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Abstract: The therapeutic alliance defines the mutual collaboration, a partnership, between the patient and the therapist with the aim of achieving the fixed objectives. This concept originated in psychoanalysis, and gave rise to intense debates. We propose a synthesis of these debates, since the first intuitions of Freud until the concept of intersubjectivity. This allows to update the arguments of a question which is not finally cut, but which finds however a way of expression in the researches concerning the analytical brief therapies. Indeed, the confrontation of idea essentially carried around the fact of knowing if the notion of therapeutic alliance was antinomic of the concept of transference. And if it was not, how it was possible to integrate it into analytical follow-ups (in premises or in complementarity with an analysis of transference movements). The question is not concluded, but if we consider that although it arrives, a certain collaboration is established between the patient and his therapist, then an analysis of this collaboration via the notion of therapeutic alliance is possible and can offer a glance on the relational dynamics independently of the question of the analysis of transference. It is this verse which the current researches around the therapeutic alliance from analytical follow-ups. [Copyright &y& Elsevier]

This article consists of a discussion on therapeutic indications for psychoanalytic tools (psychoanalysis, psychoanalytically oriented psychotherapy, or individual psychoanalytic psychodrama) during the crisis of adolescence. These types of tools are among the options for treatment, limited by difficulties in the management of transference when a given adolescent is going through a period of lability of pathological manifestations. Preliminary interviews are thus essential for evaluating such an indication, which will be decisive, but will nevertheless remain temporarily dependent on the adolescent's own transferential engagement. [ABSTRACT FROM AUTHOR]

Abstract: Based on material from psychotherapy with sensory deficient patients (blind or deaf children and adults) this paper analyses subjects’ use of physical space in transference as well as in the elaboration of psychical spaces. Through the psychotherapy of Tom, a blind child, drawing upon Winnicott''s work, we will show how this space, which is at first unapproachable, is progressively assimilated into a shared reality. This space is first experienced as suffering, before being ultimately used creatively and playfully as transitional space. This transformation occurs through the integration of aggressiveness induced by the occupation of this space. Any discontinuity is experienced by the patient as a rupture of the relationship. Furthermore, discontinuity is associated with the elaboration of separations and an increase in the patient''s capacity to distinguish the self from the object. We thus hypothesize that differentiation from the object may pose a particular challenge for sensory deficient patients. The absence of the visual or vocal bond accentuates adhesive identifications (Bick, 1986 ). These pathological identifications can be repeated in transference, where they take the form of the patient''s excessive need for continuous vocal tactile or visual contact. Supported by the therapist, these adhesive identifications can be overcome, and the patient''s access to a three-dimensional world can be facilitated. [Copyright &y& Elsevier]

Abstract: Psychotherapy of borderline patients allows us to observe that often, the intense affects, the rage and the lack of good internal objects prevent the mentalization of object relations that are confined to acting-out. Moreover, mentalization deficiency inhibits the experience of relationships with a good object in the transference, which often jeopardizes the continuation of the treatment. It is argued that these dimensions of borderline pathology can be better worked out by closely adjusting therapeutic interventions to the patient''s ability to mentalise psychological experiences, particularly with regards to positive transference. We explain our view that the capacity to mentalise in the transference a relationship with a good object is an indication of structural change. [Copyright &y& Elsevier]

Abstract: The psychoanalytical therapy of schizophrenic patients is traditionally based on the development of a positive transference and on an interpreting, holding analytic work. In this paper, we present the case-study of a patient for whom all “making-sense” work became persecuting. We will name this very ambivalent person an “alterno-valent” patient. Within this conflicting transference, only a humoristic approach allowed us to develop a trustful relationship with the patient. We describe the subversive nature of this relationship-humour, which is to take a completely opposite position to the analytical position, but to remain nevertheless attentive and empathic. We show further how this humoristic play serves us to interpret the transference. The humour-concept is assimilated to the Freud''s “Witz”. We refer further to the literature in order to describe the psychotic transference as an oscillating movement between “transference-erotomania” and the “let-down-position”, both also deleterious. We propose the idea that the therapist''s effort to make sense could induce in psychotic patient a psychic disorder who acts first as a defence (against the confusing pointing of the Big Other), second as a guarantee for the permanency of the relationship (the subject''s disorder engage the Big Other in an organizing work). We also use “the concept of “projective identification””-concept, which is considered not only as the projection against bad objects, and also as a mechanism that allows the projection of the working-out abilities. [Copyright &y& Elsevier]