Evolution Psychiatrique最新文献

{"title":"Vestiges et silence de l’envisagement dans l’œuvre de Jean Olivier Hucleux","authors":"Frédérik Guinard (Psychologue clinicien, Docteur en psychologie et psychopathologie clinique, Maître de conférences à l’Université Catholique de Lyon, Chercheur associé du CRPPC de l’Université Lumière Lyon2)","doi":"10.1016/j.evopsy.2023.07.004","DOIUrl":"10.1016/j.evopsy.2023.07.004","url":null,"abstract":"<div><h3>Objectives</h3><p>This article sets out to explore the psychic processes involved in the creative work of Jean Olivier Hucleux, an artist of the end of the 20th century, whose hyperrealistic pictorial reproductions have been able to generate experiences of the “uncanny valley” in his audience. This article also considers the psychic operators that participated in Hucleux's artistic shift in the early 1980s, in an attempt to understand its logic and functions in relation to the whole of his creative process.</p></div><div><h3>Method</h3><p>We makes use of Jean Olivier Hucleux's life story, and the careful study of his works, as well as the many interviews, documentaries, articles that relate to his output. The method is that of the clinical approach to creation, which does not reduce the analysis of the work to a simple application of metapsychology, but which is interested in the psychic processes involved in the multiple dimensions of the creative act (corporal, representational, fantasy, social, interrelational, emotional, transitional, auto-sensual…).</p></div><div><h3>Results</h3><p>This article highlights a creative process characterized by the repetition of a trying physical experience where the painter goes beyond his limits of tolerance in order to reach a space of exhaustion where “there would be no more language”. This creative practice, first marked by a ruthless constraint to create and leading us to identify primary forms of symbolization in his work, will take a more tranquil course within a transitional space where these enigmatic signifiers, these primitive affects, and these unremembered sensations will find the possibility of hiding/being found by and in the creative act. In the mid-1980s, a lawsuit for counterfeiting allowed Hucleux to take an important step in the reorganization of this constraint to symbolize, whereby “experiments of envisioning” could be updated in a playful and interactive way, in contrast to the mechanical and solipsistic nature of his first, hyperrealistic, period.</p></div><div><h3>Discussion</h3><p>Is the work of Hucleux a work of psychic survival, at the limits of the madness of self-control, or can it be understood as a borderline experience of exploration of archaic processes? Listening to the work and its author, it is possible to hear the way in which his artistic quest is only interested in forms and impressions linked to experiences of attunement with the environment; His faces translate, by means of the re-staging of the meeting of a frozen, mortified double, the silences and uneasiness waiting to be symbolized.</p></div><div><h3>Conclusion</h3><p>The study of Hucleux's creative work constitutes a unique window through which we can explore psychic life on this side of secondary symbolization: that is, this weft of experience where the senses and the affects irrigate the mental functioning in the form of formal associative chains, at the risk of intersubjective deviation.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128764255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corps affecté, corps éprouvé : existence des œuvres de Judith Scott et Frida Kahlo","authors":"Flavie Beuvin","doi":"10.1016/j.evopsy.2023.06.005","DOIUrl":"10.1016/j.evopsy.2023.06.005","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim here is to grasp the ways in which the creative body appears in the works to which it gives form. The works of Judith Scott and Frida Kahlo will be of particular interest to us in their ability to account for the incarnation and the existence of their bodies as experienced through the exploration of creation.</p></div><div><h3>Method</h3><p>This study attempts to give substance and environment to the works that are the object of our reflection through the dialogue of psychoanalysis, which questions the body at work and the body of the work under the aegis of Didier Anzieu; the phenomenology of Henri Maldiney, who is interested in the emergence of the work in the movement of <em>Gestaltung</em>; and the aesthetics of Georges Didi-Huberman, who is interested in the body, the flesh of images.</p></div><div><h3>Results</h3><p>Thinking of the creative body as a « cutting body” allows us to glimpse the phenomena of the presence of the bodies at work and the body of the work. Their encounter does not perhaps emanate from a situation of loss or original lack but from a welcoming and shaping of what exists.</p></div><div><h3>Discussion</h3><p>The psychoanalytical approach does not seem sufficient to explore the sensoriality and bodily experiences at work in creation. Making links with aesthetics and phenomenology thus makes it possible to open up the time and space of creation to the effects of presence that inscribe the work and its creator in an ecology of gestures and forms.</p></div><div><h3>Conclusion</h3><p>The creative body, tested and marked by pain and disability, the creative body outside a stable and normalized family genealogy, puts the work to the test as a « cutting body” that appears where it is cut, extends itself, and pushes the marks of its suffering.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126811378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"S’agenrer avec la trans-psychiatrie : de Dorchen Richter à Paul B. Preciado","authors":"","doi":"10.1016/j.evopsy.2023.07.003","DOIUrl":"10.1016/j.evopsy.2023.07.003","url":null,"abstract":"<div><h3>Goals</h3><p>In this article we establish the history of transpsychiatry from the debate with Sigmund Freud to the present day. The objective of this epistemology is to show how gender choice, or a-gendering, has always been part of psychiatrists’ clinical practice with trans patients.</p></div><div><h3>Methods</h3><p>We use archival sources and the history of psychiatry since 1830 in order to establish the stages of clinical work around gender: firstly, by finding in German and American sources the first consultations and the innovative techniques that made treatment possible; secondly, by situating the different discourses against binary categorization; and finally, by situating the speech and action of trans people in the production of new experiential knowledge.</p></div><div><h3>Results</h3><p>The results demonstrate how the notion of gender within clinical psychiatry has moved from binary categorization to a participatory transpsychiatry that includes trans people and professional psychiatrists. Going from Dorchen Richet to Paul B. Preciado, the results of surgical and hormonal techniques are compared with the modifications of institutions, associations, and psychiatric journals.</p></div><div><h3>Discussion</h3><p>The discussion between psychiatrists and trans people is highlighted here through the themes of identity, subjective speech, and clinical support protocols.</p></div><div><h3>Conclusion</h3><p>Transpsychiatry is the recognition of both transgendering and the transformation of gender, as a clinical entity, by psychiatry.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123104514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Talking about sexuality in a total institution: A clinical ethnography","authors":"","doi":"10.1016/j.evopsy.2023.07.001","DOIUrl":"10.1016/j.evopsy.2023.07.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Talking about sexuality in a health care total institution is not an easy task insofar as it contributes to the disclosing of the subjective and cultural postures of professionals, in contexts still marked by the absence or lack of professional training on this subject. Talking about sexuality can also endanger or challenge the institution.</p></div><div><h3>Method</h3><p>This paper presents a secondary analysis of what is presented as a form of “clinical ethnography”. The materials used in this study were collected in 1996–1997, in the context of a crisis situation caused by the revelation of illicit sexual relations between a head special educator and a young woman labelled as mentally handicapped, in a care institution. In the course of a psychosociological intervention carried out in response to a request from the management of the institution, professionals from different categories were able to express themselves on these “events” and to address, more generally, issues related to sexuality in the institution. The sessions, moderated by the author of the study and a psychoanalytic research assistant, were recorded and transcribed for subsequent feedback to participants.</p></div><div><h3>Results</h3><p>The thematic content analysis of the transcripts of the sessions allowed for a better understanding of the psychosocial obstacles to communication about sexuality, the subjective difficulties related to speaking out, the phenomena of denial of sexuality, as well as the representations of sexuality in institutional situations.</p></div><div><h3>Discussion</h3><p>The documents discussed here invite reflection on the complexity of collecting information and stories about sexuality in institutional settings. They explore communication processes and, in particular, the difficulties of communicating about sexuality and sexual abuse in institutions in the health and social sector.</p></div><div><h3>Conclusion</h3><p><span>This study suggests ways in which clinical support can be provided to teams affected by and confronted with </span>traumatic events and the personal and professional difficulties that may arise from such situations.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133719385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parler de sexualité dans une institution totale : une ethnographie clinique","authors":"","doi":"10.1016/j.evopsy.2023.05.003","DOIUrl":"10.1016/j.evopsy.2023.05.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Talking about sexuality in a health care institution is not an easy task insofar as it contributes to the disclosing of the subjective and cultural postures of professionals, in contexts still marked by the absence or lack of professional training on this subject. Talking about sexuality can also endanger or challenge the institution.</p></div><div><h3>Method</h3><p>This paper presents a secondary analysis of what is presented as a form of “clinical ethnography.” The materials used in this study were collected in 1996-1997, in the context of a crisis situation caused by the revelation of illicit sexual relations between a head special educator and a young woman labelled as mentally handicapped, in a care institution. In the course of a psychosociological intervention carried out in response to a request from the management of the institution, professionals from different categories were able to express themselves on these “events” and to address, more generally, issues related to sexuality in the institution. The sessions, moderated by the author of the study and a psychoanalytic research assistant, were recorded and transcribed for subsequent feedback to participants.</p></div><div><h3>Results</h3><p>The thematic content analysis of the transcripts of the sessions allowed for a better understanding of the psychosocial obstacles to communication about sexuality, the subjective difficulties related to speaking out, the phenomena of denial of sexuality, as well as the representations of sexuality in institutional situations.</p></div><div><h3>Discussion</h3><p>The documents discussed here invite reflection on the complexity of collecting information and stories about sexuality in institutional settings. They explore communication processes and, in particular, the difficulties of communicating about sexuality and sexual abuse in institutions in the health and social sector.</p></div><div><h3>Conclusion</h3><p>This study suggests ways in which clinical support can be provided to teams affected by and confronted with traumatic events and the personal and professional difficulties that may arise from such situations.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124627635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"« Hartung Study » : vivre en soi pendant sept jours. Exploration phénoménologique et psychanalytique d’une performance d’Abraham Poincheval associée à une œuvre de Hans Hartung","authors":"Thomas Rabeyron (professeur de psychologie clinique et psychopathologie, psychologue clinicien) ,&nbsp;Alexandre Batissou (doctorant en psychologie clinique, psychologue clinicien) ,&nbsp;Sylvie Royant-Parola (psychiatre) ,&nbsp;Thomas Schlesser (historien de l’art, directeur de la fondation Hartung-Bergman) ,&nbsp;Yves Sarfati (professeur de psychiatrie, docteur en neurosciences, psychanalyste)","doi":"10.1016/j.evopsy.2023.04.005","DOIUrl":"10.1016/j.evopsy.2023.04.005","url":null,"abstract":"<div><h3>Aims</h3><p>This article describes the setting up and the psychological analysis of a performance by the artist Abraham Poincheval in the framework of a collaboration with the Hartung-Bergman Foundation. Beyond the aesthetic dimension of the piece, the aim of this work was to study the physiological and psychological effects induced by sitting in an enclosed space over a long period of time.</p></div><div><h3>Method</h3><p>Abraham Poincheval remained for a week in a sculpture molded to his dimensions, with a cone located at eye level that allowed him to see a painting by Hans Hartung. Physiological measurements (EEG, temperature), audio recordings, and microphenomenological interviews were used to study the effects of this performance. A psychoanalytical analysis was also carried out in order to better understand the creative process and the psychic processes at work in this performance.</p></div><div><h3>Results</h3><p>The phenomenological analysis highlights the astonishing malleability of the psyche, which manages to cope with a very uncomfortable situation that nevertheless leads to dissociative states. The perception of space, time, and the body is transformed, as well as the perception of the work, which leads to phenomena of pareidolia, hallucinatory processes, and negative hallucinations. In a general way, the collapse of the duration of the paradoxical sleep seems to be associated with oniroid states that support the hallucinatory processes and experiences between dreaming and sleeping.</p></div><div><h3>Discussion</h3><p>The sculpture could represent the setting up of a “Self-shell” in reaction to fragile psychic envelopes of the register of the first containers of thought. The sculpture can also be thought of as a cocoon that can induce psychic states that promote different forms of explorations and transformations of the subjective experience. This performance can also be considered an expression of unsymbolized psychic elements, which further emphasizes the constraining dimension of certain components of the work. The trauma clinic is finally approached in mirror of Hartung's work in echo of what the latter may have experienced during the Second World War.</p></div><div><h3>Conclusion</h3><p>The fact of remaining seated, in a confined space, generates important transformations of the perception of space, time, and the body. This also leads to oniroid states that encourage the phenomena of pareidolia and hallucinatory processes. For all that, the psyche seems to be able to adapt to these extreme conditions, which demonstrates its astonishing capacities of adaptation.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122122172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of the spiritual dimension as a complementary therapeutic dynamic in meditation practices and in the field of mental health","authors":"Claude Berghmans PHD Psychologie ,&nbsp;Amélie Weiss (Psychologue)","doi":"10.1016/j.evopsy.2023.03.006","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.03.006","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this article is to reinstate the framework of the notion of spirituality in the therapeutic field and to underline the potential link between meditation and spirituality, in order to question the potential hindrance to therapeutic effects caused the dissociation of meditation and spirituality. We explore the possible spiritual dimensions of meditation, and, lastly, discuss whether a spiritual dimension is relevant to meditative practice.</p></div><div><h3>Method</h3><p>We carried out a literature review, selecting the main research dealing with the link between spirituality and meditation.</p></div><div><h3>Results</h3><p>It appears that the spiritual dimension has not been taken into account in the therapeutic applications of mindfulness meditation; it would be beneficial for spirituality to be integrated into the meditative process as a complementary tool for the adaptation and the stimulation of practice.</p></div><div><h3>Discussion</h3><p>The question of the link between spirituality and meditation questions the fact of meditation's having been cut off from its cultural substratum. We suggest that it would be appropriate in certain cases to reactivate this tradition, as well as the role of the psychotherapist in this dynamic.</p></div><div><h3>Conclusion</h3><p>The dimension of spirituality could be a fecund tool in therapeutic accompaniment; integrating spirituality into therapeutic meditation could have positive impacts in terms of patients’ wellbeing and mental health.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CV2 - editorial board","authors":"","doi":"10.1016/S0014-3855(23)00057-9","DOIUrl":"https://doi.org/10.1016/S0014-3855(23)00057-9","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une étude clinique de la dépersonnalisation–déréalisation chez trois jeunes adultes drépanocytaires homozygotes du Cameroun","authors":"Thierry Dong (Psychologue clinicien & psychopathologue)","doi":"10.1016/j.evopsy.2023.01.008","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.01.008","url":null,"abstract":"<div><h3>Objectif</h3><p>La dépersonnalisation est décrite comme banale et fréquente dans des registres aussi variés que l’hystérie, le trouble phobique et anxieux, les troubles dissociatifs, la dépression et la psychose. Tandis que très peu d’écrits en donnent une description clinique en rapport avec des atteintes plus spécifiquement somatiques comme la drépanocytose, le présent article donne une description dudit trouble chez trois jeunes adultes drépanocytaires homozygotes (SS) et tente d’en décrypter la psychopathologie et les processus inconscients responsables de son apparition dans un tel contexte.</p></div><div><h3>Méthode</h3><p>L’étude est exploratoire, descriptive et qualitative. La méthode appliquée est l’étude de cas. Les participants ont été sélectionnés en milieux hospitaliers dans la ville de Yaoundé au Cameroun. Les données ont été collectées à l’aide d’une grille d’entretien clinique de type semi-directif puis ont fait l’objet d’une analyse de contenu.</p></div><div><h3>Résultats</h3><p>Nous avons repéré chez ces participants des phénomènes de dépersonnalisation–déréalisation corrélés à des facteurs « contre-élaboratifs » – un sentiment trop présent de « mort imminente » – et une présence trop marquée des signes visibles de la maladie, elle-même liée à un environnement culturel marqué par la rareté de soins adaptés aux besoins biopsychosociaux des populations atteintes ; – et ainsi qu’à des registres psychopathologiques dont l’étiopathogénie s’aggrave à la faveur d’un vacillement identitaire et d’un infléchissement de la libido au moment d’entrer dans la vie adulte.</p></div><div><h3>Discussion</h3><p>Cette thèse remonte à Mayer Gross qui avait suggéré que la dépersonnalisation serait une réponse archaïque du cerveau à des situations de survie.</p></div><div><h3>Conclusion</h3><p>Ces résultats suggèrent une compréhension de la dépersonnalisation comme une attitude défensive du jeune adulte homozygote face à une réalité jugée trop menaçante. Un mouvement régressif comme retour à une phase primaire du développement où il faisait bon vivre.</p></div><div><h3>Objective</h3><p>Depersonalization is described as commonplace and frequent in such varied registers as hysteria, phobic and anxiety disorders, dissociative disorders, depression, and psychosis. However, very few papers give a clinical description in relation to more specifically somatic disorders such as sickle cell disease. This article describes the disorder in three young adults with homozygous sickle cell disease (SS) and attempts to decipher its psychopathology and the unconscious processes responsible for its appearance in this context.</p></div><div><h3>Method</h3><p>The study is exploratory, descriptive, and qualitative. The method applied is the case study. The participants were selected in hospitals in the city of Yaoundé in Cameroon. The data were collected using a clinical interview grid of the semi-directive type and then subjected to a content analysis.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Articulation de la thérapie d’acceptation et d’engagement à la psychothérapie assistée par psychédéliques en addictologie","authors":"Lana Strika-Bruneau (Psychologue clinicienne) ,&nbsp;Baptiste Fauvel (Maître de conférences) ,&nbsp;David Dupuis (Psychologue) ,&nbsp;Amine Benyamina (Professeur des universités – Praticien hospitalier)","doi":"10.1016/j.evopsy.2023.01.003","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.01.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Addictive behaviors are currently considered a major public health concern worldwide. The observation of limited results of existing treatments encourages the search for new therapeutic modalities. This paper examines, through a qualitative literature review, the relevance of using Acceptance and Commitment Therapy (ACT) as a psychotherapeutic framework for Psychedelic-Assisted Psychotherapy (PAP), as well as the perspective of the articulation of this approach in the field of addiction.</p></div><div><h3>Methods</h3><p>After briefly introducing the current context of addiction, its mechanisms and treatments, we will address both Psychedelic-Assisted Psychotherapy and Acceptance and Commitment Therapy. We will then discuss their synergy and their association, before concluding on perspectives for addictology.</p></div><div><h3>Results</h3><p>The results of published studies suggest significant efficacy of these two approaches when used separately and for different conditions, including addiction. The promising efficacy of Psychedelic-Assisted Psychotherapy is equally based on its psychotherapeutic component, which is necessary to optimize the beneficial effects.</p></div><div><h3>Discussion</h3><p>Due to the synergy between their mechanisms of action, ACT seems particularly suited to PAP. While this association, recently used in two recent research studies on treatment-resistant depression, has not yet been explored in the field of addiction, the preliminary results that suggest their complementarity open up perspectives on their association within a therapeutic framework in addictology, and encourage a reflection upon an adapted protocol to implement.</p></div><div><h3>Conclusions</h3><p>To this day, psychological processes of change involved in PAP remain insufficiently studied and require further understanding. ACT appears as an appropriate proposal for the therapeutic framework of PAP, worthy of future investigation in the field of addiction, where the underlying processes of psychological flexibility – targeted by both psychedelics and this psychotherapeutic approach – play a major role in treatment outcomes. In a field that remains understudied, this perspective participates in the search for a unifying and integrative psychotherapeutic component, in the service of a global overview of the treatment of addiction disorders.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}