Blanc Adrien, Boutinaud Jérôme
Laboratoire de Psychologie Clinique, Psychopathologie, Psychanalyse (PCPP - EA 4056), Université Paris Descartes, Sorbonne Paris Cité, Institut de Psychologie, Paris, France.
Int J Psychoanal. 2017 Jun;98(3):683-707. doi: 10.1111/1745-8315.12522. Epub 2016 Jun 15.
In France, psychoanalytic psychodrama is mainly envisioned in its individual form - that is, a single patient working with a group of therapists. Its originality consists in bringing together several clinicians within a clinical experience that is shared as a group. This experience is fundamentally different from traditional individual therapies, psychotherapies or group co-led therapies. Its configuration may be confusing or overwhelming due to the large number of co-therapists involved in the setting. However, thanks to group elaboration based on the transferential-countertransferential dynamics induced by the treated patient, this potential 'cacophony' can lead to fruitful psychic development embedded in play. This is tied to the co-therapists' positioning in the transitional space shared with the patient as well as to the patient's subjective appropriation of their initiatives. By reflecting on clinical material taken from actual sessions as well as from the exchanges and elaborations occurring at their margins, this article shows how psychodrama and group come to metabolize the transferential elements, shaping the engagement of participants in the context of improvised play.
在法国，精神分析心理剧主要以个体形式呈现——即一名患者与一组治疗师合作。其独特之处在于，在一种作为群体共享的临床体验中汇聚了多位临床医生。这种体验与传统的个体治疗、心理治疗或联合带领的团体治疗有着根本区别。由于参与治疗场景的联合治疗师数量众多，其设置可能会令人困惑或应接不暇。然而，借助基于被治疗患者引发的移情 - 反移情动力的团体阐述，这种潜在的“杂音”能够促成在游戏中富有成效的心理发展。这与联合治疗师在与患者共享的过渡空间中的定位以及患者对自身主动性的主观接纳相关。通过对实际疗程中的临床素材以及在其边缘发生的交流和阐述进行反思，本文展示了心理剧与团体如何将移情元素进行整合，塑造参与者在即兴游戏情境中的投入。
