Malet Pascal, Bioy Antoine, Santarpia Alfonso
Laboratoire Psychopathologie et Processus de Changement (LPPC), Université Paris 8 Vincennes - St Denis, Saint-Denis, France.
Aix Marseille Univ, LPCPP, Aix-en-Provence, France.
Front Psychol. 2022 Feb 25;13:783417. doi: 10.3389/fpsyg.2022.783417. eCollection 2022.
This article explores the theme of presence of the psychotherapist, a concept that has been of particular interest in humanistic and existential approaches. Presence was first associated with the humanistic attitudes of the practitioner and the way he or she embodies these attitudes in the here and now of the encounter. Since the publication in 2002 of Geller and Greenberg's model of therapeutic presence, several quantitative studies have explored the relationship between the therapist's perception of presence and other dimensions of the therapeutic process. However, qualitative explorations still seem necessary to account for the complexity of the therapist's presence and its role in the therapeutic process. Centered on the therapist's perspective, we use an idiographic methodology and refer to lived clinical experience to highlight the dimension of sensory contact that, through the body, actualize a connection to a virtual space of the therapeutic relationship. We so describe how a therapist can achieve an embodied processing to clinical material from what we describe as "traces of presence" of the other. From this point of view, the patient's presence incorporates itself into the therapist's experience and the therapist can perceive aspects of this presence in a tangible, concrete, and useful way. The therapist's presence thus takes on a meaning that is not reduced to what the patient will perceive and interpret of his or her attitude. It becomes the main material from which the therapist orients his or her clinical interventions.
本文探讨了心理治疗师在场这一主题，这一概念在人本主义和存在主义方法中特别受关注。在场最初与从业者的人本主义态度以及他或她在当下相遇中体现这些态度的方式相关联。自2002年盖勒和格林伯格的治疗在场模型发表以来，几项定量研究探讨了治疗师对在场的感知与治疗过程其他维度之间的关系。然而，定性探索似乎仍然有必要，以解释治疗师在场的复杂性及其在治疗过程中的作用。以治疗师的视角为中心，我们采用个案研究方法，并参考实际临床经验，以突出感官接触的维度，这种接触通过身体实现与治疗关系虚拟空间的连接。我们据此描述治疗师如何从我们所称的他人“在场痕迹”中对临床素材进行身体层面的处理。从这个角度来看，患者的在场融入治疗师的体验，治疗师能够以切实、具体且有用的方式感知这种在场的各个方面。治疗师的在场因此具有了一种意义，这种意义并不局限于患者对其态度的感知和解读。它成为治疗师进行临床干预的主要依据。
