[Imagination at the source of creation, in healthcare as elsewhere]. / L'imagination aux sources de la création, dans le soin comme ailleurs.

This article proposes to show not only how imagination unfolds in the various fields of our human experience, but above all to account for the emergence of significant novelties. Or how the creative imagination gives birth to novel agentivities (be they works, beings, new ways of doing, acting and becoming) and engages us in a poetics of caring for the world.

[L'Atelier créa: a therapeutic mediation group for neonatal parents]. / L'Atelier créa : un groupe thérapeutique à médiation pour les parents en néonatalogie.

The parents of a baby hospitalized in a neonatal unit are confronted with the trauma of premature birth. L'Atelier créa, a creatively-mediated peer group, was designed to give them a space in which to meet and share their experiences. It's a time for talking, imagining and dreaming about the baby. This group is also a form of passage, taking the place of ritual, allowing access to the parent-baby triad, in this sometimes so inhospitable universe.

War: Mentalization and Totalitarian State of Mind.

For most residents of Europe, war is a new experience in which they find themselves both as witnesses and participants. In this paper the war in Ukraine serves as an illustration and case example. Like any unfamiliar experience, war elicits profound emotional responses which can be so overwhelming that an individual may be unable to fully process them and to create mental representations of the reality of war. When the psyche becomes entrapped in an unprocessed state, without the capacity to derive meaning from it, this results in the "fossilization" of the psyche akin to what McGinley and Segal describes as a totalitarian state of mind. Subjectivity and individual differences come under collective or personal attack, or both. This state of being prioritizes the needs of the collective psyche over the individual psyche. The image of Gorgon Medusa, who transformed living people into "fossilized" ones, is presented as a metaphor of total identification with the collective dimension. In contrast, the psyche can reveal a creative approach to resolving war-induced trauma. This is depicted in the concept of the Alchemical Stone and its creation, which symbolizes a harmonious connection between the external and internal realms, the subjective and objective experiences, and the real and the imaginal dimension.

Pour la plupart des habitants de l'Europe, la guerre est une nouvelle expérience dans laquelle ils se retrouvent à la fois témoins et participants. Dans cet article, la guerre en Ukraine sert d'illustration et de cas exemplaire. Comme toute expérience qui sort de l'ordinaire, la guerre suscite des réactions émotionnelles profondes qui peuvent être si accablantes qu'un individu peut se trouver incapable de les traiter pleinement et de créer des représentations mentales de la réalité de la guerre. Lorsque la psyché se retrouve piégée dans un état qu'elle ne peut pas traiter, sans la capacité d'en tirer un sens, il en résulte une « fossilisation ¼ de la psyché, semblable à ce que McGinley et Segal a décrit comme un état d'esprit totalitaire. La subjectivité et les différences individuelles font l'objet d'attaques collectives ou personnelles, ou des deux. Cet état d'être donne la priorité aux besoins de la psyché collective plutôt qu'à la psyché individuelle. L'image de la Gorgone Méduse, qui a transformé des êtres vivants en êtres «fossilisés¼, est présentée comme une métaphore de l'identification totale à la dimension collective. En revanche, la psyché peut révéler une approche créative pour résoudre les traumatismes induits par la guerre. Ceci est représenté par le concept de la Pierre Alchimique et de sa création, qui symbolise un lien harmonieux entre les royaumes extérieur et intérieur, les expériences subjectives et objectives, et les dimensions réelles et imaginales.

Para la mayoría de los habitantes de Europa, la guerra es una experiencia nueva en la que se encuentran tanto como testigos y como participantes. En este artículo, la guerra en Ucrania sirve como ilustración y ejemplo de caso. Como cualquier experiencia desconocida, la guerra provoca profundas respuestas emocionales que pueden ser tan abrumadoras que un individuo puede ser incapaz de procesarlas completamente y de crear representaciones mentales de la realidad de la guerra. Cuando la psique queda atrapada en un estado, sin posibilidad de elaborar y sin la capacidad para hallarle un sentido, se produce una "fosilización" de la psique similar a lo que McGinley Segal describe como un estado mental Totalitario. La subjetividad y las diferencias individuales son objeto de ataques colectivos o personales, o ambos. Este estado de ánimo prioriza las necesidades de la psique colectiva sobre la individual. La imagen de la Gorgona Medusa, que transformó a las personas vivas en "fosilizadas", se presenta como una metáfora de la identificación total con la dimensión colectiva. Por el contrario, la psique puede revelar un enfoque creativo para resolver el trauma inducido por la guerra. Esto se representa en el concepto de la Piedra Alquímica y su creación, que simboliza una conexión armoniosa entre los reinos externo e interno, las experiencias subjetivas y objetivas, y las dimensiones real e imaginal.

[Anchor your resources with the bullet journal]. / "Encrer" ses ressources avec le bullet journal.

The ordeal of chronicity is marked, from the outside, by an impression of dependence on the institution. Considering the discharge of a patient who has been hospitalized for a long period of time requires reflection at different levels and is based on a major challenge, that of integrating a new model of care. The clinical situation presented allows us to highlight both the caregiving skills and the impact on the group that this implies in a clearly defined dynamic: mobilizing the patient's resources.

[Suspension of judgment, play and creativity in helping relationships]. / La suspension du jugement, le jeu et la créativité dans les relations d'aide.

The relational field does not only concern psychiatric professionals. A school teacher has carried out a university research work on the specificity of the psychic processes which are the basis of the helping relationship. Situations experienced in a kindergarten class describe the relational complexity involved, as well as the questioning and doubts of the professional. Finally, constructive approaches propose alternatives for maintaining the link in the relationship.

[Being and having been a psychiatric nurse]. / Être et avoir été infirmière en psychiatrie.

To work as a psychiatric sector nurse is to have built a know-how in the richness and multiplicity of the sectorization. Since the 1990s, this specificity has disappeared and with it the belonging to a common culture. Another conception of care is emerging, responding to general trends rather than to specific and territorial needs. Today, it is hoped that knowledge and know-how will be built and passed on as a reference in areas of exchange yet to be invented.

Bastard children of the avant-garde: artistic expression in the Cubist and Abstract Expressionist movements and the psychoanalytic process.

The art movements of Cubism and Abstract Expressionism, influenced by Jung and Freud, emerged as a symbolic representation of the collective unconscious, and became an expression of the challenging times of a culture in transition. Similar to the technique of interpretation in psychoanalysis, Cubist painting was a method of demarcation, rather than an imitation of what was seen in the physical world. Also, as an expression of collective experience, the avant-garde movement of Abstract Expressionism emerged out of Cubism. It moved away from the logical idealism of Cubism into an expression of felt experience. This paper will review the art of the avant-garde Cubist and Abstract Expressionist movements. The psychology of the artistic process will be explored in relation to psychoanalysis and collective experience.

Les mouvements artistiques du Cubisme et de l'Expressionnisme Abstrait, influencés par Jung et Freud, ont émergé comme représentation symbolique de l'inconscient collectif, et sont devenus une expression d'une époque difficile d'une culture en transition. Comme la technique de l'interprétation en psychanalyse, la peinture Cubiste est une méthode de démarcation, plutôt qu'une imitation de ce qui était perçu dans le monde physique. Le mouvement avant-garde de l'Expressionnisme Abstrait a émergé du Cubisme, et est également l'expression d'une expérience collective. Il a évolué à partir de l'idéalisme logique du Cubisme vers l'expression d'une expérience ressentie. Cet article passera en revue l'art de l'avant-garde du Cubisme et de l'Expressionnisme Abstrait. La psychologie du processus artistique sera étudiée en relation avec la psychanalyse et l'expérience collective.

Los movimientos de arte Cubista y Expresionismo Abstracto, influenciados por Jung y Freud, emergieron como representación simbólica del inconsciente colectivo, y devinieron en la expresión de una cultura en transición en tiempos desafiantes. De manera similar a la técnica de interpretación en psicoanálisis, la pintura Cubista fue un método de demarcación, en lugar de una imitación de aquello visto en el mundo físico. También, como expresión de la experiencia colectiva, el movimiento vanguardista del Expresionismo Abstracto emergió desde el Cubismo. Se alejó del idealismo lógico del Cubismo hacia una expresión de la experiencia sentida. El presenta trabajo revisa los movimientos de arte de vanguardia Cubista y Expresionista Abstracto. Se explora la psicología del proceso artístico, con relación al psicoanálisis y a la experiencia colectiva.

Os movimentos artísticos do Cubismo e do Expressionismo Abstrato, influenciados por Jung e Freud, surgiram como uma representação simbólica do inconsciente coletivo e se tornaram uma expressão de tempos desafiadores de uma cultura em transição. Semelhante à técnica de interpretação na psicanálise, a pintura cubista era um método de demarcação, em vez de uma imitação do que era visto no mundo físico. Além disso, como expressão da experiência coletiva, o movimento de vanguarda do Expressionismo Abstrato emergiu do Cubismo. Afastou-se do idealismo lógico do cubismo para uma expressão de experiência sentida. Este artigo revisará a arte dos movimentos cubistas e expressionistas abstratos de vanguarda. A psicologia do processo artístico será explorada, em relação à psicanálise e à experiência coletiva.

Experiências mediúnicas e dissociativas em Fernando Pessoa e C. G. Jung à luz da psicologia analítica e da psicologia anomalística / Mediumistic and dissociative experiences in Fernando Pessoa and C. G. Jung in light of analytical psychology and anomalistic psychology / Expériences médiumniques et dissociatives chez Fernando Pessoa et C. G. Jung à la lumière de la psychologie analytique et de la psychologie anomalistique / Experiencias mediúmnicas y disociativas en Fernando Pessoa y C. G. Jung a la luz de la psicología analítica y de la psicología anómala

Resumo O poeta Fernando Pessoa e o psiquiatra C. G. Jung desenvolveram suas obras em consonância com suas biografias. Ambos descreveram episódios que podem ser interpretados como mediúnicos, buscando, também, compreendê-los psicologicamente. Na literatura psicológica atual, a mediunidade pode ser entendida por meio do conceito de dissociação da personalidade. Dessa maneira, este artigo buscou examinar as relações entre dissociação e mediunidade a partir de episódios biográficos de Pessoa e de Jung, à luz da psicologia analítica e da psicologia anomalística. Hipotetiza-se que eles vivenciaram experiências dissociativas criativas e não patológicas, embora algum nível de sofrimento estivesse envolvido. Em Pessoa, as experiências dissociativas são relacionadas com sua produção hetoronímica, enquanto em Jung e suas investigações, com o desenvolvimento de seu modelo psicológico, que oferece elementos para um estudo psicobiográfico e artístico do poeta.

Abstract Poet Fernando Pessoa and psychiatrist C. G. Jung developed their works consonant with their biographies. Both described episodes that can be interpreted as mediumistic, seeking to understand them psychologically. In current psychological literature, mediumship is associated to the concept of personality dissociation. In this regard, this article examines the relationship between dissociation and mediumship based on Pessoa's and Jung's biographical episodes, in light of analytical psychology and anomalistic psychology. It is hypothesized that they experienced creative, non-pathological dissociations, although some level of suffering was involved. Pessoa's experiences are related to his hetoronymic production, whereas Jung's are tied with the development of his psychological model, which offers elements for a psychobiographical and artistic study of the poet.

Resumé Le poète Fernando Pessoa et le psychiatre C. G. Jung ont développé leurs œuvres en accord avec leurs biographies. Tous deux ont décrit des épisodes qui peuvent être interprétés comme médiumniques, en cherchant à les comprendre psychologiquement. Dans la littérature psychologique actuelle, la médiumnité est associée au concept de dissociation de la personnalité. À cet égard, cet article examine la relation entre dissociation et médiumnité à partir des épisodes biographiques de Pessoa et de Jung, à la lumière de la psychologie analytique et de la psychologie anomalistique. L'hypothèse est qu'ils ont fait l'expérience de dissociations créatives et non pathologiques, bien qu'un certain niveau de souffrance y ait été impliqué. Chez Pessoa, ces expériences sont liées à sa production hétéronymique, tandis que chez Jung, elles sont liées au développement de son modèle psychologique, ce qui offre des éléments pour une étude psychobiographique et artistic du poète.

Resumen El poeta Fernando Pessoa y el psiquiatra C. G. Jung desarrollaron sus obras en consonancia con sus biografías. Ambos describieron episodios que pueden interpretarse como mediúmnicos, también buscando comprenderlos psicológicamente. En la literatura de la psicología actual, la mediumnidad puede entenderse bajo el concepto de disociación de la personalidad. Así, este artículo buscó examinar la relación entre disociación y mediumnidad a partir de los episodios biográficos de Pessoa y Jung, a la luz de la psicología analítica y la psicología anomalística. La hipótesis supone que estos autores tuvieron experiencias disociativas creativas y no patológicas, aunque estas involucraron cierto nivel de sufrimiento. En Pessoa, las experiencias se relacionan con su producción de la heteronimia; y en Jung, con el desarrollo de su modelo psicológico, que ofrece elementos para un estudio psicobiográfico y artístico del poeta.

Ilusão, criatividade e paradoxo: pré-condições para a capacidade de brincar / Ilusión, creatividad y paradoja: condiciones previas para la capacidad de jugar / Illusion, creativity and paradox: preconditions for the ability to play / Illusion, créativité et paradoxe: conditions préalables à la capacité de jouer

Inscrevendo-se de maneira singular na tradição psicanalítica, Winnicott estabelece uma situação de observação padronizada de bebês em que o brincar surge como critério diagnóstico e terapêutico para o desenvolvimento infantil. Esta observação passa a operar como uma matriz do pensamento winnicottiano, a partir da qual será elaborada a teoria do desenvolvimento emocional primitivo. O presente artigo busca destacar quais seriam as precondições para o desenvolvimento da capacidade de brincar do bebê humano, identificando alguns pontos de continuidade e inflexão com relação à teorização freudo-kleiniana sobre o brincar e o desenvolvimento emocional da criança: as relações entre a critividade, ilusão e o paradoxo

Suscribiéndose de una manera única a la tradición psicoanalítica, Winnicott establece una situación de observación estandarizada de bebés en la que el juego aparece como un criterio diagnóstico y terapéutico para el desarrollo infantil. Esta observación comienza a funcionar como una matriz del pensamiento winnicotiano a partir del cual se elaborará la teoría del desarrollo emocional primitivo. El presente artículo busca resaltar cuáles son las condiciones previas para el desarrollo de la capacidad de juego del bebé humano, identificando algunos puntos de continuidad e inflexión en relación con la teorización freudo-kleiniana sobre el juego del niño y el desarrollo emocional: las relaciones entre la crítica, ilusión y la paradoja

Subscribing in a unique way to the psychoanalytic tradition, Winnicott establishes a situation of standardized observation of babies in which playing appears as a diagnostic and therapeutic criterion for child development. This observation starts to operate as a matrix of Winnicottian thought from which the theory of primitive emotional development will be elaborated. The present article seeks to highlight which are the preconditions for the development of the human baby's ability to play, identifying some points of continuity and inflection in relation to Freudo-Kleinian theorizing about the child's play and emotional development: the relationships between criticism , illusion and the paradox

S'inscrivant de façon unique à la tradition psychanalytique, Winnicott établit une situation d'observation standardisée des bébés dans laquelle le jeu apparaît comme un critère diagnostique et thérapeutique du développement de l'enfant. Cette observation commence à fonctionner comme une matrice de la pensée winnicottienne, à partir de laquelle la théorie du développement émotionnel primitif sera élaborée. Cet article cherche à mettre en évidence quelles sont les conditions préalables au développement de la capacité de jeu du bébé humain, en identifiant quelques points de continuité et d'inflexion en relation avec la théorisation freudo-kleinienne du jeu et du développement émotionnel de l'enfant: les relations entre critique, illusion et paradoxe.

[Continued care during and after the Covid-19 pandemic]. / Continuer à soigner pendant et après la pandémie de Covid-19.

Covid-19 hit hospitals that were already weakened, and care work that had been reconfigured as a result of managerial approaches and financial austerity policies. However, care workers continued to pay attention, to care for patients by mobilising their representations of care.

Os ideais e o narcisismo trófico / The ideal and the trophic narcissism / Los ideales y el narcisismo trófico / Les idéaux et le narcissisme trophique

RESUMO Este trabalho se propõe a definir o conceito de ideal diferenciando-o do ideal do ego, do superego, da idealização e da idolatria. O ideal é o fundamento principal da ética do sujeito. Do mesmo modo, isso motiva a repensar a maneira de entender o superego. Para estudar o ideal, o autor analisa suas origens geracionais, a transmissão pelos pais, a referência aos antepassados, às identificações secundárias. Todavia, o ideal não remete a um ser preciso, mas paradoxalmente a várias pessoas e a ninguém. Assim como o ideal do ego é o herdeiro do narcisismo, o ideal seria, mais precisamente, o herdeiro do narcisismo trófico, aquele que contribui para o crescimento. Na clínica e na prática analíticas, o conceito de ideal permite acolher o grito de vida ou de sobrevida por trás das ideias ou dos comportamentos de certos pacientes que parecem barulhentos e exuberantes, classificados geralmente como defesa maníaca. Para sustentar essas considerações, o autor apresenta várias ilustrações clínicas.

ABSTRACT This work proposes the definition of the concept of ideal, showing its difference from the ideal of the ego, superego, idealization and idolatry. The ideal is the main foundation for the subject's ethics. Consequently, this encourages the rethinking on the way superego is understood. In order to study the ideal, the author analyses its generations' origins, the parents' transfer, the reference to the ancestors, to secondary identifications. However, the ideal is not seen as accurate, as it is paradoxically reference from many people and from nobody. As the ideal of the ego is the narcissism heir, the ideal would be, more precisely, the trophic narcissism, the one that contributes for growth. At the clinic and analytical practice, the concept of the ideal allows us to embrace the call for life or survival based on certain patients' ideas or behaviors - those who seem to be loud and dazzling, usually considered a maniac defense. To support all these considerations, the author presents many clinical and designer's illustrations.

RESUMEN Este trabajo se propone definir el concepto de ideal, diferenciándolo del ideal del ego, del superego, de la idealización y de la idolatría. El ideal es el fundamento principal de la ética del hombre. De la misma manera, eso induce a repensar el modo de entender el superego. Para estudiar el ideal, el autor examina sus orígenes generacionales, la trasmisión por los padres, la referencia a los antepasados, a las identificaciones secundarias. Sin embargo, el ideal no se refiere a una criatura específica, sino paradójicamente a diversas personas y a nadie. Así como el ideal del ego es el heredero del narcisismo, el ideal sería, más exactamente, el heredero del narcisismo trófico, aquel que contribuye para el crecimiento. En la clínica y en la práctica analítica, el concepto de ideal permite acoger el grito de vida o de sobrevida por detrás de las ideas o de los comportamientos de determinados pacientes que aparentan ser ruidosos y exuberantes, editados generalmente como defensa maniaca. Para asegurar esas consideraciones, el autor presenta varias ilustraciones clínicas de creadores.

RÉSUMÉ Ce travail se propose définir le concept d'idéal le différenciant de l'idéal du moi, du surmoi, de l'idéalisation, de l'idolâtrie. L'idéal fonde pour beaucoup l'éthique du sujet ; par la même occasion, cela incite à repenser l'aperception du surmoi. Pour étudier l'idéal, l'auteur analyse ses origines générationnelles, la transmission par les parents, la référence aux ancêtres, les identifications secondaires. Toutefois, l'idéal ne renvoie pas à un être précis, mais paradoxalement à plusieurs et à personne. Ainsi que l'idéal de moi est l'héritier du narcissisme, l'idéal serait plus précisément l'héritier du narcissisme trophique, celui qui contribue à la croissance. Dans la clinique et la pratique analytiques, le concept d'idéal permet d'accueillir le cri de vie ou de survie derrière les idées ou les comportements de certains patients qui paraissent bruyants ou exubérants, édictés habituellement comme défense maniaque. Pour étayer ces considérations, l'auteur présente plusieurs illustrations cliniques et de créateurs.

[How to value the work of geriatric caregivers]. / De l'importance de valoriser le travail des soignants en gériatrie.

Geriatric caregivers are subjected to physically and psychologically demanding situations. A geriatric short-stay service has implemented measures with a unique, creative and dynamic approach. These include participatory management, benevolence and the enhancement of the quality of work.

O psicanalista como ser político / The psychoanalyst as a political being / El psicoanalista como ser político / Le psychanalyste en tant qu'être politique

Inspirada em capítulos do livro Atenção e interpretação de Bion, e em considerações de Christopher Bollas sobre a mente fascista que nos habita, tento refletir sobre a política dentro da instituição psicanalítica.

Inspired by chapters of the book Attention and interpretation, of Bion, and in considerations by Christopher Bollas, about the fascist mind that inhabits us, I try to reflect on politics within the psychoanalytic institution.

Inspirado en los capítulos del libro Atención e interpretación, de Bion, y en consideraciones de Christopher Bollas, sobre la mente fascista que nos habita, trato de reflexionar sobre la política dentro de la institución psicoanalítica.

Inspiré par les chapitres du livre Attention et interprétation, de Bion, et dans les considérations de Christopher Bollas, sur l'esprit fasciste qui nous habite, j'essaie de réfléchir sur la politique au sein de l'institution psychanalytique.

"I just love it": Avid knitters describe health and well-being through occupation.

BACKGROUND.: Examining craft-based occupations is necessary to explicate the relationship between occupation and well-being. PURPOSE.: This study aimed to understand the role of knitting in the lives of passionate knitters and their experience of how knitting contributes to health, well-being, and occupational identity. METHOD.: Principles of phenomenology guided interviews with 21 knitting-guild members (with and without health conditions) and observations at seven guild meetings as well as guided the data analysis. Eight interviewees and 24 additional guild members confirmed key findings in writing. FINDINGS.: Five main themes capture how knitting (a) "makes me happy," (b) is "the mental challenge I need," (c) is "a hobby that joins" through social connections and skill development, (d) sustains identity such that "I can't imagine life without knitting," and (e) is a creative outlet "reflecting my personality." IMPLICATIONS.: This in-depth description of how knitters experience their craft in daily life bolsters the philosophical assumption that favoured occupations have the power to promote health and well-being.

Da criatividade às criações: uma viagem na companhia de Winnicott, Bion, De M'Uzan e Anzieu / From creativity to creations: a journey in the company of Winnicott, Bion, de M'Uzan, and Anzieu / De la creatividad a las creaciones: un viaje en compañía de Winnicott, Bion, de M'Uzan y Anzieu / De la créativité aux créations: un voyage en compagnie de Winnicott, Bion, de M'Uzan et Anzieu

A partir da questão da criatividade, tal como pode ser identificada no pensamento de Winnicott e de Bion, apresentaremos algumas ideias sobre a criação - a decolagem criativa -, tomando por interlocutores os psicanalistas franceses Michel de M'Uzan e Didier Anzieu. Trabalharemos com a criação nas artes, na literatura, nas ciências e nas próprias teorias psicanalíticas. Veremos como a inveja inconsciente extravia ou obstrui o processo criativo.

Starting from the issue of creativity as it may be identified in Winnicott's and Bion's thinking, we will present some ideas on creation - a creative takeoff - by using the French psychoanalysts Michel de M'Uzan and Didier Anzieu as interlocutors. We will work with creation in the Arts, Literature, Science, and Psychoanalytic Theories. We will also examine how unconscious envy misleads or obstructs the creative process.

A partir del tema de la creatividad, tal como se puede identificar en los pensamientos de Winnicott y Bion, presentaremos algunas ideas sobre la creación - el despegue creativo - tomando como interlocutores a los psicoanalistas franceses Michel de M'Uzan y Didier Anzieu. Vamos a trabajar con la creación en las artes, la literatura, la ciencia y en las teorías psicoanalíticas. También veremos cómo la envidia inconsciente extravía, u obstruye, el proceso creativo.

À partir de la question de créativité, comme on peut l'identifier dans les idées de Winnicott et Bion, présenterons quelques idées concernant la création - le décollage créatif - en prenant comme interlocuteurs les psychanalystes français Michel de M'Uzan et Didier Anzieu. Nous travaillerons avec la création dans les arts, la littérature, la science et les théories psychanalytiques. Nous verrons aussi comment l'envie inconsciente peut égarer ou obstruer le processus de création.

El caracol viajero: relato de un recorrido humanizante. Intervenciones subjetivantes con niños graves. El caso Marcos / The travelling snail: the account of a humanizing journey. Subjectivising interventions with serious children's cases. The case of Marcos / L`escargot voyageur: recit d'un parcours humanisant. Interventions subjectivantes chez l'enfant atteint de pathologie sevère. Le cas Marcos / O caracol viajante: relato de trajetória humanizante. Intervenções produtoras de subjetividade com crianças graves. O caso Marcos

El texto relata la experiencia de trabajo en una institución pública del interior del país. Expone el caso de un niño de 9 años con un diagnóstico de TGD y Síndrome de Down realizado por médico neurólogo y se presenta con un certificado de TEA. Toma risperidona. Marcos transita su escolaridad desde hace varios años en una Institución Especial y se incorpora a un Servicio nuevo creado ese año, de Severos Trastornos de la Personalidad, llamada sala Caracol, que trabaja como novedad con pareja terapéutica, maestra especial y psicóloga. Al llegar a la Institución, el niño: deambula, realiza movimientos estereotipados, se relaciona mejor con los objetos que con sus pares, se aísla, no controla esfínteres, no habla y no juega, sólo manipula un objeto. Se detallan las intervenciones subjetivantes realizadas tanto con el niño, con su madre y en el abordaje Institucional, dando cuenta de la evolución del trabajo realizado(AU)

This article describes the work experience at a public institution in the interior region of the country. It exposes the case of a 9-year-old boy with PDD and Down syndrome diagnosed by a neurologist. He also presents an ASD medical certificate and takes risperidone. Marcos has been receiving his schooling in a special institution for several years and he has been included in a new Service of Severe Personality Disorder, called "snail classroom", which works, as a new method, with the interaction between psychology and pedagogy. When arriving at the institution, the boy wanders, makes stereotypical movements, has a better relationship with objects than with his peers, isolates himself, has bowel and bladder incontinence, does not speak or play, and only manipulates an object. The subjectivising interventions done with the boy, with his mother and with the institutional approach are detailed, reporting on the evolution of the accomplished task(AU)

Le texte relate une expérience de travail dans une institution publique de l'intérieur du pays. On présente le cas d'un enfant de 9 ans présentant un diagnostic de TGD et trisomie 21 donné par un neurologue. Il apporte aussi un certificat de TSA. Il prend de la risperidone. Marcos effectue sa scolarité depuis plusieurs années dans une Institution Spécialisée, et est assigné à un Service de Troubles Sévères de la Personnalité (la Salle Escargot). Il s'agit d'un service créé récemment et qui présente la particularité que l'on y travaille en binômes thérapeutiques composés d'une éducatrice spécialisée et d'une psychologue. À son arrivée à l'institution l'enfant: déambule, effectue des mouvements répétitifs, interagit plus volontiers avec les objets qu'avec ses pairs, s'isole, ne contrôle pas ses sphincters, ne parle ni ne joue, a constamment un objet dans les mains. On détaille les interventions subjectivantes réalisées tant avec l'enfant qu'avec sa mère et dans l'enceinte de l'institution en montrant les progrès réalisés grâce à ce travail(AU)

O texto relata a experiência de trabalho de uma instituição pública do interior do país. Expõe o caso de uma criança de 9 anos com um diagnóstico de TGD e síndrome de Down realizado por um médico neurologista e se apresenta com um certificado de TEA. Toma risperidona. Marcos transita a escolaridade há vários anos numa Instituição Especial e se incorpora a um Serviço novo criado esse ano (na Sala Caracol), de Severos Transtornos da Personalidade, que trabalha como novidade com uma dupla terapêutica, docente especial e psicóloga. Ao chegar à Instituição a criança: divaga, realiza movimentos estereotipados, se relaciona melhor com os objetos que com seus companheiros, se isola, não controla seus esfíncteres, não fala e não brinca, só manipula um objeto. As intervenções produtoras de subjetividade realizadas com a criança, com a sua mãe e com a abordagem Institucional se detalham, revelando a evolução do trabalho realizado(AU)

'Routine is a blind alley' (C. G. Jung): on the similarities between artistic-creative and psychoanalytic work.

The transformation processes in artistic-creative work and those of the analytic process can be considered to be comparable. To illustrate the relatedness of the two, the author describes three self-states that characterized the artist Alberto Giacometti's creative process. With reference to Jungian concepts, the author subsequently illustrates how these states of mind can be found in the analyst during the analytic encounter. By comparing both processes, he explores the temptations and denials that accompany the analyst's struggle for an analytic attitude.

[From an institution's management to the caregivers in the field: driving a change of practices]. / Du management institutionnel au terrain : impulser une dynamique pour changer les pratiques.

The managerial project of the nursing directorate set up by an adult general psychiatric unit aims first and foremost to change practices in the field. This approach firstly involves structuring the institution's management. The project's main areas of focus are then rolled out through actions prioritising the bold, innovative dimensions of caregiving. This project highlights the skills of many nurses who demonstrate high levels of creativity in their nursing practices and management of patients.

[An educator's perspective, defusing tensions through mediation and the encounter]. / Regard d'éducateur, désamorcer les tensions par la médiation et la rencontre.

Non-pharmacological alternatives which avoid or reduce the use of seclusion and restraint help to defuse psychological and/or physical tension to move towards appeasement. For the professional, the encounter with the patient requires questioning, reflection, availability as well as creativity. Mediation techniques such as hydrotherapy or equine assisted therapy, as well as the caregiver's general attitude, are perfect illustrations. Testimony.

[From impasse to alliance, a singular encounter]. / De l'impasse à l'alliance, une rencontre singulière.

The story of Amina, hospitalised at the Oasis at the Ain psychotherapy centre (CPA), illustrates how a nursing team can be mobilised to avoid the use of seclusion. Time, creativity and respect for the patient are key to the success of the care approach.