Psychotherapy(s) and addiction(s): envelopes, attachment and interpersonal relationships

Accompaniment in addiction is fundamentally multidisciplinary. Psychotherapeutic treatment is an integral part, but its implementation confronts various obstacles of temporality, of the demands of the user who will present himself with an identity of addict that will be necessary to soften to access his subjectivity. To get away from the question of the type of psychotherapy, we sought to highlight what can be psychotherapeutic in our follow-up at addiction’s centres. Through Sylvain’s clinical situation at Marmottan Hospital, and the question of attachment disorders amongst drug users, we highlight the place a psychotherapy that will be based first and foremost on interpersonal. Multimodal and institutional, this humanistic clinic of the link, the encounter and the relationship allows the patient to put back to work the developmental dynamics, to develop a secure base that facilitates progressive access to intrapsychic, and greater autonomy, before a more specific psychotherapeutic treatment can be put in place.