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“Therapeutic mediations and psychoanalytic approach of creation”

Pr. P. Attigui, V. di Rocco (Lecturers)

1/ A new approach: CRPPC’s works in the field of therapeutic mediations and psychoanalytic approach of creation. We can talk about precursor investigation group since it is from the “School of Lyon” works that clinical research have specifically developed. This allowed the modelization of therapeutic settings that were until now absent in front of resisting psychopathological organizations with classical therapeutic settings (psychosis, autism, limit pathologies, serious neuroses, psychopathy, wandering pathologies…) but also with settings fundamentally adapted to the different ages of life (childhood, adolescence, aging).

2/ Rethinking metapsychology: the different works defined new conceptual frameworks that have clinically helped the different patient populations – in a group and/or individual dimension, for the formation of future clinical-researchers– developing their play and aesthetic attitude in order to elaborate trauma in new terms. Play mediations, whether theatric, pictorial, using writing medium, photography medium or other mediations such as equitherapy, sensorial and olfactory mediums, are de facto essential tools for the rethinking of metapsychology on symbolization work and for psychic life transformations.

3/ A psychoanalytic referential: This reflection epistemologically based on psychoanalysis and organized as “investigation-practitioner” from the analysis of transference-counter-transference movements, is aimed to activate the symbolizing abilities of the previously mentioned patients.

4/ Playing: Research works of the CRPPC focus on the analysis of the symbolic communication power, the cathartic effects, the importance of sensoriality revealed and produced by playing (as Winnicott described it) with the group and/or individually (cf. works of Bergeret, Guillaumin, Kaës, Roussillon, Brun, Attigui, Ciccone, Ravit, Di Rocco, Guinard, etc.).

5/ In that perspective, when using the art, the fiction as a new repairing skin, it becomes possible to observe that the heart of playful action sets off the subject in itself in its living form, as if mediation and play, supporting the action, make real the subject carrying his history. Mediation and its impact on groups, is considered as a limit, but also as a psychic skin and constitute a containing envelope. The interest of a psychoanalytic approach does not stop to words, because when enlarging the spectrum to the non-verbal elements, with all the shades of communication, discreet expressions of contact coming from the body, the diverse elements – based on practices theorized by members of the CRPPC – help dealing in depth with our psychopathological knowledge. Winnicott, Bion, Bowlby, Millner, Stern, Haag among others, are also interested in the phenomena of sensorial communication, seeking to precise and define in their own way what Stern called the proto-narrative envelope. Restate the clinical and social context is very important for populations of patients living in poverty who catch a very special attention. CRPPC research help highlighting that even for subject relegated far in the socius, therapeutic mediations based on the play and on creativity may reveal esthetic emotions often inaccessible. If we consider that these population may encounter great difficulties recognizing the existence of a fantasmatic life – most of them having lived in a sort of cataclysm of the psychic and social bond – it is then possible to understand the reason why some beings are lacking of creative potentiality, to the point of seeing disappear every possibility to lead a life rich in signification and worth living. CRPPC works aim at understanding the impact played by mediations, seen as a kind of accelerator, always at the psychic and social interface.

6/ Taking the measure of what is deposited in groups and their psyche: the group approach and the analysis of lateral transference as they expand inside groups, orientate works of the CRPPC’s researchers toward the era of cultural phenomena, especially because traditional care settings resorting to verbal language and to processes of secondary symbolization provide little help. We had to find another way, or more precisely, another language where the body and the act express according to new modalities allowing the thoughts to think in order to build a potential space. Committed in what the CRPPC calls “extreme clinical practice”, the student-researchers are aware of the necessity to pursue their research in the elaboration of frame-settings, contributing to launch or stimulate psychic processes aiming at symbolization and transformation capacities. They illustrated through various publications where the purpose played by the malleable medium (Marion Millner) proved itself precious. By lending both the body and the psyche “adapting itself”, the therapist allows the hidden psychic representative “not only unconscious but also inert, unproductive, cut from the drive sources as from the access to symbolization processes” Anzieu, D, 1981, Le corps de l’oeuvre) and may finally reveal and be decontaminated of their potential toxicity. Here is the theoretical-clinical purpose of the CRPPC team.

7/ Psychoanalytic approach of creation: The necessity to inject “cultural” in the noble sense of the term, also made the laboratory member work in a clinical perspective of great artistic work, not to spread an applied psychoanalysis but to understand the unconscious stakes allowing the clinical practitioner to confront the current clinics. In this spirit, literature, painting, theatre, cinema are major mediums.

8/ Evaluation of mediation settings: Many members of the CRPPC (Attigui, Brun, Chouvier, etc.) developed a clinical methodology for the evaluation of mediation settings. For two years now, a seminar has been held to federate works of young students working on a thesis or in M2R (Research Master). The publishing company “Dunod” will publish the most advanced works on September 2015.

Updated April 28, 2016


Directrice: Magali RAVIT,
Coordinatrice de recherche: Eliane GASTALDO,
Gestionnaire financier: Farida MARTINEZ,
Université Lumière Lyon 2