La prise en charge du trauma dans la psychose: Psychose, dissociation et psychotraumatismeManagement of trauma in psychosis: Psychosis, dissociation and psychotrauma
Description
Les termes « psychose » et « dissociation » ont eu des significations différentes selon les époques et, encore de nos jours, renvoient à des notions très variables selon le clinicien ou l’auteur qui les emploie. C’est au xixe siècle qu’un sens psychologique a d’abord été attribué au terme dissociation, notamment par Janet (qui employait également désagrégation), afin de désigner une division de la personnalité. Pour Janet, cet état de désagrégation se produit lorsque : « […] la puissance de synthèse psychique est affaiblie et laisse échapper, en dehors de la perception personnelle, un nombre plus ou moins considérable de phénomènes psychologiques » Cette notion de division de la personnalité est également présente dans la théorie de la dissociation structurelle de la personnalité (Van der Hart, Nijenhuis et Steele, 2006). Cependant, le terme dissociation est également utilisé dans un sens beaucoup plus large, incluant certaines altérations de la conscience (comme le phénomène d’absorption). Les définitions « officielles » décrites dans la CIM-10 (Organisation mondiale de la santé [OMS], 2006) et le DSM-IV et -V (American Psychiatric Association [APA], 1994, 2013) sont vastes et vagues, évoquant des perturbations ou des « discontinuités » dans l’intégration de toute une palette de fonctions mentales et physiques, dont la conscience, la mémoire, la perception et le contrôle moteur. Le concept de psychose est également utilisé dans des acceptions divergentes et recouvre un ensemble de troubles psychopathologiques…
The terms “psychosis” and “dissociation” have had different meanings over time and, even today, refer to very variable notions depending on the clinician or author who uses them. It was in the 19th century that a psychological meaning was first attributed to the term dissociation, notably by Janet (who also used disaggregation), to designate a division of the personality. For Janet, this state of disintegration occurs when: “[…] the power of psychic synthesis is weakened and lets escape, outside of personal perception, a more or less considerable number of psychological phenomena.” This notion of division of the personality is also present in the structural dissociation theory of personality (Van der Hart, Nijenhuis, & Steele, 2006). However, the term dissociation is also used in a much broader sense, including certain alterations of consciousness (such as the phenomenon of absorption). The “official” definitions described in the ICD-10 (World Health Organization [WHO], 2006) and the DSM-IV and -V (American Psychiatric Association [APA], 1994, 2013) are broad and vague, suggesting disruptions or “discontinuities” in the integration of a range of mental and physical functions, including consciousness, memory, perception and motor control. The concept of psychosis is also used in divergent meanings and covers a set of psychopathological disorders...
The terms “psychosis” and “dissociation” have had different meanings over time and, even today, refer to very variable notions depending on the clinician or author who uses them. It was in the 19th century that a psychological meaning was first attributed to the term dissociation, notably by Janet (who also used disaggregation), to designate a division of the personality. For Janet, this state of disintegration occurs when: “[…] the power of psychic synthesis is weakened and lets escape, outside of personal perception, a more or less considerable number of psychological phenomena.” This notion of division of the personality is also present in the structural dissociation theory of personality (Van der Hart, Nijenhuis, & Steele, 2006). However, the term dissociation is also used in a much broader sense, including certain alterations of consciousness (such as the phenomenon of absorption). The “official” definitions described in the ICD-10 (World Health Organization [WHO], 2006) and the DSM-IV and -V (American Psychiatric Association [APA], 1994, 2013) are broad and vague, suggesting disruptions or “discontinuities” in the integration of a range of mental and physical functions, including consciousness, memory, perception and motor control. The concept of psychosis is also used in divergent meanings and covers a set of psychopathological disorders...
Format
Book Section
Language
French
Original Work Citation
Rydberg, J. A., & Moskowitz, A. (2019, July). [Management of trauma in psychosis: Psychosis, dissociation and psychotrauma]. In Tarquinio, C., Brennstuhl, M.-J., Dellucci, H., Iracane-Coste, M., Rydberg, J. N., Silvestre, M., Tarquinio, P., & Zimmermann, E. (Eds.), Aide-mémoire - EMDR (pp. 349-357). Dunod. French
Citation
“La prise en charge du trauma dans la psychose: Psychose, dissociation et psychotraumatismeManagement of trauma in psychosis: Psychosis, dissociation and psychotrauma,” Francine Shapiro Library, accessed May 3, 2024, https://francineshapirolibrary.omeka.net/items/show/28874.