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Theses

Psychopathologie du trauma et syndrome de Münchhausen par procuration : de la notion de clivage à celle de dissociation, de l’approche psychanalytique aux psychothérapies EMDR et ICV

Abstract : This thesis based on previous publications retraces clinical interventions and brings together written materials (15 articles, monographs and a book) spanning a period of 20 years on a form of intrafamilial abuse exploiting the medical field: the Munchausen Syndrome by proxy.Since our first encounter with a case of MSbP in 1996, we have learned to think about early childhood trauma using different psychopathological models and distinct clinical approaches (psychodynamic, EMDR, Lifespan Integration) in search of a fertile dialectisation and, over time, have committed to a trans- and inter-disciplinary perspective based on psychodynamic, cognitive and neurophysiological hypotheses to understand traumatic phenomena. From there interest in studying the line of thought involving epistemological fields assumed at first glance to be opposites reflects an evolution of clinical practice in describing how patients – authors or victims of MSbP have benefited from this dynamic. Composed of three parts, the first part of this thesis is devoted to a general presentation of the psychopathology of trauma and early distress taking into consideration the conceptual developments treated throughout our writings. The second part, centered on MSbP focuses on its semiology and etiology, medical and psychopathological terminology as well as the multidimensional interventions necessary for its treatment. The third part is dedicated to different psychotherapeutic approaches that we have used in treating patients, adults or children involved with MSbP. This last part gives rise to an understanding of how the concepts of splitting and dissociation can be revisited and integrated into a neuropsychological developmental perspective. Characterized by an epistemological framework based on a theoretic and therapeutic pluralism, this experience is shared with the desire of encouraging a psychopathological approach including complementarity, intersubjectivity and phenomenology.
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https://hal.univ-lorraine.fr/tel-03215135
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Submitted on : Monday, May 3, 2021 - 10:47:23 AM
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  • HAL Id : tel-03215135, version 1

Citation

Eric Binet. Psychopathologie du trauma et syndrome de Münchhausen par procuration : de la notion de clivage à celle de dissociation, de l’approche psychanalytique aux psychothérapies EMDR et ICV. Psychologie. Université de Lorraine, 2018. Français. ⟨NNT : 2018LORR0332⟩. ⟨tel-03215135⟩

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