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Une étude des atmosphères et des changements de l’atmosphère aux abords de la psychose et du traumatisme : construction de la notion d’Atmosphère par une approche clinique et psychopathologique d’inspiration psychanalytique

Abstract : In this thesis, we investigate how the terms “Atmosphere”, but also “Ambience” and “Climate”, which are related, can be understood in the field of psychoanalysis-inspired clinical psychology. This research was crucial in understanding how the effects of atmosphere apply during a session, especially while treating patients suffering from psychotic disorders, or in a traumatic state. Indeed, for these patients, the effects of psychotic or traumatic episodes often manifest through a feeling of catastrophic change in the atmosphere.Beyond studying the pathogenic effect of atmospheres during the clinical encounter with these subjects, we observed and analyzed that the session atmosphere could represent, for patients, a form of their subjective catastrophic change experience. Thus, atmosphere appears to be a medium allowing the reflection and repetition of traumatic feelings that have yet to be integrated and symbolized.But atmosphere representation is not only a static formation, and we will also study its dynamic, transferential and interactional functions.The variation of atmospheres will show a dynamic of dialogue and exchange, specific to the primal and archaic dimensions of psyche. In its essence, atmosphere involves the effect of another subject’s presence, that rekindles old feelings left by the particular conditions in which we met our early environment. In a therapeutic framework, atmosphere will appear to motivate the different subjects’ involvement on an esthesis and affective level. Thus, we will see that atmosphere is not only a static frame-screen, but that it also serves as a transformative agent of traumatic experiences. By helping subjects align on the same esthesis and affective tonalities, atmosphere will allow the first forms of the be-with-the-other feeling, close to the being-formless feelings, and that we call atmospheric sensory identity, to be more harmoniously shaped and transformed.
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https://tel.archives-ouvertes.fr/tel-01531001
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Guillaume Rebollar. Une étude des atmosphères et des changements de l’atmosphère aux abords de la psychose et du traumatisme : construction de la notion d’Atmosphère par une approche clinique et psychopathologique d’inspiration psychanalytique. Psychologie. Université de Lyon, 2016. Français. ⟨NNT : 2016LYSE2135⟩. ⟨tel-01531001⟩

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