Cette thèse s’intéresse à la question du diagnostic et du traitement à travers la psychothérapie narrativemédiatisée de syndromes avec hyperreligiosité consécutifs à un traumatisme crânio-cérébral sévère. Desétudes neuroscientifiques ont proposé l’hypothèse que hyperreligiosité post-lésionnelle constitue unetentative de réorganisation de la psyché dans un contexte d’ébranlement du sentiment de soi (Persinger,1993a ; 1993b ; 2003) et ont exploré différents postulats explicatifs de la récurrence de l’expériencereligieuse chez le sujet avec traumatisme crânio-cérébral. Mais un regard psychanalytique permetd’apporter des éléments essentiels à la compréhension de la psychopathologie post-lésionnelle marquéepar l’hyperreligiosité. Le démantèlement de l’appareil psychique, la régression psychique du patientavec une primauté des processus primaires, le retour en force d’agonies primitives, l’émergence detraumatismes antérieurs et l’expérience du handicap sont des conséquences de la lésion cérébrale àconsidérer dans le diagnostic et le traitement de ces syndromes.Cette thèse présente une méthodologie composée de trois enquêtes distinctes.Une enquête phénoménologique (# 1) sera ici présentée afin de pallier au manque de recherchescliniques au sujet des différentes manifestations sémiologiques de l’hyperreligiosité post-lésionnelle.Partant d’un échantillon de trente-deux sujets, elle aura pour objet (1) le recueil de données concernantl’expression sémiologique des syndromes avec hyperreligiosité et (2) l’identification de thématiquesexpérientielles chez des sujets ayant présenté une hyperreligiosité post-lésionnelle. Elle s’appuiera surla passation de deux questionnaires crées dans le cadre de cette étude : le questionnaire de l’expériencereligieuse et le questionnaire de l’émergence de de l’hyperreligiosité post-lésionnelle et des entretiensde recherche qui seront analysés selon la méthode de l’analyse phénoménologique interprétative. Uneenquête fondée sur des sources littéraires (# 2) aura pour objet l’analyse de la thématique existentiellede biographies religieuses écrites par de survivants devenus hyperreligieux après un traumatisme crâniocérébralsévère. Enfin, une enquête en clinique psychothérapique (# 3) sera centrale au sein de cetteétude parce que cette thèse s’intéresse à l’hyperreligiosité en tant que processus potentiellementréorganisateur de la psyché. A travers cinq études de cas et des mesures réalisées à travers des outils(échelle de pensée magique, échelle pensée-action-fusion et test BNIS), la partie clinique de cette thèseaura pour objet de mettre en avant la fonction adaptative de l’expérience religieuse et montrera commentle rétablissement du sentiment de soi est possible par l’utilisation d’actes créatifs, comme le dessin,l’écriture (biographique, poèmes) et le choix d’images, activités qui serviront d’appui restructurationpsychique et cognitive de ces patients. L’utilisation du questionnaire de l’expérience religieuse en tantque grille thématique permettra de considérer les données issues des trois enquêtes de cette étude selondes critères communs. / This dissertation focuses on the diagnosis and psychotherapeutic treatment of patients withhyperreligiosity secondary to a severe traumatic brain injury (TBI). The methodology of this workhas required three separate investigations. A first phenomenological survey (#I) based thirty-twosubjects sample had as an aim (1) to identify the clinical manifestation of syndromes withhyperreligiosity, and (2) to identify experiential themes in subjects who experienced post- lesionalhyperreligiosity. Two questionnaires were created and administered as part of this study: thereligious experience questionnaire, and emergence of post-lesional hyperreligiosity questionnaire.Research interviews analyzed following the interpretative phenomenological analysis method willcomplete the clinical data collection for this survey (#I). A second survey (#II) will consider theanalysis the existential themes of religious biographies written by TBI survivors who reportedrecurrent religious experiences secondary to a traumatic brain injury. A third and main survey(#III) provides a clinical analysis of the therapeutic support of patients with post-lesionalhyperreligiosity. Through five case studies and consistent (every 6 months) administration ofmeasurement tools (magical thinking scale, thought-action fusion scale and test BNIS), this surveydisplays through detailed case studies the adaptive function of religious experience and therestoration of the sense of self though the use of creative acts (drawing, writing biographicalnarratives and poems, commenting on images).Key

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This study proceeds from the assumption that art as a creative modality, is capable of deepening the individual's awareness of the self and the manner in which he communicates and forms relationships with his self as well as with significant others. This assumption is supported by references to personality theory which is essentially client-centred in origin. The study describes and assesses the value of art as a therapy for the emotionally troubled adolescent, focusing on the process rather than the product. The results would indicate that art is therapeutic as the cathartic experience allows the graphic image to speak in symbolic language for the client, allowing the therapist to observe the client's psychic relationships and his coming to terms with his self. / Psychology of Education / M.Ed. (Psychology of Education)

The present research explores a promising therapy – Supportive Expressive Therapy (SET; Luborsky, 1984) – for adolescents with mood and/or anxiety disorders. It has been proposed that therapist expressive techniques (e.g., challenges and interpretations) and client interpersonal mastery (i.e., self-understanding and self-control in relationships) are two elements central to the success of SET (Luborsky, 1984; Grenyer & Luborsky, 1996). The current thesis employs a microprocess approach to examine expressive techniques and interpersonal mastery as potential mechanisms of change in SET. The study first provides preliminary evidence that SET is effective in helping adolescents suffering from internalizing disorders. Clients (N = 10) reported significantly fewer symptoms of depression and anxiety post-therapy. The body of the study then focuses on two research questions pertaining to the microprocesses occurring during SET. First, employing graphical and statistical analyses, the study investigates the notion that SET helps clients develop greater interpersonal mastery. Ten clients’ levels of interpersonal mastery were assessed at four points throughout therapy to determine whether clients demonstrated higher levels of interpersonal mastery over time. Secondly, this dissertation explores the impact of therapist expressive statements on clients' narratives, using a lag sequential analysis. Clients' statements were examined to determine whether higher levels of interpersonal mastery were exhibited following higher-level expressive techniques versus other therapist statements (i.e., supportive statements). Statistical analyses pertaining to the first research question did not reveal significant changes in interpersonal mastery over the course of therapy. However, graphical analyses suggested specific patterns of gains in interpersonal mastery during SET. With respect to the second research question, results demonstrated therapists employed significantly more higher-level expressive techniques in the later stages of SET, in accordance with the guidelines provided in SET manuals. Lag sequential analyses did not, however, provide substantial evidence of gains in interpersonal mastery following higher-level therapist techniques. Despite a lack of evidence supporting a general link between higher-level techniques and increased client mastery, exploratory analyses suggested change-focused expressive statements were linked to fewer client statements reflecting low interpersonal mastery. Future research should examine (1) change-focused statements as potentially important variables fostering improvement, and (2) moderators of client responses to higher-level techniques.

The present research explores a promising therapy – Supportive Expressive Therapy (SET; Luborsky, 1984) – for adolescents with mood and/or anxiety disorders. It has been proposed that therapist expressive techniques (e.g., challenges and interpretations) and client interpersonal mastery (i.e., self-understanding and self-control in relationships) are two elements central to the success of SET (Luborsky, 1984; Grenyer & Luborsky, 1996). The current thesis employs a microprocess approach to examine expressive techniques and interpersonal mastery as potential mechanisms of change in SET. The study first provides preliminary evidence that SET is effective in helping adolescents suffering from internalizing disorders. Clients (N = 10) reported significantly fewer symptoms of depression and anxiety post-therapy. The body of the study then focuses on two research questions pertaining to the microprocesses occurring during SET. First, employing graphical and statistical analyses, the study investigates the notion that SET helps clients develop greater interpersonal mastery. Ten clients’ levels of interpersonal mastery were assessed at four points throughout therapy to determine whether clients demonstrated higher levels of interpersonal mastery over time. Secondly, this dissertation explores the impact of therapist expressive statements on clients' narratives, using a lag sequential analysis. Clients' statements were examined to determine whether higher levels of interpersonal mastery were exhibited following higher-level expressive techniques versus other therapist statements (i.e., supportive statements). Statistical analyses pertaining to the first research question did not reveal significant changes in interpersonal mastery over the course of therapy. However, graphical analyses suggested specific patterns of gains in interpersonal mastery during SET. With respect to the second research question, results demonstrated therapists employed significantly more higher-level expressive techniques in the later stages of SET, in accordance with the guidelines provided in SET manuals. Lag sequential analyses did not, however, provide substantial evidence of gains in interpersonal mastery following higher-level therapist techniques. Despite a lack of evidence supporting a general link between higher-level techniques and increased client mastery, exploratory analyses suggested change-focused expressive statements were linked to fewer client statements reflecting low interpersonal mastery. Future research should examine (1) change-focused statements as potentially important variables fostering improvement, and (2) moderators of client responses to higher-level techniques.

This study proceeds from the assumption that art as a creative modality, is capable of deepening the individual's awareness of the self and the manner in which he communicates and forms relationships with his self as well as with significant others. This assumption is supported by references to personality theory which is essentially client-centred in origin. The study describes and assesses the value of art as a therapy for the emotionally troubled adolescent, focusing on the process rather than the product. The results would indicate that art is therapeutic as the cathartic experience allows the graphic image to speak in symbolic language for the client, allowing the therapist to observe the client's psychic relationships and his coming to terms with his self. / Psychology of Education / M.Ed. (Psychology of Education)

The study reports on the development of a photo therapy tool for educational psychologists within the South African context. A literature study explores the nature, advantages, characteristics and the application of photo therapy with clients in a therapeutic setting. The developmental intervention research design guided the practical development of an electronic photo therapy tool that can be applied by educational psychologists in a therapy setting with clients. The empirical research is qualitative in nature, as the effectiveness of the newly developed photo therapy tool is evaluated by emerging adults and educational psychologists as an intervention strategy. In order to accomplish this purpose, emerging adults, as well as educational psychologists shared their perceptions of the newly developed photo therapy tool. Thus the usefulness of the photo therapy tool was investigated as an intervention approach. Qualitative data generation techniques, focus group interviews and photographs were utilised. The research results show that the newly developed electronic photo therapy tool has the potential, as a modern therapeutic tool, to be used by educational psychologists as an intervention strategy. The developmental intervention research design is a continuous process, and as the life world is forever changing, improvements to the photo therapy tool can always be added according to new suggestions and ideas. The findings allow theorisation about the significance of the photo therapy tool. The study further determines that there is definite potential in the electronically created photo therapy tool, as both the young adults and the educational psychologists perceived the photo therapy tool as a possible and valuable tool in the therapeutic intervention process. / Psychology of Education / D. Ed. (Educational Psychology)

Title: Supervision with Visual Art Expression Author: Bc. Andrea Hanzlová ABSTRACT Although art expression has been widely used in both art therapy and supervision in the Czech Republic, its distinctive features, added value and possible drawbacks in supervision have been researched less extensively than in art therapy. Here I explore what art expression brings into supervision, what new perspectives it can offer and what obstacles may dissuade supervisors from employing certain approaches. A qualitative content analysis of semi- structured interviews on the sample of 12 respondents revealed four thematic areas: Definition of creative art process, phases and content; Drawbacks and Benefits of working with art expression; The role of education in used methods and approaches. The results show an unexpectedly wide range of methods that Czech supervisors and supervisees employ when dealing with art expression in supervision, as well as the extent or absence of some approaches. One possible reason could be the lack of legislative anchoring compared to countries such as the UK and USA. Key words: expression, visual creative process, artefact, expressive therapy, art therapy, supervision, supervision of art therapies

This exploratory and descriptive investigation used the case study as research strategy to indi cate how writing may be used as a specialised form of therapy for an adolescent in the phase of mid-adolescence. The study researched and consolidated a body of knowledge concerning writing in a therapeutic context, while highlighting the Gestalt therapeutic approach. Its empirical integration culminated in a method for the use of therapists who irrespective of their therapeutic orientation wish to apply writing in therapy with adolescents. The dissertation argues that writing practised from a Gestalt therapeutic perspective should move gradually from being a tool of self-expression to becoming one of self-nurturing. It should guide the client through a process of self-regulation to a point of self-support. In such a process, writing in therapy will evolve into writing as therapy, a therapy practised by the client her- or himself as a means of achieving equilibrium. / Social Work / M. Diac. (Play Therapy)

This exploratory and descriptive investigation used the case study as research strategy to indi cate how writing may be used as a specialised form of therapy for an adolescent in the phase of mid-adolescence. The study researched and consolidated a body of knowledge concerning writing in a therapeutic context, while highlighting the Gestalt therapeutic approach. Its empirical integration culminated in a method for the use of therapists who irrespective of their therapeutic orientation wish to apply writing in therapy with adolescents. The dissertation argues that writing practised from a Gestalt therapeutic perspective should move gradually from being a tool of self-expression to becoming one of self-nurturing. It should guide the client through a process of self-regulation to a point of self-support. In such a process, writing in therapy will evolve into writing as therapy, a therapy practised by the client her- or himself as a means of achieving equilibrium. / Social Work / M. Diac. (Play Therapy)