Art-thérapie et troubles des conduites alimentaires. Évaluation en follow-up
Annales Médico-psychologiques, revue psychiatrique, ISSN: 0003-4487, Vol: 178, Issue: 1, Page: 52-59
2020
- 6Citations
- 29Captures
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Article Description
La nécessaire approche pluridisciplinaire et la durée des Troubles des Conduites Alimentaires (TCA) ne favorisent guère l’approche évaluative en follow-up, même lorsqu’il s’agit d’un programme standardisé. Les rares travaux menés sur l’impact de thérapies éclectique, familiale et cognitivo-comportementale, respectivement à un, quatre et cinq ans après la fin de la thérapie, ne parviennent pas à montrer ce qui a été bénéfique pour ces patients dans les thérapies suivies. D’un autre côté, l’art-thérapie est souvent posée comme une démarche non médicamenteuse clef pour ces patients en proie à la maîtrise, la rationalisation et l’anesthésie affective. Mais là aussi, par-delà l’engouement souvent constaté, le manque de preuves est aussi flagrant que l’absence d’une méthodologie évaluative ad hoc. Il s’agit dans ce travail de réaliser une évaluation des effets et représentations d’une prise en charge par l’art-thérapie en follow-up (sept ans). Puis de réaliser une typologie différentielle de l’efficacité art-thérapique des sujets guéris (TCA passés) versus sujets non guéris (TCA actuels). Population : 53 femmes (âge : 32,7 – ET : 9,27) dont 27 TCA actuels et 26 TCA passés de TCA, non hospitalisées depuis cinq ans et ayant bénéficié d’une prise en charge art-thérapique. Questionnaire adapté du Vécu de l’Échelle Clinique de Thérapies Médiatisées-Art-thérapie (ECTM) de Sudres. La psychothérapie analytique est la démarche de soin qui différencie les TCA passés des TCA actuels. Elle est donc un facteur prédictif dans le processus de soin. L’art-thérapie constitue la démarche de base et l’articulation clef pour amener le sujet vers les espaces thérapeutiques essentiels (thérapie psychanalytique et thérapie corporelle). Le rapport coût/bénéfice/efficacité devient probant pour l’art-thérapie. Des recommandations de bonnes pratiques d’ateliers d’art-thérapie avec des sujets TCA peuvent être esquissées. Par ailleurs, la nécessité d’évaluer ces pratiques avec des outils spécifiques requiert une modélisation ad hoc et une formation des art-thérapeutes. The necessary multidisciplinary approach and the temporality of eating disorders (ED) does not easily allow an evaluation approach in follow-up, even when it is a standardized program. Work on the impact of eclectic, family and cognitive-behavioral therapies, 1, 4 and 5 years after the end of therapy, respectively, fails to show what has been beneficial to these patients in the therapies followed. On the other hand, art therapy is often seen as a complementary therapy for these patients who use control, rationalization and emotional anesthesia. Beyond the infatuation often noted, the lack of evidence is as blatant as the lack of an evaluative methodology. The aim is to evaluate the effects and representations of a care by follow-up art therapy (7 years). Then a differential typology of the art-therapy effectiveness of the healed subjects (ED healed) versus non-healed subjects (ED current). Population: 53 women (age: 32.7 ± 9.27): – 27 ED current and 26 ED healed, not hospitalized for 5 years and having received art therapy treatment. Investigation tool: Adapted Questionnaire from the « Vécu de l’Échelle Clinique de Thérapies Médiatisés – Art Therapy » (ECTM) by Sudres. Analytical psychotherapy is the treatment approach that differentiates healed EDs from ED current EDs. It is therefore a predictive factor in the care process. Art-therapy is the basic approach and key articulation to bring the subject to essential therapeutic areas (psychoanalytical therapy and body therapy). The cost-efficiency-effectiveness ratio becomes a strong factor in art therapy. Recommendations for good practice of art therapy workshops with ED subjects can be outlined. Furthermore, the need to evaluate these practices with specific tools and the training of art therapists is affirmed.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0003448719303336; http://dx.doi.org/10.1016/j.amp.2019.11.006; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85077919761&origin=inward; https://linkinghub.elsevier.com/retrieve/pii/S0003448719303336; https://api.elsevier.com/content/article/PII:S0003448719303336?httpAccept=text/xml; https://api.elsevier.com/content/article/PII:S0003448719303336?httpAccept=text/plain; https://dul.usage.elsevier.com/doi/; https://dx.doi.org/10.1016/j.amp.2019.11.006
Elsevier BV
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