From the Evaluation of Psychotherapies to Research in Psychotherapy and Psychoanalysis

Abstract

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The Digital Phenotyping Project: A Psychoanalytical and Network Theory Perspective

“…Thus, the particularities of the field related to mental health reveal that the subjective part of the subject’s relationship to their data must be taken into account. This is what a case formulation ( Thurin, 2017 ; Vanheule, 2017 ; Juskewycz et al, 2018 ) can reveal, whose methodology could inspire good practices in the use of smartphones to complement the evaluation. Similarly, it could be fruitful to take advantage of previous analyses and the difficulties associated with reductionism in psychopathology.…”

“…Research oriented by psychoanalysis and based on the technical resources of the smartphone constitutes a new and promising field of investigation in the academic domain. The place acquired by psychoanalysis in some universities has indeed allowed the practice of interdisciplinarity ( Potier and Putois, 2018 ; Arcous et al, 2019 ), research in interaction with neuroscience ( Gerber et al, 2006 , 2011 ; Gerber and Peterson, 2006 ; Bazan, 2007 , 2015 ; Georgieff, 2007 , 2010 , 2011 ; Ansermet and Magistretti, 2011 ; Bazan et al, 2013 ), followed by evidence of treatment effectiveness from their evaluation ( Leichsenring et al, 2004 ; Leichsenring, 2005 ; Thurin et al, 2006 ; Shedler and Westen, 2007 ; Leichsenring and Rabung, 2008 ; Shedler, 2010 ; Fonagy et al, 2015 ; Thurin, 2017 ). Psychoanalysis has always had the potential to be irrigated by the life sciences on the one hand and the social sciences on the other.…”

“…Finally, I recommend focusing on larger, simple trials with long-term follow-up. These recommendations could lead to a case formulation model ( Fishman, 1999 ; Thurin et al, 2006 , 2007 ; Thurin, 2009 , 2012 , 2017 ; Eells and Lombart, 2011 ; Eells, 2011a , b ; Vanheule, 2017 ).…”

“…Nosographic and psychopathological elements are introduced into an active process involving inferences about the causality of the disorders and problems observed and about the therapeutic process that can bring about change. This model allows a detailed evaluation of the therapy that fits perfectly with psychoanalysis (Thurin, 2017). This formulation could be enriched with the methods allowed by data collection via smartphone in a more contextual and targeted use, without claiming exhaustive and large-scale phenotyping, constituting a new source of comparative data.…”

“…I can no longer speak of a general cause of the expression of a disorder, but of a set of causes for which the design of actions is adjusted and prioritized according to the characteristics of each case and its potential modalities of change are essential. This set can be understood from the case formulations (Thurin, 2017). It might seem common sense to consider that clinical issues should be the focus of any research in psychopathology.…”