Psychothérapies des psychoses : entre histoire et évaluation

Historically, the psychotherapy of the psychoses was bound to the psychoanalysis in the questions around the possibility of transfer at the psychotics then in the developments of the psychoanalytical technique and in the use of against transfer. The development of medicines and the formalization of the other psychotherapeutic techniques (family, cognitive and behavioural psychotherapies) advanced the necessary coordination of the care to go of an exclusive psychotherapy centred on a type of treatment towards an integrative psychotherapy. The model dominating at present notably in the USA is a psychosocial model which uses the medicinal treatment, the family psychotherapy and the psychotherapeutic techniques of type TCC. The objective of this care is to limit relapses and consequences of the negative symptoms which pull isolation. The future of the psychotherapies of the psychoses articulates the evaluative dimension to be able to define real therapeutic integrative strategies and the individual dimension where the meeting with a subject is in the heart of the therapeutic device and where the psychoanalysis keeps all its interest.