Mediations, bonding and symbolization

Issue 11 : March, 2016
ISBN : 9782749250380

The development of therapeutic mediations and the efforts put into developing a rigorous modelling of these devices demonstrate the professionals’ increasing interest for these kinds of approaches… Is it a way of responding to a clinical necessity? When identity and narcissistic pains are at the first level, bodies and acts become the privileged messengers of the psychological wanderings that hospitalized patients go through. In such situations, traditional practice, which is only based on the speech, is limited. Professionals working in institutions are then led to develop alternative care devices, called mediated, which aim towards sustaining the transformation processes of the most archaic levels and open, or re-open, the way towards a more stable existential foundation. At the crossroads between Winnicot’s thoughts on the potential space, those on the group, those which consider artistic creation as a care vector and those which offer a metapsychological model of mediated care devices, the stories of mediations used in institutions strongly demonstrate the transformation possibilities that these therapeutic adjustments undercover.

Therapeutic mediations are inevitable in psychological care institutions. With patients suffering from psychotic or narcissistic-identity disorders, they enable a symbolization process beyond words or, on a more archaic level, enlighten sensori-motor experiences which suffer from integration. What figuration or representation potentials do mediated devices reveal? How do they help underpin symbolization processes? Within such therapeutic devices, what is the role of the groupal psychic envelope in order to contain and transform excitement into representation?


Annick BISMUTH, Serge BOIMARE, Anne BRUN, Nayla CHIDIAC, Charlotte COSTANTINO, Mayssa' EL HUSSEINI, Laurence EXERTIER, Christophe FERVEUR, Caroline FORISSIER, Pierre GAUDRIAULT, Marie LE THOMAS, Elodie MARCHIN, Janine MERY, Aglaïa-Lila MITSOPOULOU-SONTA, Marie-Rose MORO, Michaël STORA, Layla TARAZI SAHAB, Marine de RAUCOURT

Table of contents


Introducing the Thought

1. « Symbolization Specificities in Therapeutic Mediations », Anne Brun

A Voice for Mediation …

2. « Hamony and Dissonance: Choral Singing and Therapeutic Mediation », Christophe Ferveur

3. « Hearing One’s Voice in a Singing Therapeutic Workshop, the Echo as Mediation », Laurence Exertier

4. « Receiving Traumatized Patients : the Mother Tongue, a Mediated Therapeutic Lever ? », Layla Tarazi Sahab, Mayssa’ El Husseini, Marie Rose Moro

Stories and Heroes

5. « Mediation Through Video Games : Framework and Therapeutic Aspects », Michael Stora

6. « Story Telling, Narration and Symbolization: Using Tales as Mediation with Adolescents », Charlotte Costantino

7. « Learning How to Think with Hermès », Serge Boimare

Mediations and Representability

8. « Photolanguage® Mediation Method and Representability Processes », Aglaïa-Lila Mitsopoulou-Sonta

9. « Ali and the Revival of Desire in a Photo Mediation Workshop », Marie Le Thomas and Marine De Raucourt

10. « Containing Function in a Group Using Tales as Mediation with Adults Suffering from Autism and Infantile Psychosis », Caroline Forissier

Mediations, Language and Writing

11. « Writing, Dreaming, Thinking… Using Writing as a Therapeutic Mediation », Nayla Chidiac

12. « From Alcohol Pseudo Mediation to Therapeutic Mediations », Elodie Marchin and Pierre Gaudriault

13. « The Eye Hears, the Ear Sees : Rediscovering the Words’ Sensoriality », Janine Mery

In Memory of Annick Bismuth

14. « Ethics in Adult Psychiatry », Annick Bismuth

See also

Le Symptôme : un allié?

The symptom : a ally?

L'insolence du symptôme

The insolence of the symptom

Intimité dévoilée, intime à retrouver

Intimacy unveiled, intimate to be regained

L'intime à l'épreuve de la vie institutionnelle

The Challenge of Intimacy in a Care Institution

Faut-il avoir peur des institutions de soin?

Should we be Afraid of Care Institutions?

Les figures de la peur en institution

Fear figures in the institution

La vie quotidienne en institution : aliénation ou libération ?

Everyday Life in institutions : alienation or freedom?

La vie quotidienne : le véritable enjeu du soin psychique en institution ?

« Everyday Life : Institutional Care’s True Stake ? »

Les fonctions de la répétition

Repetition’s Functions

La répétition : entre résistance et changement

Repetition : from Resistance to Change ?

Les médiations : un dispositif thérapeutique ?

Mediations : a therapeutic device ?

Médiations, lien et symbolisation

Mediations, bonding and symbolization

L'acte : court-circuit ou relance ?

The act : short circuit or revival ?

Clinique de l'agir : décharge ou adresse objectale ?

Acting Out : Discharge or Object Intent?

La dépendance : de la fusion à la confusion

Dependency : from Fusion to Confusion

Dépendances avec fin, dépendances sans fin

Dependency with an End, Dependency without End

Ordres et désordres de l'oralité aux différents âges de la vie

Orality Orders and Disorders at Different Times of Life

Du traumatisme aux voies thérapeutiques possibles

From Trauma to Possible Therapeutic Paths

De la perte au renoncement

From Loss to Renunciation

Les enjeux de la pluridisciplarité

The Challenges of Multidisciplinarity

De l'effraction au traumatisme

From Intrusion to Trauma

Contenance et soin psychique

Containers and Psychic Care


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