This single case study was undertaken to determine how the Gestalt approach can be used to guide the child to adjust in a children's home. The study dealt with two models of children's homes, namely the traditional setting and the family centered home setting, as well as adjustment and attachment of a single child's experience in the middle school years, in the family centered home setting. In addition, the trauma, loss and culture shock are highlighted to demonstrate the difficulty children experience in adjusting to a new environment such as a children's home. Data were captured around the participant's experience and process, entering the children's home and the facilitating through intervention. Through the intervention the participant's process was identified, helping him to cope with his new situation. Through Gestalt play therapy the participant's active involvement in his adjustment process was clear and his adjustment was increased. / Social work / MDIAC (PLAY THERAPY)

La méthodologie de l’évaluation en psychothérapie s’est longtemps limitée aux résultats issus d’essais cliniques comparatifs de groupes. L’objectif, engagé dans les années 2000, de comprendre ce qui cause son efficacité a engagé un renouvellement méthodologique. Son application concrète est peu documentée. La première partie présente, à partir d’une revue de la littérature centrée sur l’introduction de la recherche sur le processus associée aux résultats, comment le paradigme interactionnel multifactoriel de la psychothérapie a stimulé le développement de méthodes adaptées à la complexité et à l’observation en conditions naturelles. La seconde partie introduit autour de cinq axes principaux les questions méthodologiques générales et spécifiques de cette nouvelle orientation : 1. une épistémologie interactionnelle et transactionnelle ; 2. Un recentrage sur les études mixtes intensives de cas ; 3. Une investigation clinique et théorique multifocale des processus et mécanismes de changement ; 4. une forte relation clinicien-chercheur ; 5. une approche statistique innovante. La troisième partie expose l’expérience et les questions soulevées par la mise en œuvre de ce programme dans le cadre d’un réseau de recherche clinique centré sur les pratiques, du recueil des données jusqu’à l’analyse des processus et mécanismes de changement, et les résultats qui en sont issus. La quatrième partie présente une revue détaillée de la littérature. Ce travail devrait favoriser les collaborations avec les disciplines connexes et l’efficience des traitements par une meilleure connaissance des conditions et des mécanismes de changement associée au développement d’une base de données issue d’études de cas. / The methodology of assessment in psychotherapy has long been limited to results from comparative group clinical trials. The objective, expressed in the 2000s, to understand what is causing its effectiveness has involved a methodological renewal. Its concrete application is poorly documented. The first part presents, from a review of the literature focusing on the introduction of research on the process associated with outcomes, how the multifactorial interactional paradigm of psychotherapy has stimulated the development of methods adapted to the complexity and observation in natural conditions. The second part introduces the general and specific methodological questions of this new orientation around five main axes: 1. an interactional and transactional epistemology; 2. A refocusing on intensive mixed case studies; 3. A multifocal clinical and theoretical investigation of the processes and mechanisms of change; 4. a strong clinical-researcher relationship; 5. an innovative statistical approach. The third part presents the experience and issues raised by the implementation of this program as part of a practice-oriented clinical research network, from data collection to analysis of processes and mechanisms of change, and results. The fourth part presents a detailed review of the literature. This work should foster collaborations with related disciplines and treatment efficiency through a better understanding of the conditions and mechanisms of change associated with the development of a case study database.

This single case study was undertaken to determine how the Gestalt approach can be used to guide the child to adjust in a children's home. The study dealt with two models of children's homes, namely the traditional setting and the family centered home setting, as well as adjustment and attachment of a single child's experience in the middle school years, in the family centered home setting. In addition, the trauma, loss and culture shock are highlighted to demonstrate the difficulty children experience in adjusting to a new environment such as a children's home. Data were captured around the participant's experience and process, entering the children's home and the facilitating through intervention. Through the intervention the participant's process was identified, helping him to cope with his new situation. Through Gestalt play therapy the participant's active involvement in his adjustment process was clear and his adjustment was increased. / Social work / MDIAC (PLAY THERAPY)