There are two reasons to reflect upon the possibility of doing therapy over the Internet. The first is the dearth of therapists in some regions. The second invites us to think about the setting Freud imagined as a particular instance of a general theory and to explore other variants that could be adjusted to fit new psychopathologies. In any case, online therapy requires a protocol involving spatial and temporal references, as well as financial agreement and confidentiality.
Passion between friends in adolescence is here conceived of as having two aspects, positive and negative. The narcissistic-objectal conflict belonging to adolescence resonates with the adolescent process; passion may be supportive and organizing as opposed to disorganizing and hampering. The quantitative overflow that it inflicts on the psychical apparatus requires an adaptation of the technique of psychoanalytical psychotherapy used with adolescents.
This article will attempts to envision what is specific to adolescent psychotherapies using two clinical cases. The first evokes a form of “ideal of being there”, where the clinician is a benevolent interlocutor accompanying the adolescent’s intrapsychical readjustments. In the second, family disorder, among other things, hampers the encounter with the adolescent in the here and now of the session.
François and his father, sharing a first name, form a duo with paranoiac functioning. With the onset of puberty, this system broke down. François was treated in a day hospital. The institutional psychoanalytic psychotherapy offers necessary flexibility, especially salutary opportunities to adapt the treatment setting. This work carried out as a team helped to develop a particular approach to this family.
The death wishes dealing with the same sex parent usually stay in the fantasmatic sphere and can’t find an acted way. How integrate the symbolic murder of a father died in an accident, who was felt on intense ambivalence before his death ? It is the Paul situation, young man of nineteen years old ; the extracts of his psychotherapy show hom the maintenance of the father idealization, becomed an idol, contribute to inelaborate this loss.
The sacrament of Confirmation is one of the three sacraments together with the Christening and the Eucharist which builds the Christian initiation in the Catholic Church. This was the concern of a young teenager who went for psychoanalysis and it occurred that the religious Rite was actually questioned in its interaction with the process of young adulthood. On one hand, the confirmation can be seen as a symbolic act because of the reference to the Holy Spirit and in the fact that it includes some special gestures and words which will allow the confirmed to be integrated into the Christian community. This marks a maturation of the Christian faith. It allows the Confirmed to make its own appropriation of the questions of life, death and find his (or her) identity. It also marks the position of the confirmed in relation with his (or her) forefathers. It brings a support by the representatives of the same faith who are passing this inheritance. This sacrament can also bring new responsibilities. On the other hand, it does not take into account the physical transformations in the teenager who has to integrate his or her gender. After all, it seems that it is set in ideal world.
Risk taking behaviours are a way for the teen to fight against it suffering. Resolution are numerous. They include cultural practices such as theatre, music, sport, etc. or encounters. Analytic psychotherapy is worth for the teen that accept this principal. But it involves some adjustment of the setting, and an involvement of the psychotherapist. The quality of relation is as important as the content of the words exchanged.
After having the described the ordinary complaints, as a necessity in those days of adolescence, our text, starting from a few clinical vignettes, shows the several specificities of the surge and the therapeutic approach of the adolescent complaint. The part played by a traumatic scene liable to expresse the complaint and its content are facts of a narcissistic cathexes specifically intertwined with libidinal cathexes are thus considered as typical of complaint at adolescence.
Starting from a psychotherapy session with a nineteen years old adolescent girl, the author shows the articulation between » the narrative of action » within the psychotherapy sessions and the externalized space where the action took part.
The author underlines how this » widened psychotherapeutic space » can be usefully used by the adolescent patient to integrate his internal conflicts by these externalized actions, when these actions are articulated with their representation during the psychoanalytic cure, inside the transference neurosis.
Can clinical psychoanalysis be useful in helping adolescent war victims ? What remains of the specificity of adolescence after serious trauma ? The author attempts to answer these questions by means of three clinical examples of adolescents whose psychical functioning was seriously compromised by traumatic experiences during the war in Bosnia.
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