Résumés
Résumé
Certaines personnes ne répondent que partiellement aux traitements usuels offerts en intervention précoce pour la psychose. Des modalités d’intervention complémentaires, telles que la thérapie par l’aventure (TA), sont donc utilisées. L’analyse thématique d’entretiens auprès de 15 adultes suivis à la Clinique jeunes adultes psychotiques du Centre hospitalier de l’Université de Montréal met en lumière six composantes perçues par les participants comme significatives dans leur expérience de la TA : a) espace-temps hors du quotidien; b) espace-temps en nature; c) programmation; d) activités d’aventure à haute intensité émotionnelle; e) vie de groupe; f) présence des intervenants.
Mots-clés :
- thérapie par l’aventure,
- premier épisode psychotique,
- intervention précoce
Abstract
Some individuals only show a limited response to commonly-used treatments in early intervention for psychosis. In such cases, many advocate the use of adjunct interventions, such as Adventure Therapy (AT). A thematic analysis of interviews conducted with 15 adults followed at the Early Intervention for Psychosis services of the Centre hospitalier de l’Université de Montréal identified six therapeutic components perceived by the participants as significant in their experience of an AT program: a) space-time outside of everyday life; b) space-time in nature; c) programming; d) emotionally intense adventure activities; e) group life; and f) inclusion of health practitioners.
Keywords:
- adventure therapy,
- early psychosis,
- early intervention
Parties annexes
Bibliographie
- Bratman, G. N., Anderson, C. B., Berman, M. G., Cochran, B., de, V. S., Flanders, J., Folke, C., Frumkin, H., Gross, J. J., Hartig, T., Kahn, P. H. J., Kuo, M., Lawler, J. J., Levin, P. S., Lindahl, T., Meyer-Lindenberg, A., Mitchell, R., Ouyang, Z., Roe, J., … Daily, G. C. (2019). Nature and mental health: an ecosystem service perspective. Science Advances, 5(7), 1-14. https://doi.org/10.1126/sciadv.aax0903
- Bryson, J., Feinstein, J., Spavor, J. et Kidd, S.A. (2013). An examination of the feasibility of adventure-based therapy in outpatient care for individuals with psychosis. Canadian Journal of Community Mental Health, 32(2), 1-11. https://doi.org/10.7870/cjcmh-2013-015
- Cotton, S. et Butselaar, F. (2013). Outdoor adventure camps for people with mental illness. Australasian Psychiatry, 21(4), 352-358. https://doi.org/10.1177/1039856213492351
- Early Psychosis Guidelines Writing Group and EPPIC National Support Program (2016). Australian Clinical Guidelines for Early Psychosis (2nd ed. update). Orygen/The National Centre of Excellence in Youth Mental Health. https://www.orygen.org.au/Campus/Expert-Network/Resources/Free/Clinical-Practice/Australian-Clinical-Guidelines-for-Early-Psychosis/Australian-Clinical-Guidelines-for-Early-Psychosis.aspx?ext
- Fernee, C.R., Gabrielsen, L.E. et Mesel, T. (2016). Unpacking the black box of wilderness therapy: A realist synthesis. Qualitative Health Research, 27(1), 114-129. https://doi.org/10.1177/1049732316655776
- Fulford, D., Piskulic, D., Addington, J., Kane, J. M., Schooler, N. R. et Mueser, K. T. (2018). Prospective relationships between motivation and functioning in recovery after a first episode of schizophrenia. Schizophrenia Bulletin, 44(2), 369-377. https://doi.org/10.1093/schbul/sbx096
- Gabrielsen, L.E., Eskedal, L., Mesel, T., Aasen, G.O., Hirte, M., Kerlefsen, R.E., Palucha, V. et Fernee, C.R. (2018). The effectiveness of Wilderness Therapy as mental health treatment for adolescents in Norway: A mixed methods evaluation. International Journal of Adolescence and Youth, 24(3), 282-296. https://doi.org/10.1080/02673843.2018.1528166
- Gargano, V. (2018). L'intervention en contexte de nature et d'aventure : une analyse sous l'angle des facteurs d'aide [thèse de doctorat, Université Laval]. Corpus. https://corpus.ulaval.ca/jspui/handle/20.500.11794/31844
- Gargano, V. et Turcotte, D. (2018). L'intervention en contexte de nature et d'aventure : différences et similitudes entre les programmes éducatifs et les programmes thérapeutiques. Canadian Journal of Education, 41(1). 195-222. https://cje-rce.ca/wp-content/uploads/sites/2/2018/04/3.-3130-Gargano-Turcotte-March-28-194-222.pdf
- Galderisi, S., Mucci, A., Bitter, I., Libiger, J., Bucci, P., Fleischhacker, W.W. et Kahn, R.S. (2013). Persistent negative symptoms in first episode patients with schizophrenia: Results from the european first episode schizophrenia trial. European Neuropsychopharmacology, 23(3), 196-204. https://doi.org/10.1016/j.euroneuro.2012.04.019
- Gass, M.A., Gillis, H.L.L. et Russell, K.C. (2012). Adventure therapy: Theory, research, and practice. Routledge/Taylor & Francis Group.
- Gee, B., Hodgekins, J., Fowler, D., Marshall, M., Everard, L., Lester, H., Jones, P.B., Amos, T., Singh, S.P., Sharma, V., Freemantle, N. et Birchwood, M. (2016). The course of negative symptom in first episode psychosis and the relationship with social recovery. Schizophrenia Research, 174(1-3), 165-171. https://doi.org/10.1016/j.schres.2016.04.017
- Girard, C., Dubé, J. É., Ouellet-Plamondon, C. et Abdel-Baki, A. (2021). Off the beaten path: Adventure Therapy as an adjunct to early intervention for psychosis. Psychosis: Psychological, Social and Integrative approaches, 13(4), 338-348. https://doi.org/10.1080/17522439.2021.1901301
- Hamm, J.A., Buck, B., Leonhardt, B.L., Wasmuth, S., Lysaker, J.T. et Lysaker, P.H. (2017). Overcoming fragmentation in the treatment of persons with schizophrenia. Journal of Theoritical and Philosophical Psychology, 37(1), 21-33. https://
- Iyer, S.N. et Malla, A.K. (2014). Intervention précoce pour la psychose : Concepts, connaissances actuelles et orientations futures. Santé mentale au Québec, 39(2), 201-229. https://
- Kelley, M.P., Coursey, R.D. et Selby, P.M. (1997). Therapeutic adventures outdoors: A demonstration of benefits for people with mental illness. Psychiatric Rehabilitation Journal, 20(4), 61-73.
- Lyne, J., O'Donoghue, B., Roche, E., Renwick, L., Cannon, M. et Clarke, M. (2018). Negative symptoms of psychosis: A life course approach and implications for prevention and treatment. Early Intervention Psychiatry, 12(4), 561-571. https://doi.org/10.1111/eip.12501
- Martin, L.A.L, Koch, S.C, Hirjak, D. et Fuchs, T. (2016). Overcoming Disembodiment: The Effect of Movement Therapy on Negative Symptoms in Schizophrenia—A Multicenter Randomized Controlled Trial. Frontiers in Psychology, 7, 1-14. https://doi.org/10.3389/fpsyg.2016.00483
- Mille, C., Barthe, E., Bon Saint Come, M. et Delhaye, M. (2015). Thérapies avec médiations, ou la thérapeutique par surcroît : comment et quand poser l'indication d'un projet de soins « paradoxal » ? Neuropsychiatrie de l'enfance et l'adolescence, 63(5), 332-340. https://doi.org/10.1016/j.neurenf.2014.11.003
- Ministère de la Santé et des Services sociaux. (2017, octobre). Cadre de référence : programmes d'interventions pour premiers épisodes psychotiques (PIPEP) (publication no 18-914-12W. https://publications.msss.gouv.qc.ca/msss/fichiers/2018/18-914-12W.pdf
- Mornet, J. (2006). Corps, psychose et groupe. Revue de psychothérapie psychanalytique de groupe, 1(46), 145-160.
- Morrow, S. L. (2007). Qualitative research in counseling psychology: Conceptual foundations. The Counseling Psychologist, 35(2), 209-235. https://doi.org/10.1177/0011000006286990
- National Collaborating Centre for Mental Health (2014). Psychosis and Schizophrenia in Adults: The Nice Guidelines on Treatment and Management.https://www.nice.org.uk/guidance/cg178/evidence/full-guideline-490503565
- Newes, S. et Bandoroff, S. (2004). What is Adventure Therapy? Dans S. Bandoroff et S. Newes (dir.), Coming of Age… The Evolving Field of Adventure Therapy (p. 1-30). Association of Experiential Education.
- Norton, C. L., Tucker, A., Russell, K.C., Bettmann, J. E., Gass, M.A., Gillis, H.L.L. et Behrens, E. (2014). Adventure Therapy with youth. Journal of Experiential Education, 37(1), 46-59.https://doi.org/10.1177/1053825913518895
- Ouellet-Plamondon, C. et Abdel-Baki, A. (2011). Jeune, urbain... mais psychotique : l'importance du travail de proximité. Santé mentale au Québec, 36(2), 33-51. https://doi.org/10.7202/1008589ar
- Paillé, P. et Mucchielli, A. (2012). L’analyse qualitative en sciences humaines et sociales (3e éd.). Armand Colin.
- Parkinson, S. et Whiter, C. (2016). Exploring art therapy group practice in early intervention psychosis. International Journal of Art Therapy, 21(3), 116-127. https://doi.org/10.1080/17454832.2016.1175492
- Rabeyron, T. (2017). Médiations thérapeutiques et processus de symbolisation: De l'expérience sensible à la modélisation. L'Évolution psychiatrique, 82, 351-364. https://doi.org/10.1016/j.evopsy.2017.01.001
- Ritchie, S. D., Patrick, K., Corbould, G. M., Harper, N. J. et Oddson, B. E. (2016). An environmental scan of Adventure Therapy in Canada. Journal of Experiential Education, 39(3), 303-320. https://doi.org/10.1177/1053825916655443
- Röhricht, F., Papadopoulos, N., Holden, S., Clarke, T. et Priebe, S. (2011). Therapeutic processes and clinical outcomes of body psychotherapy in chronic schizophrenia – An open clinical trial. The Arts in Psychotherapy, 38(3), 196-203. https://doi.org/10.1016/j.aip.2011.06.001
- Russell, K. C. et Phillips-Miller, D. (2002). Perspectives on the Wilderness Therapy process and its relation to outcome. Child & Youth Care Forum, 31(6), 415-437. https://doi.org/10.1023/A:1021110417119
- Russell, K. C. et Farnum, J. (2004). A concurrent model of wilderness therapy process. Journal of Adventure Education & Outdoor Learning, 4(1), 39-55. https://doi.org/10.1080/14729670485200411
- Sabouret, E. (2006). L'adolescent malade : quelle guérison pour le corps? L'Évolution psychiatrique, 71(2), 311-330. https://doi.org/10.1016/j.evopsy.2006.04.003
- Schell, L., Cotton, S. et Luxmoore, M. (2012). Outdoor adventure for young people with a mental illness. Early Intervention Psychiatry, 6(4), 407-414.https://doi.org/10.1111/j.1751-7893.2011.00326.x
- Saint-André, S., Richard, Y., Doukouré, M., Caraes, P., Porchel, G. et Lazartigues, A. (2011). Activités à médiation : de l'occupationnel au thérapeutique. Neuropsychiatrie de l'enfance et l'adolescence, 59(3), 169-175. https://doi.org/10.1016/j.neurenf.2009.09.007
- Séguin-Green, C. (2017). La thérapie d'aventure auprès des jeunes adultes psychotiques : la perspective des intervenants accompagnateurs [thèse de spécialisation de baccalauréat inédite]. Département de psychologie, Université du Québec à Montréal.
- Solli, H. P. et Rolvsjord, R. (2015). "The opposite of treatment": A qualitative study of how patients diagnosed with psychosis experience music therapy. Nordic Journal of Music Therapy, 24(1), 67-92. https://doi.org/10.1080/08098131.2014.890639
- Taylor, M. D., Segal, D. et Harper, J. N. (2010). The ecology of Adventure Therapy: An integral systems approach to therapeutic change. Ecopsychology, 2(2), 77-83. https://doi.org/10.1089/eco.2010.0002
- Vass, V., Sitko, K., West, S. et Bentall, R. P. (2017). How stigma gets under the skin: The role of stigma, self-stigma and self-esteem in subjective recovery from psychosis. Psychosis, 9(3), 235-244. https://doi.org/10.1080/17522439.2017.1300184
- Voruganti, N. P., Whatham, J., Bard, E., Parkey, G., Babbey, C., Ryan, J., Lee, S. et MacCrimmon, D. J. (2006). Going beyond: An adventure- and recreation-based group intervention promotes well-being and weight loss in schizophrenia. Canadian Journal of Psychiatry, 51(9), 575-580. https://doi.org/10.1177/070674370605100905
- Whitehorn, D., Brown, J., Richard, J., Rui, Q. et Kopola, L. (2002). Multiple dimensions of recovery in early psychosis. International Review of Psychiatry, 14(4), 273-283. https://doi.org/10.1080/0954026021000016914
- Windell, D.L., Norman, R., Lal, S. et Malla, A. (2015). Subjective experiences of illness recovery in individuals treated for first-episode psychosis. Social Psychiatry & Psychiatric Epidemiology, 50(7), 1069-1077. https://doi.10.1007/s00127-014-1006-x
- Wood, L. et Alsawy, S. (2018). Recovery in psychosis from a service user perspective: A systematic review and thematic synthesis of current qualitative evidence. Community Mental Health Journal, 54(6), 793-804. https://doi.org/10.1007/s10597-017-0185-9
10.7202/1027840ar