[Praxeology and psychotherapy: Clinical perspectives]
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Published on: January 7, 2019
Christiane Bertelli1, Drigissa Ilies1
1Université de Montréal, CIUSSS du Nord-de-l'Île-de-Montréal, Québec, Canada.
Abstract:
Praxeology offers a relevant cross-disciplinary framework for analyzing and optimizing professional practices in psychotherapy, without constituting a supervision or teaching method in itself. It is an approach to analysis and improvement applicable to various methods, drawing on pedagogy, the analysis of professional practices, and the philosophy of action. The praxeological framework breaks down therapeutic activity into 4 main dimensions: practice (everything that is concretely done during the session), technological (the principles, techniques, and tools employed), theoretical (the conceptual models underlying therapeutic action), and ethical justification (the reason why the action is undertaken, for this patient, in this specific context). Praxeology structures clinical reasoning beyond the mere transmission of techniques, positioning the therapist as both witness and subject, and fostering reflective distance that is particularly beneficial at intermediate and expert levels of practice. It does not act directly on the patient, but rather on the quality of therapeutic activity. This article explores the theoretical foundations, methodology, and reflective stance of the therapist, illustrating them with clinical examples. Implications and future directions are discussed, including the integration of practical tools applicable in clinical settings. Integrating artificial intelligence into praxeology could support clinical metacognition, accelerate the acquisition of complex relational skills, and contribute to the optimization of professional psychotherapy practices based on refined and objective data.
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