Intersubjectivité et médiation thérapeutiques

Abstract

ObjectivesThis article sets out to define the specificity of intersubjective psychoanalytic listening in therapeutic mediations. It proposes to bring to light the presuppositions of this psychoanalytic listening as prerequisites for a possible subjective appropriation of therapeutic work by patients. MethodThe method concerns extensions of psychoanalysis, and consists in transposing the methodical and theoretical foundations of psychoanalysis into the therapeutic mediation setting. The data collection methodology is thus based on clinical observation of various forms of verbal, sensorymotor, and formal associativity, as well as the consideration of the “transferential constellation” (Freud). It is based on an analysis of “limit situations” encountered in the use of mediation treatment systems for serious narcissistic and identity disorders. ResultsThis article distinguishes six operators of intersubjective listening in therapeutic mediations: sensorymotor language, interintentionality, sensorymotor forms of the transference, emergence of primary forms of symbolisation, as well as clinicians’ use of intersubjectivity (attunement, affect sharing, dramatization, and sensorymotor dialogue), and finally the reinstatement of games that could not be played in early childhood. DiscussionEach of the operators highlighted is discussed in summary form in this article; a more in-depth analysis can be made by referring to the bibliographical indications. ConclusionPsychoanalytic listening to intersubjectivity in therapeutic mediations therefore makes it possible to give reference points, both for practice and for a qualitative evaluation of processes involved in these care protocols, which represents a heuristic tool for clinicians.