The treatment starts when the adolescent or young adult patient appropriates the therapeutic demand and formulates for himself a need to understand. This means leaving a narcissistic register that has been defensively foregrounded in the elements of discourse, which masks the suffering and the symptom. The addition to the initial psychotherapeutic setting of a monthly psychodrama session helped the object transference to manifest itself.
Adolescence, 2017, 35, 1, 111-117.
This article presents the beginnings of the treatment of an adolescent who has experienced early trauma. The disconuity reestablished from the very start of treatment by repeated absences will bring the analyst face to face with the primary object relations. Constant disruption of, or even attacks on, the setting will have to be constructed around the patient’s psychic possibilities.
Adolescence, 2017, 35, 1, 45-52.
Through a large number of psychiatric emergencies (540 under age 18 in 2001), we explore the relation between the passage to the act and the emergency situation in adolescence: doesn’t modern psychiatry tend to define a psychiatry of the act ? The latter depends on internal causes at adolescence, but also on the environment. The work with these situations is then defined both by the constitution of an emergency service as an interior setting and by the development of an exterior network. The evolution of a ward for dealing with psychiatric emergencies in adolescence can thus be described.
Adolescence, septembre 2002, 20, 3, 571-579
Esta es la narrativa de un análisis que fué posible cuando mis perros pasaron a ser parte del campo transferencial. Esto nos ayuda a problematizar la idea de un setting establecido desde afuera del procesus analítico, es deci, sin tomar en cuenta el diagnóstico transferencial.
In this interview with Raymond Cahn, the interviewers essentially used Adolescence et folie (PUF, 1991) as a guideline. Four successive points of view explored Cahn’s conceptions of adolescence: from the respective angles of the subject, of the object, of the internal-external family, and of the therapeutic institution.
Reference to psychoanalytic treatment in the therapeutic approach to adolescence must necessarily take into account all the intrinsic and extrinsic factors that come into play in the optimalizing the therapeutic arrangement. Some characteristics of adolescence (economic system of crisis, topical re-handling of the “ new dependency ”, natural status of transference introjections) contribute to cast a light on the sometimes crucial stakes and the dynamic potentiality specific to the encounter with the adolescent. The assessment – which is sometimes instantaneous and reciprocal – cannot easily be dissociated from the identifying process, and the enunciation of the conventional setting for new appointments cannot operate from the sometimes magical position the adolescent allots us through transference. An “ ordinary ” type of consultation and its commentary illustrate that theme of the meeting point.
The author suggests a detailed analysis of how to set up a true group analytic psychotherapy setting both as far as the preparation and selection of its members, its composition and its first session. Numerous examples are here called forth to illustrate the internal dynamics of the group and the impact of exterior influences.
Resting on the uniqueness of the psychoanalytic process, the author presents the multifold modalities of cure liable to be used with the psychotherapy of adolescents. He analyzes the several implications towards a therapeutic action of the new discoveries on the development of the new born, and on attachment, as well as in the field of neurosciences.
Besides, the author insists on the assessment phase and the best adaptated indications as well as the goals mainly centered on the rehandling of self-reorganization processes through a research on the psychological representations.
Several modalities of the psychoanalytic treatment of adolescents exist, yet it necessary to be aware of both their limitations and advantages in order to orientate young patients in the best way possible.
The orientation rests on the assessment of the psychological functioning, it follows a goal that should be reached by means of the chosen treatment (traditional cure, individual psychotherapy, group or family therapy, psychodrama). Such are the general principles adopted by the author in his paper.
In an outpatient hospital, the destinies of violence and its different manifestations depend on the support offered by the therapist, the group of caregivers and the containing institutional setting, which can provide models for symbolization.
The detailed description of the treatment of Ennio, a violent adolescent, give an illustration of the primary therapeutic aim, which is the interiorization of the containing function of the outpatient hospital, considered as a transferential community where tranferences are deployed in an inter-subjective dimension.