Therapies

Pierre Canouï: "Psychotherapy can not be learned only in books"

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Some psys therefore have the official title of psychotherapists while they do not are not trained in psychotherapy? It sounds crazy!

Pierre Canouï: Yes. Neither the psychiatrists, nor the doctors nor the psychologists have been trained, as part of their university studies, to accompany a patient in psychotherapy. For psychiatrists, this is changing, some faculties of medicine now offering "initiations" to psychotherapeutic postures. But being sensitized a few hours is not comparable to training for five to seven years, like that of some psychotherapists! It's as if artists learn their craft in books, without the thousands of hours of workshops! However, it takes time to learn this particular accompaniment by listening, reformulation, non-judgment. It is also necessary to be able to be at the same time in the relation with the patient, available to what is said and lived, but also in position called "meta", that is to say, vigilant with what is played in the middle of the therapeutic relationship and in the longer time of the therapy. Finally, it is a question of setting a framework for therapy (with rules of non-passage to act, of mutual respect, etc.) and to lead it, with its hazards, to its end. The irony is that doctors, psychiatrists and psychologists have often been trained in one of the private schools where psychotherapists are now learning their profession. That's what I did, in parallel with my medical studies. And that's why I recognize myself more as a psychotherapist than as a psychotherapist according to the law!

What would it take to clarify all this?

Pierre Canouï: We should recognize the profession of psychotherapist and its content by method (gestalt therapy, psycho-organic analysis, family system ...). This means, on the one hand, opening the status to psychotherapists who meet the criteria of the European certificate of psychotherapy; on the other hand, ask for equivalent training and skills criteria (theoretical and practical) for everyone. It's a complex subject. We must take into account current scientific knowledge and the place of psychotherapists in mental health today, without giving in to lobbies or corporatisms. Thus, not only will we be able to protect our fellow citizens from sectarian excesses, but also allow them to have access to recognized and competent psychotherapy professionals.

For patients, there is the fear of choosing a psychologist who is a charlatan or a guru.Charges of sectarian excesses have hovered over all titles and currents of therapy, even the most serious. How to find one's way?

Pierre Canouï: A serious psychotherapist meets the five European certification criteria. He must thus justify a thorough personal psychotherapy (or psychoanalysis); from theoretical, methodological and practical training to a recognized method (cognitive-behavioral therapy, existential and humanistic therapy ...); training in clinical psychopathology; permanent supervision throughout his professional practice and have posted in his office the code of ethics of the profession. Finally, he must also be recognized by his peers, that is to say, belong to an association of psys. Not only to avoid the existence of "free electrons", but also to allow patients, in case of drift, not to be alone in the face of the risk of control.

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