6533b874fe1ef96bd12d6802

RESEARCH PRODUCT

« Présentation d'un outil d'évaluation de l'évolution des processus psychiques au sein d'un dispositif thérapeutique en clinique du traumatisme »

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Objectives: Our project consists in the implementation and the evaluation of a care system for children in a child protection NGO in Cambodia. In view of the cultural differences and specificities of the field, taking into account only the symptoms does not seem to sufficiently account for the processes involved within the system. Based on the observation that there is a lack of tools that would allow us to apprehend these processes, our study focused on the creation of a scoring grid for psychological processes that could be used in the humanitarian field and could support clinical practice. Method: During one year, we met ten children confronted with traumatogenic events, within a device based on therapeutic mediations. The corpus studied is based on observation notes inspired by Esther Bick's methodology. The study of the corpus and its theoretical linkage made it possible to identify five main processes as well as six channels of transfer. Results: Using the NVivo software, the observation notes were rated using the grid . Each of the sessions with the children was thus analyzed. By means of a matrix crossing query, we identified the processual evolution over the whole follow-up. Discussion: This rating grid allows us to identify the psychic movements at play during the encounters and raises new questions about the diagnosis on humanitarian grounds. Conclusion: This work has allowed us not only to create a rating grid but also to enrich and complete it during the rating process. This grid allows a processual evaluation within the therapeutic follow-ups and constitutes a support for the clinician confronted with a loss of reference points and a massive counter-transference.