"Hypnoth\u00E9rapie" . "Douleur" . "Traumatisme psychique" . . . "Text" . "Narrativit\u00E9" . "Hypnose" . . . "2018" . . "Traumatisme" . "Study of the experienceof ten adults with sickle cell disease, phenomenological and transcultural views from a hypnotherapeutic perspective" . . . . . . . . "Sickle-cell disease, the most common genetic pathology of haemoglobin in France, is characterized by painful paroxysmal pain attacks, often occurring since early childhood. The majority of the individuals met in the French metropolis are migrants, coming from overseas departments and countries in Sub-Saharan Africa.Using a qualitative methodology, we observe the repercussions of painful pathnomonic crisis in sickle-cell disease, which we consider traumatogenic, on the identity dynamic of adult subjects. On one hand, we suggest that these crises appear as a destructuring event, threatening the subject's identity balance, due to the unpredictability of their occurrence and their lethal risk. On the other hand, in view of this traumatic potentiality, we consider them as structuring the psychic dynamics of the subject, through the peculiar modalities that he maintains with his body. The confrontation with the Reality of Death, the experience of dread, the threat of psychological annihilation caused by pain, as well as their repetitiveness and the feeling of uncertainty as to their relief, sometimes placing the subject in a long dissociative time, reveal a risk of developing psychotraumatic syndrome. However, because of their recurrence, they generate a body relationship where the subject anticipates the onset of pain, which appears as a sensory reference point, even latent, which he relies on to live in his environment.In this exploratory aim, we apprehend the feeling and identity construction of subjects, particularly in regard of the plural etiologies affiliated with sickle-cell disease, related to the secular knowledge of the culture of origin and the medical knowledge available. These various causal explanations generate socio-cultural representations and designations of the sickle cell disease subject, particularly in the country of origin. The identity process seems to be mishandled by disease related constraints, contributing to the feeling of being different from others, which is also fuelled by these socio-cultural specificities. Beyond the identity changes linked to migration, the analysis highlights the reactions and resources used in dealing with illness, and illustrates the movement of subjective distanciation subjects from an identity that is sometimes experienced as \\\"undergone\\\".In addition, we collected quantitative data on adherence, anxiety, fatigue, catastrophizing, and beliefs and perceptions associated with pain. On average, subjects reported being observant about their treatment. Average levels of anxiety and catastrophizing were moderate. Tiredness would tend to a sensory and emotional dimension rather than a behavioural and cognitive one. Regarding their pain, subjects tended to perceive it as mysterious and lasting, don\u2019t feel guilty about its presence and seemed hesitant about its intermittent or continuous nature.The first axis of study of hypnosis and the practice of self-hypnosis focused on estimating them as mitigating factors for symptoms measured through assessment scales. The second concerned the necessary inter-subjective dimension of hypnosis. No significant differences were found between the two measurement times that would suggest symptomatic efficacy of hypnosis. Through the subjects' words, the influence of hypnosis could be seen in the (re)appropriation of the body's experience and subjective history thanks to the practitioner's secure relational investment. Finally, the practice of self-hypnosis would prove to be effective as an update of this relationship, mobilizing the subject in a commitment to himself." . "Identit\u00E9 collective" . . . . . "Th\u00E8ses et \u00E9crits acad\u00E9miques" . . "Identit\u00E9" . . "\u00C9tude du v\u00E9cu de dix sujets adultes atteints de dr\u00E9panocytose, regards ph\u00E9nom\u00E9nologique et transculturel dans une perspective hypnoth\u00E9rapeutique" . . "\u00C9tude du v\u00E9cu de dix sujets adultes atteints de dr\u00E9panocytose, regards ph\u00E9nom\u00E9nologique et transculturel dans une perspective hypnoth\u00E9rapeutique" . . "La dr\u00E9panocytose, pathologie g\u00E9n\u00E9tique de l'h\u00E9moglobine la plus fr\u00E9quente en France, se caract\u00E9rise par des crises douloureuses paroxystiques, dont la survenue appara\u00EEt souvent depuis la plus jeune enfance. La majorit\u00E9 des individus rencontr\u00E9s en m\u00E9tropole fran\u00E7aise sont issus de la migration, provenant de d\u00E9partements d'Outre-Mer et de pays d'Afrique Sub-Saharienne.Par une m\u00E9thodologie qualitative, nous observons les r\u00E9percussions des crises douloureuses pathognomoniques de la dr\u00E9panocytose, que nous consid\u00E9rons comme traumatog\u00E8nes, sur la dynamique identitaire de sujets adultes. D'une part, nous sugg\u00E9rons que ces crises se figurent tel un \u00E9v\u00E8nement d\u00E9structurant, mena\u00E7ant l'\u00E9quilibre identitaire du sujet, de par l'impr\u00E9visibilit\u00E9 de leur survenue et leur risque l\u00E9tal. D'autre part, au vu de cette potentialit\u00E9 traumatique, nous les envisageons comme structurant la dynamique psychique du sujet, au travers des modalit\u00E9s singuli\u00E8res que ce dernier entretient avec son corps. La confrontation au R\u00E9el de la Mort, le v\u00E9cu d\u2019effroi, la menace d\u2019annihilation psychique caus\u00E9e par la douleur, ainsi que leur r\u00E9p\u00E9titivit\u00E9 et le sentiment d\u2019incertitude quant \u00E0 leur soulagement, inscrivant parfois le sujet dans un temps dissociatif long, d\u00E9voilent un risque de d\u00E9velopper un syndrome psychotraumatique. Pour autant, de par leur r\u00E9currence, elles engendrent une relation au corps o\u00F9 le sujet anticipe le surgissement de la douleur, laquelle appara\u00EEt tel un rep\u00E8re sensoriel, m\u00EAme latent, auquel il se fie pour se mouvoir dans son environnement.Dans cette vis\u00E9e exploratoire, nous appr\u00E9hendons le sentiment et la construction identitaire des sujets, notamment au regard des \u00E9tiologies plurielles affili\u00E9es \u00E0 la dr\u00E9panocytose, relatives aux savoirs profanes de la culture d\u2019origine et aux savoirs m\u00E9dicaux disponibles. Ces diverses explications causales g\u00E9n\u00E8rent des repr\u00E9sentations et des d\u00E9signations socio-culturelles du sujet dr\u00E9panocytaire, particuli\u00E8rement dans le pays d\u2019origine. Le processus identitaire semble malmen\u00E9 par les contraintes li\u00E9es \u00E0 la maladie, contribuant au sentiment d\u2019\u00EAtre diff\u00E9rent des autres, lequel est \u00E9galement aliment\u00E9 par ces sp\u00E9cificit\u00E9s socio-culturelles. Au-del\u00E0 des bouleversements identitaires li\u00E9s \u00E0 la migration, l\u2019analyse met en exergue les r\u00E9actions et les ressources employ\u00E9es face \u00E0 la maladie, et illustre les mouvements de distanciation des sujets face \u00E0 une identit\u00E9 parfois v\u00E9cue comme \u00AB subie \u00BB.En outre, nous avons recueilli des donn\u00E9es quantitatives concernant l\u2019observance th\u00E9rapeutique, les niveaux d\u2019anxi\u00E9t\u00E9, de fatigue, de catastrophisme, ainsi que les croyances et les perceptions associ\u00E9es \u00E0 la douleur. En moyenne, les sujets d\u00E9claraient \u00EAtre observants quant \u00E0 leur traitement. Les niveaux moyens d\u2019anxi\u00E9t\u00E9 et de catastrophisme se sont av\u00E9r\u00E9s mod\u00E9r\u00E9s. La fatigabilit\u00E9 s\u2019orienterait sur une dimension sensorielle et affective plut\u00F4t que comportementale et cognitive. Concernant leur douleur, les sujets avaient tendance \u00E0 l\u2019appr\u00E9hender comme myst\u00E9rieuse et p\u00E9renne, ne se percevaient que peu coupables quant \u00E0 sa pr\u00E9sence et semblaient h\u00E9sitants sur son caract\u00E8re intermittent ou continu.Le premier axe d\u2019\u00E9tude de l\u2019hypnose et de la pratique de l\u2019autohypnose s\u2019attachait \u00E0 les estimer en tant que facteurs d\u2019att\u00E9nuation des sympt\u00F4mes mesur\u00E9s par le biais des \u00E9chelles d\u2019\u00E9valuation. Le deuxi\u00E8me int\u00E9ressait la n\u00E9cessaire dimension intersubjective de l\u2019hypnose. Aucune diff\u00E9rence significative n\u2019a \u00E9t\u00E9 retrouv\u00E9e entre les deux temps de mesures qui sugg\u00E9rerait une efficacit\u00E9 symptomatique de l\u2019hypnose. Au travers du discours des sujets, l\u2019influence de l\u2019hypnose r\u00E9siderait dans la (r\u00E9)appropriation du v\u00E9cu du corps et de l\u2019histoire subjective gr\u00E2ce \u00E0 l\u2019investissement relationnel s\u00E9curisant au praticien. Enfin, la pratique de l\u2019autohypnose se r\u00E9v\u00E9lerait efficace en tant que r\u00E9actualisation de cette relation, mobilisant le sujet dans un engagement \u00E0 lui-m\u00EAme." . "Douleur -- \u00C9valuation" . "Dr\u00E9panocytose" . .