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Le repérage de l'affect dans l'entretien clinique avec le patient souffrant de schizophrénie : proposition méthodologique

Abstract : The authors take up the question of expression of affect in clinical interview with schizophrenic patient from analysis of interactions; they underline that verbal interaction enable privileged investigation of affect rationality. They propose a reflection about a model of analysis and formalisation; this one may initiate the construction of a model which emphasizes the types of conversational shapes underlying therapeutic strategies of change. The emotive dimension, as it is studied in psychanalytic theories can be questionned by cognitive and conversational theories. Indeed, cognitive and conversational enlightenment are used to bring out marks of affect expression, on the one hand, about syntactic and semantic structure of utterances, on the other hand, about shapes of conversational structures. So, this article presents a method which permits to study structure of conversations as ground of accomplishment of affect expression in interaction. From an illustration, the authors explain how some clinician’s interventions are a prop of exploration of affect in conversation. The studied conversational sequence invite to think that some modalities of interaction organize connection of subject with his own affects, updating it in therapeutic relation. The authors brings out the idea that conversational relation facilitate the creation of a specific psychic space permitting mutual prop between intersubjective ties and intrapsychic.
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Sophie Barthélémy, Michel Musiol, Guy Gimenez. Le repérage de l'affect dans l'entretien clinique avec le patient souffrant de schizophrénie : proposition méthodologique . L'Évolution Psychiatrique, Elsevier, 2010, Corps et psychose, 75 (3), pp. 455-470. ⟨10.1016/j.evopsy.2010.04.009⟩. ⟨hal-01388270⟩

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