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Rétablissement, texture psychique et plasticité institutionnelle : approche interdisciplinaire des processus de changement

Abstract : This work is an interdisciplinary clinical research, at the crossroads of psychoanalysis and the physical sciences. It investigates the "recovery" in psychosis, described by people who have gone through this ordeal as a subjective, non-linear and irreversible transformation, where the disease, always present, is no longer central in a life now supported by other areas of interest. The interdis-ciplinary approach made it possible to step aside to grasp what could be the main lines of such a transformation and to trace its conditions of possibility. The identification of the internal and external factors involved in natural transformation processes led us, by analogy, to specify the individual and above all the environmental factors most likely to favor the recovery process. Starting from the notion of "plasticity", we have first proposed to add to the notion of psychic structure the physical notion of "texture", which characterizes a "relationship to the world" in the actual, and which is singular and evolutive, in the manner of a text that is updated in a lively manner according to encounters with the real world. The textural transformation of recovery, considered as the transition from one existential position to another, can then be described as a non-linear process of germination of a novelty in a "metastable" environment where disturbances are introduced. This individual transformation modifying the very environment that allowed its occurrence, we introduce the notion of "institutional plasticity" to describe the quality of an institution that would be able to support this psychic movement. This quality of the place to be affected by those who cross it, is illustrated by two examples of contrasting institutions, one working according to the « institutional psychotherapy » approach and the second according to a more traditional approach.
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  • HAL Id : tel-02902818, version 1

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Hélène Réglé. Rétablissement, texture psychique et plasticité institutionnelle : approche interdisciplinaire des processus de changement. Psychologie. Université Sorbonne Paris Cité, 2019. Français. ⟨NNT : 2019USPCC051⟩. ⟨tel-02902818⟩

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