Psychothérapie psychodynamique brève de la dépression pour patients hospitalisés

Abstract

The aim of this article is to propose a reflection on the opportunity that hospitalization can represent as a way to think of depression in terms of psychic metabilisation of a significant subjective experience, or its feature. The article presents the main modalities through which this approach is organized for hospitalized unipolar patients in a phase of depression. It comprises 12 sessions (3 per week), The psychotherapifs intervention is organized around 4 basic themes: the conflict revealed in the crisis surrounding hospitalization, personality structure, briefness of psychotherapy and the psychopathology of the symptom. These organisors are the framework that lend this process its originality. A clinical vignette illustrates how this psychotherapy, though brief, is able to remobilize a situation through retrieving the psychical historicity of the depressed episode. Our clinical experience shows that this dispositive is a clearly destined space for lending an authentic psychoanalytic ear.