Au sein de la périnatalité organisée en réseau(x), entre les objectifs préventifs et thérapeutiques attendus pour les bébés et leurs parents et les vécus concrets, des écarts sont à constater. Nous avons dans cette recherche souhaité proposer quelques pistes de réflexion concernant ces constats : notre démarche en psychopathologie et psychologie clinique s’associe à un positionnement ethnopsychologique, psychanalytique et systémique, pour aborder la complexité de cette problématique.Notre hypothèse est que la compréhension du travail psychique des réseau(x) de soins, ici situés autour de la Naissance, passerait par :1) la prise en compte de l’existence d’un « réseau dans la tête » de chaque protagoniste de l’enfantement, professionnel et parent, en tant que formation psychique spécifique des groupalités intra, inter et trans-subjective de la réticularité2) le fait d’envisager les résistances et ressources propres aux exigences de ce travail psychique en réseau, qui entravent et/ou étayent les qualités dynamiques des processus perceptifs, relationnels et communicationnels3) le principe selon lequel ces processus perceptifs fragilisent et/ou soutiennent les qualités potentiellement préventives et thérapeutiques de cette organisation de soins spécifiques à la mise et à la venue au monde des enfants.4) l’idée que cette organisation des soins se modélise en réticularité pour permettre une adaptabilité des processus psychiques défensifs, groupaux et singuliers plus ou moins conscientisés, face aux émergences et réminiscences mobilisées par le phénomène de la Naissance.Le recueil des perceptions attenantes au réseau périnatal et à la place de chacun au sein de cette organisation, a été effectué selon la méthode ethnobiographique auprès des protagonistes de l’enfantement (familles et professionnels) en Languedoc-Roussillon, de 2005 à 2009, au sein de services d’obstétrique, de pédiatrie et de pédopsychiatrie périnatale. A partir de l’analyse de ces données et de trois vignettes cliniques, sont questionnés ici les élaborations et les processus psychiques participant et procédant des liens institués autour de la Naissance. L’analyse, étayée de certains apports des théoriciens du chaos, aboutit à établir peu à peu un modèle de compréhension du travail psychique propre aux réseaux de soins, dont notamment la périnatalité. Ce modèle propose de procéder par :- l’analyse psychologique simultanée des situations cliniques en cinq focales ; niveau singulier conscient, niveau singulier inconscient, niveau groupal conscient, niveau groupal inconscient et selon les différentes strates du réseau (réseau-dispositif ; réseau local-informel ; réseau de proximité formalisé ; réseau-famille ; réseau-professionnel ; réseau dans la tête).- le repérage et l’instrumentalisation des protagonistes-clés de cette méthodologie ; le référent, le répondant et le préoccupé.Face aux mobilisations convoquées par l’enfantement, chacun et tous, familles et professionnels, mettent en place des processus et des élaborations psychiques propres au domaine de la périnatalité réticulaire, à travers des dynamiques psychiques complexes, où le sujet apparaît de, dans, entre et à travers le(s) groupe(s), afin de permettre une adaptabilité défensive adéquate face aux éprouvés participant et procédant de la mise et de la venue au monde des enfants. Entre exigences et possibilités de chacun et de tous, il s’agit d’un tissage dynamique, entre accordages et désaccordages intra, inter et trans-subjectifs : groupalités psychiques réticulaires, réseau(x) dans la tête, dont les qualités en termes de flexibilité et/ou de rigidification, vont permettre, ou peu, ou pas, les potentialités créatrices de la Naissance, dans des contextes préventifs et thérapeutiques / In the context of perinatal nexus, there are differences between the preventive and therapeutic purposes set for the baby and her/his parents on one hand and actual experiences on the other hand. In this research, we wish to develop some reflections about these differences, by mainly resorting to clinical psychology and psychopathology approaches, with ethno-psychological, psychoanalytic and systemic views to grasp the complexity of this theme. Our hypothesis is that a better understanding of the mental shaping of network around the birth could proceed from : - acknowledging this mental shaping in network for each and all partners, professional and parent, as specific mind shaping of network in intra, inter and trans-subjective groups. - taking into account the resistances and resources fitted to mental shaping of network, that hinder and/or support the dynamic qualities of perceptive processes that partake and originate in this care organisation and which weaken and/or prop up its preventive and therapeutic potentialities.Using an ethno-biographical method, a data collection of the birth protagonists’ (the families and medical-nursing staff) perceptions of perinatal nexus and the part played by each one of them in it, made in obstetric, paediatric and child psychiatric units, in Languedoc-Roussillon, from 2005 to 2009. From the data analysis and from three clinical examples, were particularly examined psychological elaborations and processes that originate and partake in the established birth nexus. This analysis, made complete with some contributions of chaos theoreticians, leads to a pattern of understanding of the mind shaping in this specific perinatal network. This model suggests to proceed from : - simultaneous psychological analysis of clinical situation in five levels ; conscious individual level, unconscious individual level, conscious group level, unconscious group level and various network levels (system-network, locally and informally network, formal closeness network, family-network, professional-network, mental shaping in network). - the key-protagonists’ identification and instrumentalization of this method; “the” referent, “the” guarantor and “the” involved.Facing thoughts about child birth, everyone (the families and medical-nursing staff) sets up psychological elaborations and processes that originate and partake in specific perinatal nexus, through psychological and complexe dynamics, which emerges the subject “from”, “in”, “between” and “through” human group(s), in order to permit adequate defensive adaptability when facing feelings partaking and originating in coming and bringing into the world. In between the demands and possibilities of each protagonist, a dynamic weaving of thoughts is ranging from being tune to being out of tune : there lies a mind shaping of network whose flexibility and/or rigidity can or cannot much entice, creative potentialities on human birth, in preventive and therapeutic context

Sustainable performance of buildings has become a major concern among construction industry professionals. However, sustainability considerations are often treated as an add-on to building design, following ad hoc processes for their implementation. As a result, the most common problem to achieve a sustainable building outcome is the absence of the right information at the right time to make critical decisions. For design team members to appreciate the requirements of multidisciplinary collaboration, there is a need for transparency and a shared understanding of the process. The aim of this study is to investigate, model, and facilitate the early stages of Building Information Modelling (BIM) enabled Sustainable Building Design (SBD) by formalising the ad hoc working relationships of the best practices in order to standardise the optimal collaboration workflows. Thus, this research strives to improve BIM maturity level for SBD, assisting in the transition from ad hoc to defined , and then, to managed . For this purpose, this study has adopted an abductive research approach (iterative process of induction and deduction) for theory building and testing. Four (4) stages of data collection have been conducted, which have resulted in a total of 32 semi-structured interviews with industry experts from 17 organisations. Fourteen (14) best practice case studies have been identified, and 20 incidents narratives have been collected applying the Critical Decision Method (CMD) to examine roles and responsibilities, resources, information exchanges, interdependencies, timing and sequence of events, and critical decisions. As a result, the research has classified the critical components of SBD into a framework utilising content and thematic analyses. These have included the definition of roles and competencies that are essential for SBD along with the existing opportunities, challenges, and limitations. Then, Schedules of Services for SBD have been developed for the following stages of the RIBA Plan of Work 2013: stage 0 (Strategic Definition), stage 1 (Preparation and Brief), and stage 2 (Concept Design). The abovementioned SBD components have been coordinated explicitly into a systematic process, which follows Concurrent Engineering (CE) principles utilising Integrated DEFinition (IDEF) structured diagramming techniques (IDEF0 and IDEF3). The results have identified the key players roles and responsibilities, tasks (BIM Uses), BIM-based deliverables, and critical decision points for SBD. Furthermore, Green BIM Box (GBB) workflow management prototype tool has been developed to analyse communication and delivery of BIM-enabled SBD in a centralised system (Common Data Environment, CDE). GBB s system architecture for SBD process automation is demonstrated through Use Case Scenarios utilising the OMG UML (Object Management Group s Unified Modelling Language) notation. The proposed solution facilitates the implementation of BIM, Information Communication Technology (ICT), and Building Performance Analysis (BPA) software to realise the benefits of combining distributed teams expertise holistically into a common process. Finally, the research outcomes have been validated through academic and industrial reviews that have led to the refinement of the IDEF process model and framework. It has been found that collaborative patterns are repeatable for a variety of different non-domestic building types such as education, healthcare, and offices. Therefore, the research findings support the idea that a detailed process, which follows specified communication patterns, can assist in achieving sustainability targets efficiently in terms of time, cost, and effort.