychoanalytical psychotherapy, psychoanalytical position, transdisciplinary position, caring parenthood, transdisciplinary invariant, political position

Les nouvelles modalités d'encadrement de la psychothérapie (NMEP), incluses dans le Projet de loi 21, sont entrées en vigueur en juin 2012. Ces dernières définissent ce qu'est la psychothérapie et réglementent son exercice. Bien qu'il soit possible pour certains travailleurs sociaux d'obtenir un permis de psychothérapeute, seulement une minorité en a obtenu un. Or, selon la recension des écrits scientifiques, il existerait un chevauchement entre le travail social et la psychothérapie. Dans ce contexte, trois questions de recherche ont été formulées afin de documenter les impacts des NMEP. Comment les travailleurs sociaux perçoivent-ils leurs liens avec la psychothérapie? Comment les NMEP affectent-elles les différentes dimensions de la qualité de leur travail? Est-ce que les NMEP ont un impact sur leur satisfaction au travail? Afin d'y …

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

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

Since its opening, in July 1919, Dr. Albert Prévost's sanatorium tried to stand out from others' health care institutions, by offering a therapeutic mainly based on psychotherapy. Far from big and overcrowded asylums or physical therapies, as electrotherapy, used in others private clinics, Dr. Albert Prévost (1881–1926) wanted an institution where he could practice this new form of care he had discovered in Paris and which was yet more and more in vogue in the US. This will to keep the sanatorium at the avant-garde of the science of spirit remained, even after Prevost's death. Indeed, the Sanatorium Prévost, which became the Institut Albert-Prévost in 1955, was during all its existence, a space of experimentation and valorization of the psychiatric sciences' latest discoveries. This is what we want to demonstrate in this paper by following the path and realisations of the sanatorium main physicians, from the founders of francophone Québec neurology like Albert Prévost, Edgar Langlois (1893–1941), Roma Amyot (1899–1980) and Jean Saucier (1899–1968) to the first Québec psychoanalysts Karl Stern (1906–1975), Victorin Voyer (1917–1975) or Camille Laurin (1922–1999). We will yet see that the Sanatorium Albert-Prévost has always been at the cutting edge of psychiatric science, while keeping its own psychotherapeutic approach, centered on the patients' care, on which it had been founded.

Keywords: Sanatorium Prévost, avant-garde, psychothérapie, histoire, science psychiatrique, Sanatorium Prévost, avant-garde, psychotherapy, history, psychiatric science

One response to the growing number of patients consulting with severe psychopathology, and for whom classical psychoanalysis is not indicated, has been to reshape the framework of the psychoanalytic setting. Taking into consideration the transitional-type frame proposed to such patients fosters a reflection on the impact of this reshaping and its therapeutic potential. We examine how psychoanalytic approaches that are not entirely vectorized by language, notably art mediated psychoanalytic psychotherapy, are conducive to making or rendering visible unconscious conflicts and support a “secondary reintrojection” (Baldacci, 2010) through their objectifying power. This paper acknowledges a growing recognition of what the reinvented frame owes to patients themselves (Birot, 2018). The disposition of the psychotherapist to implement the reshaped psychoanalytic frameworks is also examined, which, in the context of artistic mediation, is best captured through the consideration of the representability of the image in its double valence—material and psychic.

Keywords: dispositifs-cadre psychanalytiques remaniés, psychothérapie psychanalytique médiatisée, fonction transitionnelle, médium malléable, figuration, disposition psychique, reshaped psychoanalytic frameworks, art mediated psychoanalytic psychotherapy, transitional function, malleable medium, figurative power, psychic disposition