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The management of affects in the therapeutic relation with schizophrenic patient

Abstract : This article studies schizophrenic patient’s affective conflict by non-integrated ambivalence and absence of symbolisation of affect. Through the meet with a psychotic patient, the authors show that evolution of therapeutic relation is on a par with affect-representation link and its expression in therapy. The authors differentiate processes, which are involved in affect-representation link ; ones concern on representation (in particular déscénarisation and démétaphorisation), others concern on affect, as “thinging” of affects and external deposit of affect. The term of “insulating split”, a form of psychotic insulation, is used to describe this process.
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Sophie Barthélémy, Guy Gimenez. The management of affects in the therapeutic relation with schizophrenic patient. L'Évolution Psychiatrique, Elsevier, 2011, 79 (4), pp.585-601. ⟨10.1016/j.evopsy.2011.08.001⟩. ⟨hal-01386775⟩

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