Cette thèse porte sur la fonction de chef d’établissement. Le travail s’inscrit dans le cadre d’une approche clinique d’orientation psychanalytique et s’appuie sur la mise en œuvre de six entretiens cliniques auprès de chefs d’établissement ayant expérimenté des dispositifs d’analyse de pratiques professionnelles. Dans la première partie, l’expérience de la chercheuse elle-même comme chef d’établissement est relatée dans la perspective d’affiner le questionnement à la base de l’étude. Puis, la méthodologie de l’entretien clinique utilisée pour ce travail ainsi que l’approche théorique choisie sont présentées. L’analyse des textes officiels ainsi que celle de plusieurs recherches et témoignages concernant cette fonction de chef d’établissement, sous l’angle de son évolution récente, en fait ressortir les spécificités actuelles. La deuxième partie est consacrée à l’analyse des six entretiens et à leur mise en perspective. Ces analyses montrent qu’occuper un tel poste influe profondément sur l’identité professionnelle du titulaire, ce dernier se trouvant très mobilisé par l’attention à apporter aux relations humaines dans cette fonction de direction. La question de la formation à mettre en œuvre pour préparer les chefs d’établissement à cette nouvelle situation professionnelle se trouve posée. Enfin, les témoignages des praticiens sur les dispositifs d’analyse de pratiques auxquels ils ont participé permettent d’envisager que ce type de formation puisse leur procurer un accompagnement utile pour négocier au mieux les aspects relationnels de cette profession. Ce dispositif d’analyses de pratiques pourrait ainsi occuper une place plus large au sein de leur formation. / The following thesis tackles the subject of being a headmaster. This experience is related from a psychoanalytical point of view and uses six different examples of headmasters who have experimented with analysing their own practice. The first part narrates my story as a former headmaster so as to offer a better understanding of which questions to ask the other headmasters. Then, the essay revolves around the methodology and theoretical approach I used for this work. Analysing the acts of the official gazette as well as the research work and testimonies made by some of my peers on the subject allowed me to enhance the current specificities of the job. The second part details the six interviews I had with my fellow headmasters. They all said that having such a position had a deep impact on their professional identity and that it taught them to put the emphasis on human relationships in their job. This raises the question of the training one has to elaborate to prepare young headmasters to cope with their new position. Finally, the interviewees mentioned the group sessions they took part in to analyse their professional practice, insisting that these sessions helped them better negotiate the relational aspects involved by their job. Thus, this essay develops the idea that setting up group sessions to help headmasters analyse their professional practice should play a bigger part in their training.

Face às transformações sócio-culturais ocorridas ao longo do século XX, que favoreceram a predominância de configurações psicopatológicas distintas das neuroses, a metapsicologia freudiana passou por críticas e revisões, que visavam tanto compreender quanto tratar essas patologias que desde então ficaram em evidência. O narcisismo se mostrou um conceito central nessa reformulação teórica, que permitiu a construção de uma segunda teoria tópica do aparelho psíquico, quando o inconsciente deixou de ser entendido como subproduto da consciência. Neste novo modelo, embora o conflito edipiano ainda mantenha um lugar de destaque na cena psíquica, sua importância no desvelamento dos processos de instauração das psicopatologias passou a um plano secundário. A aquisição de um sentido vital e o desenvolvimento de estilos subjetivos como tributários das marcações sensoriais estabelecidas nos primórdios da relação materno-infantil passaram, radativamente, a ocupar um lugar de destaque na teorização psicanalítica e, consequentemente, os processos infralingüísticos adquiriram relevo como moduladores da eficácia da cura pela palavra. Neste trabalho discuto aspectos de algumas das intuições freudianas acerca da forma como se constitui um psiquismo em sua teorização, e apresento a relevância de contribuições à sua teoria, realizadas por psicanalistas como Ferenczi, Winnicott, Anzieu e Haag, entre outros. A contribuição desses autores para a o entendimento das condições e obstáculos para o estabelecimento de um Eu capaz de agir de forma criativa na interação com seu meio, permite que se pense no fenômeno humano em uma perspectiva que rompe com os dualismos - aos quais Freud se manteve aderido - e compreende a subjetivação como um processo complexo e interminável. A categoria sensorialidade desempenha um papel significativo e precisa ser considerada na compreensão dos fenômenos que emergem no campo transferencial. Apresento um caso clínico como fio condutor e como ilustração da importância de seu resgate na prática da terapia psicanalítica contemporânea, visto que pretendo reafirmar a soberania da clínica para interpelar a teoria e enriquecê-la. / The social-cultural transformations which occurred during the 20th century, favored the prevalence of new psychopathological configurations, which were different to classical neuroses. As a result, the Freudian meta-psychology was submitted to criticisms and revisions, which intended not only to understand but also to treat those pathologies that were in evidence ever since. Narcissism became a central concept in that theoretical reformulation, which allowed for the construction of a second topical theory of the psychic apparel, in which the unconscious was no longer conceived of as being a by-product of the conscience. In this new model, although the Oedipian conflict still maintains a prominent place in the psychic scene, its importance in the establishment of psychopathologies was driven to a secondary level. The acquisition of a vital sense and the development of subjective styles as a tributary of the sensorial demarcations established in the beginning of the maternal-infantile relationship gradually occupied a prominent place in the psychoanalytical theory and, as a result, the infra-linguistic processes acquired relief as modulators of the effectiveness of the talking cure. In this work, aspects of some of the Freudian intuitions concerning the way in which a psyche is constituted in theory, is discussed, and the relevance of contributions to such theory, according to psychoanalysts such as Ferenczi, Winnicott, Anzieu and Haag, among others, is also presented. The contributions of such authors to the understanding of the conditions and obstacles necessary for the establishment of an "Ego" which is capable of acting in a creative manner while interacting with its environment, allows us to think of the human phenomenon in a perspective that breaks with the dualisms - to which Freud remained stuck - and permits one to understand subjection as a complex and endless process. Sensoriality is a category that acquires a significant paper in the understanding of the phenomena present in the transferencial field, and its importance must be recognized. A case history is presented as a conductive thread and illustration of the importance of its ransom in contemporary psychoanalytical practice, aiming at reaffirming the sovereignty of the clinical to question and enrich the theory.

Face às transformações sócio-culturais ocorridas ao longo do século XX, que favoreceram a predominância de configurações psicopatológicas distintas das neuroses, a metapsicologia freudiana passou por críticas e revisões, que visavam tanto compreender quanto tratar essas patologias que desde então ficaram em evidência. O narcisismo se mostrou um conceito central nessa reformulação teórica, que permitiu a construção de uma segunda teoria tópica do aparelho psíquico, quando o inconsciente deixou de ser entendido como subproduto da consciência. Neste novo modelo, embora o conflito edipiano ainda mantenha um lugar de destaque na cena psíquica, sua importância no desvelamento dos processos de instauração das psicopatologias passou a um plano secundário. A aquisição de um sentido vital e o desenvolvimento de estilos subjetivos como tributários das marcações sensoriais estabelecidas nos primórdios da relação materno-infantil passaram, radativamente, a ocupar um lugar de destaque na teorização psicanalítica e, consequentemente, os processos infralingüísticos adquiriram relevo como moduladores da eficácia da cura pela palavra. Neste trabalho discuto aspectos de algumas das intuições freudianas acerca da forma como se constitui um psiquismo em sua teorização, e apresento a relevância de contribuições à sua teoria, realizadas por psicanalistas como Ferenczi, Winnicott, Anzieu e Haag, entre outros. A contribuição desses autores para a o entendimento das condições e obstáculos para o estabelecimento de um Eu capaz de agir de forma criativa na interação com seu meio, permite que se pense no fenômeno humano em uma perspectiva que rompe com os dualismos - aos quais Freud se manteve aderido - e compreende a subjetivação como um processo complexo e interminável. A categoria sensorialidade desempenha um papel significativo e precisa ser considerada na compreensão dos fenômenos que emergem no campo transferencial. Apresento um caso clínico como fio condutor e como ilustração da importância de seu resgate na prática da terapia psicanalítica contemporânea, visto que pretendo reafirmar a soberania da clínica para interpelar a teoria e enriquecê-la. / The social-cultural transformations which occurred during the 20th century, favored the prevalence of new psychopathological configurations, which were different to classical neuroses. As a result, the Freudian meta-psychology was submitted to criticisms and revisions, which intended not only to understand but also to treat those pathologies that were in evidence ever since. Narcissism became a central concept in that theoretical reformulation, which allowed for the construction of a second topical theory of the psychic apparel, in which the unconscious was no longer conceived of as being a by-product of the conscience. In this new model, although the Oedipian conflict still maintains a prominent place in the psychic scene, its importance in the establishment of psychopathologies was driven to a secondary level. The acquisition of a vital sense and the development of subjective styles as a tributary of the sensorial demarcations established in the beginning of the maternal-infantile relationship gradually occupied a prominent place in the psychoanalytical theory and, as a result, the infra-linguistic processes acquired relief as modulators of the effectiveness of the talking cure. In this work, aspects of some of the Freudian intuitions concerning the way in which a psyche is constituted in theory, is discussed, and the relevance of contributions to such theory, according to psychoanalysts such as Ferenczi, Winnicott, Anzieu and Haag, among others, is also presented. The contributions of such authors to the understanding of the conditions and obstacles necessary for the establishment of an "Ego" which is capable of acting in a creative manner while interacting with its environment, allows us to think of the human phenomenon in a perspective that breaks with the dualisms - to which Freud remained stuck - and permits one to understand subjection as a complex and endless process. Sensoriality is a category that acquires a significant paper in the understanding of the phenomena present in the transferencial field, and its importance must be recognized. A case history is presented as a conductive thread and illustration of the importance of its ransom in contemporary psychoanalytical practice, aiming at reaffirming the sovereignty of the clinical to question and enrich the theory.

本研究旨在探討心理動力取向為主的心理治療工作者，領會移情與反移情的學習歷程，欲瞭解治療者從理論到實務致身領會的歷程，以及面臨的困境內涵，並在整合理論與實務的體會後，對個人自身與治療工作的意義與影響。研究者針對四位心理動力取向治療者，透過一對一的半結構式訪談，獲得質性資料以進行分析，並建構出歸納式結論，依此作研究結果描述如下： 一、心理動力取向治療者從理論到實務致身領會歷程中的困境內涵 　　心理動力取向治療者容易面臨到的困境主要為兩個層面，分別為：理論的學習與實務的應用。由於理論知識的抽象性，加上主體經驗不足，治療者容易感到模糊而不易掌握理論內涵；在實務工作中，治療者對反移情的瞭解不足，容易與個案移情相互影響，並對自我能力的信心產生動搖。 二、心理動力取向治療者從理論到實務致身領會移情與反移情內涵的歷程 　　領會的歷程可分為三個部份。首先，透過督導的涵容與提點，減緩治療者反移情的負面影響，穩固自我認同，並逐漸覺知自身的反移情。再者，藉由被治療的正向經驗，發展出內在動力的認識與深度接納，對移情與反移情的本質會有更深入的掌握。最後，透過治療者對生命經驗的內化省思，使得理論到實務的連結產生個人性的意義與理解。 三、心理動力取向治療者整合歷程後的體會，對個人與治療工作的意義與影響 　　治療者於實務工作中成功驗證理論內涵，並對個人議題覺察的深化，成熟掌握反移情後，不再輕易被自我懷疑與焦慮所困擾，並發展出對自我與專業的認同。最後伴隨而來的影響，包含：區辨移情與反移情能力提升、涵容與後設思考的空間擴大、發展出對人性謙卑而深刻的思考態度與工作方式、穩固治療信念、以及將動力觀點融入人際與生活等層面。 關鍵字：心理動力取向、移情、反移情、學習歷程 / This study uses semi-structured interviews to collect data separately from four psychodynamic therapists. In order to discover the learning process of transference and counter-transference and to understand the transition process of every therapist’s perception from theory to practice, this study reviewed the obstacles therapist might have faced, and the influence on his/herself as well as being a therapist when they’ve acquired the integration of both theory and practice. The main findings of this study were as follows: 1.The understanding of the obstacles during psychodynamic therapists’ perception from theory to practice. 　　Two main obstacles one psychodynamic therapist might face were the theoretical learning and the practical application. As to the former, both the abstractiveness of theory and lacking of experience creates the difficulty to manage. As to the latter, the shortage of knowledge regarding counter-transference might result in intense tension and anxiety between the patience, and hence the therapist might undergo underconfidence and self-doubt. 2.The understanding of transference and counter-transference during the 　psychodynamic therapists’ transition process from theory into practice. 　　Firstly, the negative impact resulted from counter-transference might be mitigated by the contain and suggestion of supervisors; therefore, the therapists might be self- conscious and aware of self-identity. Secondly, with the above positive experience, the knowledge of inner dynamic, and deeper acceptance, therapists might be able to better manage counter-transference. Finally, the process would lead to the connection with personal understanding brought by the transition from theory into practice. 3.The reflection and the influence of psychodynamic therapists when having acquiring the integration of both theory and practice. 　　When therapists undergone the abovementioned stages, they will no longer be troubled by self-doubt and anxiety, and identify with self-affirmation. The influence of which includes the better ability to distinguish transference and counter-transference, broaden thinking regarding contain and metacognition, developing humbleness to humanity and a profound attitude, a firm faith of therapy, and to incorporate psychodynamic into relationships and daily life. Key word: psychodynamic approaches, transference, counter-transference, learning process

Executive group coaching, as a development intervention, and interest in coaching research has steadily increased over the years. Psychodynamic group coaching and coaching programmes have, however, received limited empirical attention. In this study, the researcher argues the criticality for coaches in better understanding of unconscious group coaching dynamics. The researcher felt that by designing a Systems Psychodynamic Executive Group Coaching Programme (SPEGCP) as a psychoeducational developmentally focused learning opportunity would allow for an exploration of systemic conscious and unconscious group coaching dynamic behaviours. The researcher sought to explore, describe and analyse the lived experiences of coaches in the SPEGCP. Interpretative phenomenological hermeneutic, using systems psychodynamic perspective as a theoretical framework, served the study well by enabling the researcher to apply in-depth description and interpretation. A case study research strategy was adopted were individual participants were analysed and then integrated across participants analysis of findings. The study revealed the structured nature of the SPEGCP acted as a container, transitional object, and containment for coaches. SPEGCP contributed to the development of insights into the unconscious group coaching dynamics related to role, authority, boundary and identity manifested in uncertainties, role confusion, person-role-organisation dynamic influences and defensive structures in the paranoid-schizoid position, and reflective containment for learning in the depressive position. The quality of the relationship between the consultant-coach and group, and the systems psychodynamic consulting and coaching stance, were critical for exploration and reflective insights to emerge. As the systems psychodynamic group coaching and consulting stance can add significant value to the growth and functioning of coaches, and thus executives and their groups in which they operate, a study of this nature was important if not critical. The study provides an opportunity to consider that this third generation type of evidence based consulting and coaching be viewed as an integrated part of the development of coaches, consultants, and thus executive groups. / Psychology / D. Litt. et Phil. (Psychology)

Made available in DSpace on 2016-04-28T20:38:46Z (GMT). No. of bitstreams: 1 Gina Tamburrino.pdf: 815895 bytes, checksum: 86f20820850cb0fbeab1d4f5ee52fe5a (MD5) Previous issue date: 2013-10-25 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This thesis results from an effort to penetrate questions regarding impasse that is formed and transformed in the relationship between the analyst and the analysand. The clinical work is understood and organized taking into consideration an intersubjective vertex, thus the concept of analyzing field is forged to demonstrate the analyst s implication in the formation and transformation of the shared unconscious fantasy. The highlight of the research is the presentation of the hypothesis that, in certain moments, the analyst s mind presents a dysfunctional quality in order to receive, to sustain and to prepare the field for the production of the analyzing pair. In these moments, the shared unconscious fantasy transforms itself into shared resistance: bulwarks , chronic enactments and acute enactments; the important thing to be investigated is how this kind of configuration is formed and how it transforms itself, always considering the dialectic impasse ↔ possible transformations. Besides it interests us the fact that the dysfunction in the analyzing field isn t always generated by the difficulties of a disturbed patient, it can also be caused by a disturbed analyst that, in such cases, becomes the main responsible for the functional inversion of the field to the detriment of the analysand. The main focus of this study is, above all, how the analyst wanders in the analyzing field beyond the non-analyzed questions / Esta tese resulta de um esforço no sentido de penetrar questões em torno dos impasses que se formam e transformam no encontro entre analista e analisando. O trabalho clínico é considerado e organizado dentro de um vértice intersubjetivo, de modo que o conceito de campo analisante é forjado para abordar a implicação do analista na formação e transformação da fantasia inconsciente compartilhada. Um ponto de grande importância, auge desta pesquisa, é a apresentação da hipótese de que em certos momentos a mente do analista apresenta uma qualidade disfuncional para receber, conter e elaborar a lavoura do campo, e, portanto, as produções da dupla analisante. Nesses momentos a fantasia inconsciente compartilhada se transforma em resistências compartilhadas: baluartes, enactments crônicos e enactments agudos. Importa investigar como essas formações se dão e como se transformam, sempre atentando para a dialética impasses↔transformações possíveis. Para além disso, há um interesse sobre o fato de que o disfuncionamento do campo analisante nem sempre está revestido das dificuldades impostas por um paciente perturbado, mas que o analista é que se encontra perturbado e determina, em grande medida, a inversão do funcionamento do campo em desfavor do analisando. É, sobretudo, sobre esse aspecto que este desenvolvimento se debruça, isto é, como se move o analista no campo analisante para além das questões não analisadas

Durant el segle XX s'ha anat configurant el concepte d'aliança terapèutica en psicoteràpia com una relació interpersonal existent i necessària entre el client i el terapeuta. Avui dia totes les orientacions teòriques atorguen a l'aliança terapèutica un paper central en la relació terapèutica. A més, des de l’àmbit de la recerca empírica, la relació entre l'aliança terapèutica i l’eficàcia del tractament en psicoteràpia ha estat constatada en nombrosos estudis. Tot i que l'origen d'aquest concepte es troba en la corrent psicoanalítica, la rellevància de l'aliança terapèutica és molt diferent segons l'opinió de diversos autors d'aquesta orientació. Per a alguns autors l'aliança terapèutica no és rellevant i pot arribar a ser interferidora del tractament, ja que la transferència és la peça clau. En canvi, per a altres autors psicoanalítics l'aliança terapèutica té un paper important en qualsevol tipus de teràpia. Dediquem un ampli apartat del treball a fer una revisió sobre la conceptualització de l'aliança dels autors psicoanalítics més destacats en l’àmbit. Nosaltres considerem que l'aliança terapèutica ha de ser presa en consideració en qualsevol tractament d'orientació psicoanalítica, ja que si no és degudament treballada pot dificultar el treball analític i, per tant, s'han de destinar a la seva formació i manteniment tant tècniques interpretatives com no interpretatives quan es requereixin. L'aliança terapèutica és, des del nostre punt de vista, un element de la relació terapèutica diferent a la transferència (i la seva respectiva contratransferència) i la relació real, que descrivim exhaustivament en el treball. En psicoteràpia psicoanalítica de parella, a causa de la gran diversitat de mecanismes que operen en aquest tipus de teràpia conjunta, la formació i el desenvolupament de l'aliança adquireixen major dificultat. Dediquem una part important del treball a enumerar i descriure aquests factors que influeixen en l'aliança a psicoteràpia de parella, així com les dimensions de l'aliança terapèutica en aquest tipus de tractament seguint el model del Sistema d'Observació de l’Aliança Terapèutica en Intervenció Familiar (SOATIF). Analitzem l'aliança terapèutica que estableix el psicoterapeuta de la sèrie nord-americana In treatment amb la parella que assisteix a la seva consulta durant nou sessions mitjançant la versió observacional del SOATIF (SOATIF-o), així com els altres elements de la relació terapèutica amb els que l'aliança interacciona. Considerem que el material és útil coma eina d'entrenament per fer ús de l'instrument i com a material docent, ja que apareixen reflectits els aspectes més importants de la relació terapèutica entre l'analista i la parella. / Durante el siglo XX se ha ido configurando el concepto de alianza terapéutica en psicoterapia como una relación interpersonal existente y necesaria entre el cliente y el terapeuta. Hoy en día todas las orientaciones teóricas otorgan a la alianza terapéutica un papel central en la relación terapéutica. Además, desde el ámbito de la investigación empírica, la relación entre la a lianza terapéutica y la eficacia del tratamiento en psicoterapia ha sido constatada en numerosos estudios. Pese a que el origen de este concepto se encuentra en la corriente psicoanalítica, la relevancia de la alianza terapéutica es muy diferente según la opinión de diversos autores de esta orientación. Para algunos autores la alianza terapéutica no es relevante y puede llegar a ser interferidora del tratamiento, ya que la transferencia es la pieza clave. En cambio, para otros autores psicoanalíticos la alianza terapéutica tiene un papel importante en cualquier tipo de terapia. Dedicamos un amplio apartado del trabajo a hacer una revisión obre la conceptualización de la a lianza de los autores psicoanalíticos más destacados en el ámbito. Nosotros consideramos que la alianza terapéutica debe ser tomada en consideración en cualquier trata miento de orientación psicoanalítica, ya que si no es debidamente trabajada puede dificultar el trabajo analítico y, por tanto, deben destinarse a su formación y mantenimiento tanto técnicas interpretativas como no interpretativas cuando se requieran. La alianza terapéutica es, desde nuestro punto de vista, un elemento de la relación terapéutica diferente a la transferencia (y su respectiva contratransferencia) y a la relación rea l, que describimos exhaustivamente en el trabajo. En psicoterapia psicoanalítica de pareja, a causa de la gran diversidad de mecanismos que operan en este tipo de terapia conjunta, la formación y el desarrollo de la alianza adquieren mayor dificultad. Dedicamos una parte importante del trabajo a enumerar y describir estos factores que influyen en la alianza en psicoterapia de pareja, así como las dimensiones de la alianza terapéutica en este tipo de tratamiento siguiendo el modelo del Sistema de Observación de la A lianza Terapéutica en Intervención Familiar (SOATIF). Analizamos mediante la versión observacional del SOATIF (SOATIF-o) la alianza terapéutica que establece el psicoterapeuta de la serie norteamericana In treatment con la pareja que acude a su consulta durante nueve sesiones, así como los otros elementos de la relación terapéutica con los que la a lianza interacciona. Consideramos que el material es útil como herramienta de entrenamiento para hacer uso del instrumento y como material docente, ya que a parecen reflejados los aspectos más importantes de la relación terapéutica entre el analista y la pareja. / During the twentieth century the concept of therapeutic alliance in psychotherapy has been shaped as an existing and necessary interpersonal relationship between the client and the therapist. Nowadays, all theoretical orientations have given to the therapeutic alliance a central role in the therapeutic relationship. Furthermore, empirical research has proved the relationship between the therapeutic alliance and the treatment efficacy in psychotherapy in numerous studies. Although the concept of the therapeutic alliance has its origin in the psychoanalytic theory, the relevance of the alliance is very different in the opinion of several authors of this orientation. For some authors, the therapeutic alliance is not relevant and can interfere in the psychoanalytic treatment, since the transference is the key element. On the other side, for other psychoanalytic authors the therapeutic alliance plays an important role in any kind of therapy. A large section of our work is devoted to do a review on the conceptualization of the alliance of the most prominent authors in the psychoanalytic field. We believe that the therapeutic alliance should be taken into consideration in any psychoanalytically oriented treatment, because if it is not properly treated, it can jeopardize the analytic work and, therefore, interpretive and non- interpretive interventions must be used when required. The therapeutic alliance is, from our point of view, an element of the therapeutic relationship different from the transference (and its respective counter-transference) and the real relationship, described both in detail in our work. In couple psychoanalytic psychotherapy, because of the great diversity of mechanism s that operate in this type of conjoint treatment, the formation and the development of the alliance become more difficult. A significant part of this work is devoted to list and describe the factors that influence the alliance as well as the dimensions of the therapeutic alliance in this type of treatment based on the System for Observing Family Therapy Alliances (SOFTA). The therapeutic alliance established by the psychotherapist and a couple who undergoes a treatment for nine sessions in the North American TV series In Treatment i s analyzed with the observational version of the SOFTA (SOFTA-o), as well as the other elements of the therapeutic relationship that interact with the alliance. We believe that the material is useful as a training tool for using the instrument and as teaching material, since the most important aspects of the therapeutic relationship between the analyst and the couple are represented.

Quand la fonction interprétante instituante de l’équipe est opérante, l’attaque du cadre en institution, devient une tentative pour intérioriser, à partir de l’expérience de confrontation au dispositif institutionnel, le cadre compris comme une préconception non saturée au sens où l’entend Bion. En reprenant les élaborations relatives au rôle du contre-transfert dans la cure individuelle et en établissant une analogie de structure entre le couple transfert –contre-transfert, une dialectique entre asymétrie et solidarité caractérise le dispositif psychanalytique. Un lien étroit s’établit entre l’investissement par l’analyste de cette dialectique et la part du contre-transfert s’exprimant dans le rapport de l’analyste au cadre psychanalytique. Après avoir vérifié la possibilité d’étendre ces élaborations issues de la pratique de la cure-type à la relation formative, au groupe et à l’institution, une analogie a été postulée entre inter-transfert et contre-transfert relativement à l’investissement de cette dialectique entre asymétrie et solidarité. Une défaillance de l’analyse inter-transférentielle induite par un blocage de la dialectique asymétrie – solidarité sera à l’origine de contre-agirs de la part de l’équipe. Ce blocage amène à investir la dimension d’asymétrie aux dépens de la dimension de solidarité. Cette dimension de solidarité permet en effet d’accueillir ce qui vient de l’autre en tant qu’il est autre et d’assumer les relations complexes d’emboitement sous-jacents au lien intersubjectif. Ces hypothèses théoriques ont été élaborées dans le cadre d’une recherche action auprès d’une équipe de formateurs aux métiers de l’animation professionnelle. / When the interpreting function instituting of the team is operative, the attack on the framework in institution, seems an attempt to interiorize, starting from the experiment of confrontation to the institutional device, the framework understood a preconception unsaturated with the direction as Bion has it. By taking again the developments relating to the role of the counter-transference in the individual cure and by establishing an analogy between the couple transference - counter-transference, dialectical between asymmetry and solidarity characterizes the psychoanalytical device. A close link is established between the investment by the analyst of this dialectical and the share of the counter-transference expressed in the report of the analyst to the psychoanalytical framework. After having checked the possibility of extending these developments to the formative relation, the group and the institution, an analogy was postulated between inter-transference and counter-transference relative with the investment of this dialectical between asymmetry and solidarity. A failure of the inter-tranferential analysis induced by a blocking of dialectical asymmetry - solidarity will be at the origin of actings on behalf of the team. This blocking appears in the movement inter - tranferential investing the dimension of asymmetry at the expense of the dimension of solidarity. This dimension of solidarity indeed makes it possible to accomodate what comes from the other and to assume the complex relations of fitment subjacent with the intersubjective bond. These theoretical assumptions were put at work within a research action with a team of trainers to professional animation.

Movement in Gestalt therapeutic intervention, using structured activities and free improvisations, is a successful alternative to punishing adolescents with disruptive behavioural tendencies in the classroom. An overview of the existing literature regarding the therapeutic value of movement in Gestalt therapeutic intervention for adolescents with disruptive behavioural tendencies is firstly presented. Various techniques supporting the adolescent in his quest to achieve equilibrium, ultimately improving his relationships with others and his environment, are described. A case study, involving eight adolescents with disruptive behavioural tendencies in group therapy follows, which indicates that movement in Gestalt therapy is an alternative to punishment. In the light hereof it is suggested that movement in Gestalt therapy could be implemented successfully in the formal school environment. This form of intervention can contribute to the adolescent's growth, his ability to communicate and his relationships with self, others and the environment, culminating in improved behavioural tendencies. / Social Work / M. Diac. (Play Therapy)

Ce travail de recherche prend sa source dans mes diverses expériences professionnelles, sur plus de dix ans, en tant que psychologue clinicienne et psychanalyste en formation, exerçant avec des enfants, des adolescents, leurs familles ainsi qu’avec des adultes. Il s’agit d’une clinique particulière puisqu’elle a été recueillie au Liban, un pays qui a une histoire difficile à cerner, ponctuée de guerres et parsemée de violences. Un pays qui est marqué par un système de résonance et d’écho entre les traumas individuels et les rapports aux traumas collectifs. Cette recherche porte plus précisément sur une population bien définie puisqu’elle est exclusivement constituée d’ex-enfants, puis ex-adolescents de la guerre de 1975 à 1991 ayant vécu dans l’ex-Beyrouth-Est, puis devenus désormais adultes. Elle est aussi caractérisée par le fait qu’une fois le travail de la cure est bien avancé, j’ai pu comprendre que j’avais durant mon enfance puis mon adolescence, partagé, des tranches de vie avec mes patients. Ces moments étaient des vécus de guerre traumatiques. En effet, mes patients adultes, les parents des petits en cure et moi-même, nous-nous sommes trouvés aux mêmes endroits, et nous avons vécu aux mêmes moments, seuls, loin des adultes, les mêmes événements de guerre. Il s’agit d’une réflexion qui englobe au final, quatre générations. Je m’interroge sur la qualité du lien qui existerait entre la question des particularités du travail d’élaboration de situations de traumatismes personnels et de traumatismes familiaux au sein de thérapies d’enfants. Mon interrogation porte également sur le type d’intéraction qu’il y aurait entre le trauma spécifique du parent ex-enfant de la guerre et celui du trauma collectif propre à un pays en guerre. Comment ceci se joue-t-il dans la cure et avec le thérapeute de l’enfant (génération 1) né après la guerre ? Je m’interroge, d’une part, sur les modalités défensives des parents (génération 2) et les particularités des traumatismes personnels internes qui survenaient en écho avec des traumatismes familiaux entremêlés et emboîtés aux traumatismes cumulatifs collectifs/sociaux. D’autre part, je me questionne à propos de la psyché parentale qui me semblait figée, envahie, prisonnière d’un « entre-deux intérieur/extérieur-non-humain, fantasme/réalité », aux liens forts et inapparents qui semblaient inexistants mais desquels ils ne pouvaient pas se libérer à l’âge adulte. Je me demande si les enfants (génération 1) nés après la guerre, ne seraient pas pour leurs parents (génération 2), réduits à un symptôme ; symptôme que ces derniers n’auraient pas eu la possibilité de porter durant leur vécu infantile. L’enfant (génération 1) ne serait-il pas le porteur du « clivé parental » ? Je me demande finalement si les parents (génération 2) pourraient avoir accrédité, lors de l’entretien qui fixe le cadre, le contrat muet ou pacte suivant : « nous savons/vous savez ce que nous avons/vous avez vécu dans notre/votre enfance : on le pose là et on n’en parle pas ». Même si ce pacte n’a pas été explicité verbalement, la transmission s’établissait d’une autre manière : au-delà du langage. C’est pour cette raison qu’en confiant leur enfant, ces parents (génération 2) parvenaient enfin et pour la première fois, à confier l’enfant en eux à une personne qui « saurait », qui « serait passée par là » et qui a « les mots pour l’exprimer ». Pour essayer de répondre à mes interrogations, je tente d’introduire et d’expliquer une modalité particulière de vivre le cadre analytique : il s’agirait d’une co-construction, avec le patient d’un cadre. Ce cadre serait comme une piste de danse propice à la mise en place d’une « chorégraphie de la cure » qui permettrait à l’analyste et son patient de « danser avec la cure ». Ceci sous-entend un mouvement de rythmicité, un rapproché, un va et viens nécessaire à l’évolution.... / This research is rooted in my various professional experiences over more than a decade as a clinical psychologist and psychoanalyst in training, dealing with children, adolescents, their families as well as adults. This relates to a particular type of clinical work since the data for this study was collected in Lebanon, a country that has an elusive history, punctuated by wars and scattered violence; a country that is characterized by a resonating and echoing system between individual trauma and collective traumas. This study refers more precisely to a well-defined population, consisting exclusively of former children and adolescents of the 1975-1991 Lebanese war having lived and grown up in the former East Beirut. The study is also characterized by the fact that, once the analytic cure was well advanced, I was able to understand that I experienced, during my childhood and my adolescence, similar shared moments with my patients pertaining to traumatic experiences resulting from the war. In fact, my adult patients, the parents of the children in psychotherapy as well as myself, found ourselves as children and adolescents in the same places, experiencing the same epoche, alone, and away from adults (our parents or teachers), the same violent and destructive war events. This is a reflection that pertains to four generations. I wonder as to the quality of the links that exist between the peculiarities of the elaborative work of personal traumatic experiences and family traumas within the context of child psychotherapy. My interrogations also relate to the possible type of interaction existing between the specific trauma of the parent who is an ex-child (and ex-adolescent) of the war and the collective trauma that is specific to a country at war. I question in part the nature of the defense modalities of parents (generation 2) And the particularities of inner personal traumas that occur as an echo to family’s trauma, intertwined and interlocked with cumulative and collective social trauma. Moreover, I question why the parental psyche seems frozen, as if invaded, a prisoner “in a “no man’s land”, an undefined territory internal/external- non-human, fantasy/reality”, I also wonder about the strong, hidden links that seemed to glue up the members of a family. Those links or particular ways to live the attachment seemed, at first, apparently nonexistent but paradoxically they were extremely present in the sessions. The adults seamed unable to free themselves from this chain. I wonder if the children (generation 1) born after the war, are not, in the parental psyche (generation 2) reduced to a symptom – a symptom that the parents (generation 2) could not have had the opportunity to carry during their own childhood. Therefore, the child (generation 1) would be the bearer of "parental splitting"? I finally question the setting and wonder if the parents (generation 2) may not have accredited during our first encounter the « psychoanalytic » framework with the following dumb contract or agreement: "we know/you know what we/you have lived in our/ your childhood: we leave it aside and we do not talk about it at all. " Although the pact has not been explained verbally, transmission seemed to have been established in a « non-verbal communication. It may be for this reason that, the parents (generation 2) felt sufficiently at ease to try and place, for the first time in their lives, the suffering “child in them” in what they might have felt as being the securing, healing and soothing arms of “someone” who can be there for them; “someone” who has known what they have encountered because he is not a total stranger to their childhood experiences, “someone” who has the words and the capacity to talk about these unpleasant things; someone who may be able to express the “unspeakable experiences” with simple words ....