Attachement narratif, fonction réflexive et régulation émotionnelle chez des sujets déprimés.

The attachment theory and its evolution in the area of adult attachment, offers a new paradigm to study the mental processes laying underneath the attachment representations, through the reading of different forms of enunciation as well as the way subjective experiences are told. The main objective of our study was to find and unveil the different types of discourse in depressed subjects, through an analysis procedure of semi-structured interviews. This procedure is inspired from Edicode, an attachment paradigm. The study involves a group of 23 women suffering from depression along with another group of 20 women with a melanoma history. Both groups took part in semi-structured interviews, which were then transcribed and analyzed following the Edicode method and double cotation. The results were then compared to another reference witness group. The results show an obvious fall of adequation factor in depressed subjects, which in the Edicode protocole indicate a preoccupied attachement. Also a drop in the reflexivity and coherence dimensions in both somatic and depressed groups as opposed the reference witness group. We can discuss, on one hand, the links between preoccupied attachment in depressed subjects along with the difficulties in treating cognitive and emotional informations when it comes to present and past relations. On the other hand, it seems that there are difficulties in regulating and in mentalizing in both groups as opposed to the reference witness group and results show anxiety and lack of certainty when it comes to the disease and its evolution. The latter leads us to consider more specifically the present psychological state of the subject and the way he manages and deals with the disease along with aspects of the therapeutic alliance in the medical environment. [ABSTRACT FROM AUTHOR]