Abstracts
Résumé
L’article identifie trois niveaux de mentalisation de la souffrance : agonie, détresse et tristesse adaptative. L’agonie est l’expérience d’une souffrance non représentée; la détresse est l’expérience d’une souffrance représentée, mais trop « entière » ou concrète pour être gérée subjectivement; la tristesse adaptative est une souffrance représentée et tolérée qui facilite l’élaboration de la perte. L’abord clinique de ces qualités de souffrance est souvent limité à savoir s’il faut amplifier l’expérience de la souffrance ou s’il faut la soulager. L’article propose que la souffrance mal mentalisée doit être transformée afin d’aider les clients à « souffrir mieux ».
Mots-clés :
- mentalisation,
- souffrance,
- tristesse,
- détresse,
- agonie,
- dépression
Abstract
This paper identifies three levels of mentalization of suffering : agony, distress, and adaptive sadness. Agony is an unrepresented experience of suffering; distress is a represented experience of suffering which is too concretely felt to be dealt with subjectively; adaptive sadness is a type of suffering which is represented and tolerated, and facilitates the elaboration of loss. Clinical interventions with these qualities of suffering are often limited to either amplifying of relieving suffering. The paper proposes that unmentalized suffering should be transformed in order to help clients “suffer better”.
Keywords:
- mentalization,
- suffering,
- sadness,
- distress,
- agony,
- depression
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Appendices
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