Contenu du sommaire : Systèmes Humains par temps de confinement

In response to Covid-19 we were ordered to shelter in place and wear masks. The life we thought was stable gave way to a world of fear and anxiety generated by paradoxes where isolation could become synonymous of mental torture. This crisis has taken a hold of our lives, bringing out our need for certainties and uncertainties, reminding us of how vital relationships are for humans. These needs challenge our attempts to find redundant solutions embodied in a systemic`np pagenum="018"/b world centered on individualistic values. We propose here the principles and strategies that will allow to move from a society of individualistic performances to a pragmatic humanism.

Our life, and consequently our personality, is the result of a continuous interaction between what happens to us at each moment (the event logic) and the broader relational context in which it is inscribed (the relational logic). The article reviews some of the main modalities of this interaction, which, in circumstances such as the pandemic and confinement, involve dysfunctional relational situations such as triangulation, deprivation and chaotization. Options for positive development led by resilience are also discussed.

In times of confinement, the psyche is put to the test. Three forms of confinement are described: physical, psychological and digital. Within these confinements, we observe a psychic transparency, namely a lowering of defenses which leads to the emergence of usually unconscious psychic contents. In this context, digital technology regularly intervenes as an escape, which extends psychic transparency to digital. It is digital transparency, which we define as a psychic state of transparency from the subject to his Self. Now, the practice of online consultations seems to be fully involved in these phenomena of transparency, through digital transfer, which is expressed through facilitated therapeutic communication, reflecting the fantasy of a rapprochement between the psyches of the therapist and the patient.

This article is the result of thoughts carried out during a study day organized by La Durance with students of long-term training courses in systemic intervention and family therapy, after the end of the lockdown period. The authors attempt to describe the Covid-19 health crisis according to a five-phase process. Each phase has its own dynamic. They then focus their reflections on the work from home during the lockdown period, addressing the changes observed in interactions and interrelationships – professionals/patients, managers/professionals –, deontological and ethical issues and the consequences of this new modality of work within the professionals' family system.

The corona virus and its disease, Covid-19, have both transformed our daily lives in a dramatic way and on a global scale. Suffering and death are now at the forefront before borders and territories. What is the influence of the pandemic on psychotherapies' settings, therapists, and their patients? By bringing two clinical situations into resonance, and from the point of view of the ethnoclinic and the influence of cultural and political collectives on the individual, I propose to explore the metaphor that acts through the virus and permeates the issues of exile, corporeality and relation to reality.

This article is the result of the co-writing between a person seeking care and his therapist. They present their experience during the periods of confinement and then deconfinement linked to the Covid-19 crisis, more particularly regarding the perception of time, space, and nature. Through this experience, a more horizontal therapeutic relationship develops, the two authors sharing the same human condition and several common concerns, especially in relation to the climate`np pagenum="100"/b crisis. Interior echology, a neologism created to name the study of echoes between the collapse of the biosphere and personal psychic wounds, proposes to support an interior transition towards a responsible lifestyle, less destructive and more respectful of all the systemic interconnections of the living.

As psychologist and systemic couple' therapist we have lived a special and unprecedented time, with the COVID-19 pandemic. During the last period, we had a look at a large process, whether it was at a global level, or at country, couple, or family level. After a brief attempt at a systemic analysis of the health crisis, I would like to share my experience as a couple's therapist during this time. I will describe, particularly, the unexpected contributions of therapies “online” with what they brought, as new tools, in a new therapeutic process.

The empirical experience of surviving the virus inside the body is inseparable from its effects on the mind. I feel an urgency to write how these effects are working inside of me; at the same time this is my umpteenth attempt at writing it out, and I feel each time that I re-read these lines, that they appear too rhapsodic and fragmentary, so this represents my final attempt. I apologize to the reader for my inability to be exhaustive and clear about my thoughts and feelings. I suppose it derives from the intensity of the experience.Thoughts and affects are overlapping and this essay is a mixture of the two, and the text has the appearance of variations of writing: the first part being more conceptual and the second more literary, partly with the style of stream of consciousness.`np pagenum="136"/b

The negative consequences due to the compulsory lockdown are studied on conflicting issues between intimate territories which can occur more frequently in this context between a persons' privacy, a couple's privacy or a fraternal privacy, being all family components.Therapeutic proposals are made in order to avoid or to mitigate possible violent conflicts that can lead to violent behaviour at all these different levels, violent behaviour in the couple, violence between parents and children, or children and their parents or amongst the children themselves.

The weakening of psychic resources, the nature of the loss, the difficulty of adjusting to life without the deceased, significant secondary losses, the weak social network, the impoverishment of interests and the reminder of one's own death all contribute to complicate the grieving process in the elderly. The health measures associated with COVID-19 preventing the accompaniment of patients in their final days, restricting funeral rituals and depriving relatives of support are additional factors hindering the favourable evolution of mourning. Elderly people are at increased risk of developing complicated or pathological grief. The most common types of complicated grief are inhibited grief and chronic grief. The most common pathological grief is depressive grief and demented grief.

Due to the COVID-19 crisis and the resulting necessary quarantine measures, the “La Petite Maison” hospital has changed its normal treatment practices. Patients must therefore either be kept in isolation at the hospital or self-isolate at home and may not move between the two locations. The hospital has had to undergo a reorganisation and adjust its care provision. For example, some care units have been merged when one of them has to be isolated, and in-person family appointments and team meetings have been cancelled. Relative deprivation theory was used to analyse the positive effects (openness, solidarity and creativity) and negative effects (lack of exteriority, feeling of injustice) of the constraints that nursing staff have been subjected to. In terms of the young people and their families, three clinical cases have been used to analyse how the hospital can maintain the link either between a young person who remained hospitalised and their family, or with a young person who is isolating at home.

This article aims to investigate the peculiar working experience on genogram lived by the group of psychologists enrolled in the first year of the School of Specialization in Systemic Psychotherapy “Mara Selvini Palazzoli” in Milan. Due to the Coronavirus emergency and the restrictive measures put in place by the Italian government, the group we analyze had to face the beginning of the self-knowledge process in online mode, through the video communications platform Zoom. Using the Focus Group technique, we analyzed the participants' experience in the two different working modes: online and in-presence. We especially focused on the emotional and relational dynamics that arose within the group.`np pagenum="206"/b