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Premières expériences de la thérapie de famille en clinique psychiatrique

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Summary

Family therapy has developed out of the theoretical studies of several American authors, but is only now beginning to be applied in Europe. The present work describes observations made during recent years at the psychiatric clinic of Lausanne. It has been demonstrated that difficulties in verbal communication can indicate intra-familial problems. The author also deals with some specific matters such as silence in therapeutic sessions, tacit rules, and the need for homeostasis and symbiosis. The indications and contraindications for family therapy, and the counter-transference of the psychotherapist, are discussed.

Résumé

La thérapie de famille s'est développée à partir des études théoriques de plusieurs auteurs américains. En Europe, elle en est encore à ses débuts. Le présent travail reflète les observations qui ont pu être faites au cours de ces dernières années dans ce domaine à la Clinique psychiatrique de Lausanne. Il a été démontré qu'on peut se servir des troubles de communication verbale pour mettre le doigt sur la problématique intra-familiale. L'auteur aborde aussi quelques problèmes particuliers comme le silence dans les séances, les règles tacites, le besoin d'homéostase et de symbiose. Les indications et les contre-indications à la thérapie de famille sont discutées, ainsi que le contre-transfert du psychothérapeute.

Zusammenfassung

Familientherapie hat sich aus den theoretischen Studien einiger amerikanischer Autoren entwickelt, aber in Europa wird erst jetzt mit ihrer Anwendung begonnen. Die vorliegende Arbeit beschreibt Beobachtungen, die während der letzten Jahre an der Psychiatrischen Klinik von Lausanne gemacht wurden. Es wurde gezeigt, daß Schwierigkeiten in der verbalen Kommunikation innerfamiliäre Probleme anzeigen können. Der Autor behandelt auch einige spezifische Dinge, wie etwa das Schweigen bei therapeutischen Sitzungen, stillschweigende Regeln und das Bedürfnis nach Homöostase und Symbiose. Die Indikationen und Kontraindikationen für Familientherapie und die Gegenübertragung des Therapeuten werden diskutiert.

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Kaufmann, L. Premières expériences de la thérapie de famille en clinique psychiatrique. Soc Psychiatry 4, 16–25 (1969). https://doi.org/10.1007/BF00578152

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