[Brief psychotherapy in the therapeutic arsenal of psychiatry].
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Biomedical subjects
Publications and source records attributed to E Gilliéron.
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We evaluated about 100 psychotherapeutic treatments on the Freudian model with two independent instruments: a clinical questionnaire (assessed globally and intuitively) and a semantic differential (processed through various mathematic analyses). The results obtained with the two instruments were compared, and we also compared the semantic evolution of patients with that of normal subjects. Both instruments show an undeniable average improvement among patients. The semantic differential also shows that the various 'zones' tested by the inducive words are neither equally affected by neurosis nor equally modified by treatment.
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Osgood's Semantic Differential was applied to a group of 35 neurotic patients at initial and final stage of individual psychoanalytical psychotherapy. When compared to 'normal' subjects who had not undergone treatment but were examined under the same conditions, neurotic subjects showed, between test and retest, more conspicuous semantic changes, several of which--although not all--brought them closer to normal subjects.
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The author reminds first a few elements of his own conception about the focalization as well as the influence of the setting on the psychic functioning. He shows how the dynamic elements which enlighten the central conflict of the patient occur already during the first minutes of the first interview. Such a conceptualization applies not only to short psychotherapies but also to all vital experiences which may be solved with a punctual psychotherapeutic intervention (1-3 sessions).
This is a follow-up study of a group of patients of Foreign origin for which an indication for analytic psychotherapy was found. The importance of mutual therapist-patient recognition is emphasized. It seems necessary that the patient masters the cultural and socio-economic environment in which he lives, in order to open himself up to an intra-psychic reality. Finally, we formulate the hypothesis that symptoms shown by the patient reveal indirectly adjustment disorders to the cultural environment.
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General recall on Osgood's semantic differential. Motive and way of integrating it in research on the effects of psychotherapies. Report of some preliminary results from a transversal study of normal, neurotic and schizophrenic subjects and from a longitudinal study of normal and neurotic subjects. These first results strengthen the assumption that the semantic differential provides an appreciably adequate picture of mental state, for both its stable and evolutive components.
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Looking at the psychoanalysis and systemic point of view like different and opposed theories seems to be erroneous. On the basis of a clinical example, the author shows that those are the two sides of the same reality: psychic reality. A so-called "metapsychoanalitic approach" leads to discuss the points of dynamic links between interactions, unconscious desires and ideas, influence of playing on secondary fantasies moulding. An hypothesis is raised about the possible reformulation of Freud's psychic trauma theory in terms of family homeostasis. Dynamic links between transfer and interpretation are outlined.
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Of the basic principles of the brief analytic psychotherapy taught at the PPU of Lausanne, the comparison of different psychotherapy technics seems to show clearly the influence of the setting on the therapeutic process. Placed strictly on the freudian hypothesis that transference is at the same time factor of resistances and of changement, the author shows that it is possible to respect the psychoanalytic principles edicted by Freud in psychotherapy as well as in psychoanalysis: free associations, neutrality, lack of focalisation, interpretation, if the changes in psychic functioning provoked by the psychotherapeutic context are understood. An example illustrates this hypothesis.
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