Quelques réflexions sur l'avenir en France des traitements psychologiques appuyés empiriquement

The effectiveness of treatments for psychological problems is an important preoccupation in the field of clinical psychology, both nationally and internationally. This article discusses the emergence of empirically supported psychological therapies, and identifies some current issues in France. ESPT have received limited attention in France to date, in contrast with other developed countries. Furthermore, there appear to be fundamental misunderstandings and negative attitudes concerning the idea that psychological interventions can be evaluated in terms of their benefits and effects. In future, more effort needs to be made to ensure that qualified and trainee clinical psychologists are aware of the importance of evaluating psychological interventions. This has implications for educational programmes, research activity and clinical practice.     

Déjà vu现象理论及其相关实验研究述评

Déjà vu指任何对目前体验的一种不适宜的熟悉感,并伴随着对过去体验的不确定感。对déjà vu的进一步深入研究将澄清对记忆的认识。首先,文章阐述了déjà vu现象产生的理论解释;其次,将相关的实验研究概括为：阈下知觉实验研究和阈上知觉实验研究。最后,讨论了目前déjà vu研究中所存在的一些问题。     

“What support would you find helpful?” The relationship between treatment expectations,therapeutic engagement,and clinical outcomes in parent–infant psychotherapy

The aim of this study was to investigate the impact of pretreatment expectations on clinical outcomes and engagement in Parent–Infant Psychotherapy (PIP). Sixty-one mothers who were experiencing mental health difficulties and who were receiving PIP with their young infants participated in the study. A mixed-methodology was used to examine participants’ expectations through transformation content analysis of pretreatment interviews; recurring themes were classified and quantified. Further statistical analyses explored relationships between the quantified themes of parental expectations and clinical outcomes and engagement in treatment. No significant correlation was found between expectations and engagement. One of the six clinical outcomes significantly correlated with parental expectations. Improved reflective functioning (RF) was predicted by participants describing expectations of wanting to improve their parent–infant relationship through the treatment, and expressing concerns about discussing their past experiences. These two expectations predicted improvements in RF independently and when combined. These results indicate that PIP may be more effective for some mothers than others and that assessing future clients’ expectations before beginning PIP may be beneficial.     

L’alliance thérapeutique triadique dans une psychothérapie avec un interprète : un concept en quête de validation

The relevance of the use of an interpreter when receiving an allophone patient seems to be more and more accepted among clinicians. However, the influence of this third person on the therapeutic process, and particularly on the establishment of the therapeutic alliance, has received scarce attention so far. The presence of an interpreter inevitably modifies the therapeutic process and makes it more complex. It requires some adjustments of the physical and material setting. It also influences practical arrangements and the very nature of interactions, as well as their content. General concepts about the intercultural approach will first be presented. Subsequently, the issue of the establishment of a triadic therapeutic alliance during a couple and family therapy or mother infant consultations will be discussed from an interactionnist and systemic perspective. The application of these models to a better understanding of patient-therapist-interpreter alliance and its specific components and dimensions will be discussed. Finally, research directions and some clinical considerations to optimize the conduct of a consultation or a psychotherapy with an interpreter will be stressed.     

Theoretical foundations of analytical psychology: recent developments and controversies

This article gives an introductory overview of the papers in this volume originally given at the Joint Conference of the IAAP and the University of Basel, Basel, October 18‐20, 2018. The aim of the conference was to bring core concepts of analytical psychology together with theorizing and research from academic sciences, at the very place where Jung started his academic career, the University of Basel. The conference focussed on three fields: the relationship of consciousness and the unconscious and the theory of complexes; the theory of archetypes; and the status of analytical psychotherapy in contemporary psychotherapy research. The aim of the conference was to further the development of theory in analytical psychology in relation to results and insights in contiguous areas of knowledge. In the first area, contributors pointed to the solid evidence especially from the neurosciences for the psychodynamic conceptualizations of the unconscious, and also for the concept of complexes. In contrast to this, the concept of archetypes is controversial, with a majority of contributors questioning Jung’s biological conceptualizations of archetypes, and speaking instead for reformulations from the perspective of cultural theory, dynamic systems theory and other approaches. In the field of psychotherapy research, contributors pointed to the profound need for conducting more empirical studies on the outcome of Jungian psychotherapy, but also for a thorough reconsideration of standard research designs in the field.     

When is it time to stop? When good enough becomes bad enough

This article draws on Winnicott’s concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the ‘Casablanca dilemma’, based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann.     

Integration versus conflict between schools of dream theory and dreamwork: integrating the psychological core qualities of dreams with the contemporary knowledge of the dreaming brain

The various ways schools of psychotherapy relate to dreams have been marked by isolationism and mutual conflict rather than self-examination and then integrating the discoveries and methods of other schools. Jung’s method was in opposition to Freud’s psychoanalysis. Existential psychology was dismissive of Freud’s and Jung’s discoveries, while cognitive dream interpretation and cognitive therapy sought other roads entirely. In addition, scientific and neuropsychological dream research has been only insignificantly tied to the psychotherapeutic dream theories. These conflicts and the lack of a comprehensive dream theory has made it convenient for the current rationalist collective consciousness and treatment systems to reject the often times challenging knowledge about ourselves that dreams can provide. This paper describes how contemporary theories of complex cybernetic information networks can create an overriding, constructive framework for uncovering common traits within the above-mentioned branches of dream research and dreamwork. Within this framework, ten core qualities are delineated, supported by both therapeutic knowledge as well as scientific research: 1) Dreams deal with matters important to us; 2) Dreams symbolize; 3) Dreams personify; 4) Dreams are trial runs in a safe place; 5) Dreams are online to unconscious intelligence; 6) Dreams are pattern recognition; 7) Dreams are high level communication; 8) Dreams are condensed information; 9) Dreams are experiences of wholeness; 10) Dreams are psychological energy landscapes. For each core quality I describe short dreamwork sequences from my own practice and a schematic image of how I perceive the overriding interaction between systems in the dreaming brain. For each core quality recommendations for practical dreamwork are provided. Finally, I draw attention to dreams as a huge psychological resource for humankind.     

Hemiretinal differences in face recognition: accuracy versus reaction time

A face-recognition task involving monocular presentation of laterally displaced stimuli yielded a nasal hemiretinal advantage for reaction time for correct identifications, but a temporal hemiretinal advantage for accuracy (d'). These hemiretinal effects, in conjunction with eye dominance, could in principle distort or obscure interpretations of hemispheric processing differences obtained with binocular stimulation.     

Variations in patterns of lateral asymmetry among dextrals

Evidence supporting individual variations in patterns of hemispheric involvement in the recognition of visuo-spatial and verbal stimuli among dextrals is reported. In Experiment 1, subjects' asymmetry scores on a task that was nonlateralized for the group as a whole were significantly correlated with their asymmetry scores on right-hemisphere-specialized tasks, including face recognition. In Experiment 2, subjects' asymmetry scores on a task that was nonlateralized for the group as a whole were significantly correlated with their asymmetry scores on a left-hemisphere-specialized word recognition task. These results suggest that individual dextrals' asymmetry scores on lateralized tasks are a joint function of a subject's underlying hemispheric specialization for that task and stable individual variations in asymmetric hemispheric reliance.