Cette thèse vise à mettre à l'épreuve les apports théoriques, dans un regard psycho-dynamique à partir d'un ancrage clinique et projectif, afin de comprendre le délicat tissage entre inscription temporelle et processus dans un travail d’articulation ; que propose le questionnement sur la perception des trois temps (passé, présent et futur), et de la spécificité d’inscription dans une situation non-figuratif au test du Rorschach, ainsi que processus d’enregistrement le récit au test du TAT. Si le caractère discontinu des évènements s'avère non structurant chez le déprimé anxieux, sur fond de la non continuité et de défaut de la permanence garanti par une relation objectale, à l'autre insuffisamment étayant, dont le psychisme se décompose dans la dépression anxieuse, revivre le passé et l'attente emporte souvent le sujet dans un abîme d'angoisse dans lequel il se perd. Ne pouvant plus s’ancrer dans le présent dans un mouvement d’élaboration et de symbolisation psychique, et, en miroir, engouffrant tout possible pour l'avenir, le sujet dit « déprimé anxieux » se retrouverait, paradoxalement, enfermé dans une impasse temporelle, se figure dans un spirale temporelle barré, sans écart qui potentialise son investissement pulsionnel, narcissique et objectal. / This thesis aims to test theoretical contributions in a psycho-dynamic look from a projective clinical anchorage and to understand the delicate weaving between time registration and work processes in a joint; proposed questioning the perception of the three times (past, present and future), and specific registration in a non-representational situation in the Rorschach test and the account registration process to test the TAT. If the discontinuous nature of the events proves not structured in anxious depressed, amid the non continuity and lack of permanence secured by a object relation, to the other supporting insufficiently whose psyche decomposes in anxious depression , relive the past and expectation often takes the subject into a abyss of anguish in which he loses. No longer able to anchor in this development in a movement and psychic symbolization, and, mirror, engulfing everything possible for the future, the subject says "anxious depressed" would end up, paradoxically, locked in a dead time if contained in a temporal barred spiral without gap which potentiates its instinctual investment, and object-narcissistic.

Background: Earlier clinical studies have suggested consistent differences between anxious and non-anxious depression. The aim of this study was to compare parental pathology, personality and symptom characteristics in three groups of probands from the general population: depression with and without generalized anxiety disorder (GAD) and with other anxiety disorders. Because patients without GAD may have experienced anxious symptoms for up to 5 months, we also considered GAD with a duration of only 1 month to produce a group of depressions largely unaffected by anxiety. Method: Depressive and anxiety disorders were assessed in a 10-year prospective longitudinal community and family study using the DSM-IV/M-CIDI. Regression analyses were used to reveal associations between these variables and with personality using two durations of GAD: 6 months (GAD-6) and 1 month (GAD-1). Results: Non-anxious depressives had fewer and less severe depressive symptoms, and higher odds for parents with depression alone, whereas those with anxious depression were associated with higher harm avoidance and had parents with a wider range of disorders, including mania. Conclusions: Anxious depression is a more severe form of depression than the non-anxious form; this is true even when the symptoms required for an anxiety diagnosis are ignored. Patients with non-anxious depression are different from those with anxious depression in terms of illness severity, family pathology and personality. The association between major depression and bipolar disorder is seen only in anxious forms of depression. Improved knowledge on different forms of depression may provide clues to their differential aetiology, and guide research into the types of treatment that are best suited to each form.