Psychoanalytically-oriented therapeutic arrangements involving digital mediation have been the object of study for several years now. This article will show how a remote digital setting was cobbled together during the lockdown and the transference and counter-transference issues that this entailed. The effects of a therapeutic framework created using a video game played remotely will be explored in the analysis of the echoes of the pubertary process of the adolescent patient.
Les dispositifs de médiation numériques d’orientation psychanalytique sont étudiés depuis quelques années. Dans cet article, nous présenterons le bricolage, en lien avec le confinement, d’un dispositif numérique à distance et ses enjeux transféro–contre-transférentiels. Les effets du cadre thérapeutique créé avec un jeu vidéo à distance seront interrogés dans l’analyse des échos sur le processus pubertaire du patient adolescent.
The author explores the therapeutic potential of storytelling mediation, using her experience with a group therapeutic setting for hospitalized adolescents. How does that mediation provide the encounter with a psychoanalyst and the beginning of a therapeutic process? Regarding the symbolizing potential of storytelling, how would its use in a therapeutic setting facilitate the organization of traumatic experiences associated with puberty, echoing the dream work?
L’auteure interroge les potentialités thérapeutiques offertes par la médiation conte, partant de l’expérience d’un dispositif groupal proposé à des adolescents hospitalisés. Comment cette médiation facilite-t-elle la rencontre avec un analyste et l’initiation d’un processus thérapeutique ? Au regard des potentialités symbolisantes que revêt le conte, comment son utilisation dans un cadre thérapeutique facilite l’organisation des vécus traumatiques liés à la puberté, en écho au travail de rêve ?
Group work using mediations can help with symbolization in the treatment of vulnerable adolescents. As with psychodrama, the “found/created” group setting – in this case made up of adolescents from a therapeutic group home – supported by narrativity (maps, fantastic stories, illustrated and shared storytelling) can mobilize an inter-fantasizing dynamic, thus undoing the violence of incorporated traumatic experiences that can stagger the adolescent process.
Le travail groupal avec médiations peut soutenir la symbolisation dans les soins aux adolescents vulnérables. Comme dans le psychodrame, le dispositif d’un groupe « trouvé/créé » – ici avec des jeunes d’un hébergement thérapeutique – et le support de la narrativité (cartes, histoires fantastiques, récit imagé et partagé) peuvent mobiliser une dynamique d’interfantasmatisation et déjouer ainsi la violence d’incorporats traumatiques qui sidèrent les processus d’adolescence.
The psychic suffering of adolescent girls at school often takes the form of verbal aggression, for the most part trivialized by young people while decried by professionals. Using a study carried out with school principals, this paper explores the defensive function of this trivialization as a way of putting the force of drives at a distance, of expressing narcissistic preoccupations, and of dealing psychically with the intrusion of puberty and the question of identity. Mediation workshops are presented as an opportunity to treat these issues in a different way, a way that is more open to oneself and to others.
This paper offers us an opportunity to present and explore a treatment based on corporal mediation for adolescents hospitalized in a child psychiatric ward. We will show how the proposal to use fabrics and mime as a space for mobilizing the body, can be a support for subjectivation and psychic transformation, especially at this period of life.
The paper describes the cure of an adolescent who had been formerly an austistic child suffering from time anxiety, using video as “ symbolizing mediation ” in a day hospital. The author streses quite a few clinical conditions enabling that very adolescent to leave behind a state of chaos and timeless psychotic excitment. The analysis of the psychological impac of video as a technical apparatus enables one to undesrtand that a cathexis in some mastery fixes a nd controls time, whereas the hallucinatory presentifies it again and defers it for a brief moment of eternity. By building some specific containing therapeutic position, the author allows the adolescent to find a new orientation for tme which he can modulate in term of drives then enabling him to create a vital minimum of time continumm. A final clinical sequence shows the passage from a state of anxiety in terms of panic urge, within the tims of separatin, towards the possibility to think with serenity that there may be a time for reunion. From all these observations, the author stresses a few stanpots for a psychoanalytic theory of the severeal times at work in thought processes.
Once considered a body instance, this instance is very often seen as being endangered by the pubescent process. Inversely, we wish to show how mediated therapies, and in particular balneotherapy, are especially relevant during adolescence, in helping to restore this instance, which, thanks to the psychotherapeutic process, can recover its status as a vector of figuration.
Revue semestrielle de psychanalyse, psychopathologie et sciences humaines, indexée AERES au listing PsycINFO publiée avec le concours du Centre National du Livre et de l’Université de Paris Diderot Paris 7