I'm afraid ...

I'm afraid to speak up in public
I'm afraid to leave my house
I'm afraid that I'll never find someone
I'm afraid of the day my parents die
I'm afraid of germs
I'm afraid of public transportation
I'm afraid of dogs
I'm afraid that I have wasted my life

I have no ...

I have no interest in anything
I have no self confidence
I have no desire to do anything
I have no desire to live
I have no interest in anything, no self confidence. I feel like life has no meaning; I have no desire to do anything; I have no desire to live.

I feel like ...

I feel like life has no meaning

I don't know ...

I don't know what I want

I have trouble ...

I have trouble making decisions
I have trouble being intimate
I have trouble focusing my attention

I'm ...

I'm depressed
I'm stupid
I'm ugly
I'm irritable
I'm a failure

Therapies

Behavior therapy (1st wave), based on the application of scientific methods and learning theory, emerged in the fifties. The first therapy per se was systematic desensitization for the treatment of phobias (Joseph Wolpe ). Originally behaviour therapy addressed visible and measurable behaviors. Later the notion of behaviour was extended to include thoughts and feelings (Radical Behaviorism). Having first proven useful in the treatment of anxiety, behavior therapy soon was applied in institutional settings to treat more severe problems: autism, mental retardation, and dementia using principles of reinforcement to stimulate and maintain adaptive behaviors (token economy).
Cognitive therapy (2nd wave) appeared in the 60s (Albert Ellis et Aaron Beck ). At the time researchers were approaching the human brain and its functioning through the lens of information science: the brain was thought to process information in much the same way as computers. Cognitive therapists observed the relationship among thoughts, feelings and behaviors. Negative thoughts and what a re called cognitive schemas were believed to generate psychopathology, irrational thinking being the cause of suffering. The aim of the therapist was to help the patient identify and modify thoughts and schemas (cognitive restructuring) about self and the world.
Cognitive therapy has been successful in treating anxiety, depression, personality disorders and many other disorders.

Behavior therapy (1st wave) was designed to modify the environment in order to modify behavior. Cognitive therapy (2nd wave) focused on changing thoughts as a way of changing behaviour. 3rd wave therapies, influenced by Buddhism and Oriental philosophy, target the relationship between a patient and his inner experience (thoughts and emotions).
ACT, acceptance and commitment therapy, appeared in the 90’s. Unlike previous CBT therapies, ACT does not purport to reduce symptoms but to increase psychological flexibility. The patient learns to relinquish avoidance of internal experience and emotional control (creative helplessness) in favor of valued living. Techniques include opening up to emotional experience (acceptance) using exposure to painful “stuff”; identifying and detaching from thoughts and rules (defusion); being present through mindfulness meditation and identifying values or what really counts.
ACT therapy starts with behavioral or functional analysis of the problem (1st wave). ACT considers thought and more importantly language as important in human behavior (scnd wave / 2nd wave). ACT therapists understand behaviour as emerging in a context (given situation) with a given function or consequence. Patients learn to evaluate their actions through the lens of what works and not what is right or true. They learn to detach from rules: shat should be, what is right in favour of what their own experience shows is effective or workable.

Other third wave therapies
MBCT : for the prevention of recurring depression (Hanna Segal , Jon Kabat-Zinn ).
DBT : for the treatment of border line personality disorders (Marsha Linehan ).

The psychologists

Portrait of Rosemarie Bourgault Rosemarie Bourgault is a dual national, born in the US but having spent much of her adult life living in France. She studied French literature in the US hoping to become a professor. Soon after her arrival in France, she returned to university to study psychology with a particular interest in how humans learn. In so doing, she discovered traditional behaviour therapy, theories of conditioning and more recently ACT and the role of language in human behaviour.
In 1990, she began her career as a psychologist in a Parisian psychiatric unit. From there she was hired to work in a private stress and anxiety clinic. She opened her own practice in 1995 specializing in stress anxiety, depression. Shortly before the rash of terrorist attacks in Paris in the late 90’s, she developed an interest in traumatic stress. Since that time, she has devoted a part of her clinical practice to traumatic stress intervening in institutions following critical incidents.
In her search for new and more innovative approaches, Rosemarie discovered ACT and Mindfulness based therapies. These approaches emphasize the search for meaning and the identification of values which contribute to a rich and meaningful existence.
In addition to her clinical work and to her training and consulting in institutions, Rosemarie teaches at the French Association for Cognitive and Behavior Therapy and she is an instructor in the clinical psychology program at the University of Paris V.
Rosemarie is a cat lover. Presently she shares part of her life with Bulle a ten-year old orange tabby.

français, anglais

Portrait of Maria David

Maria David
Texte

français, portugais

News

Conferences

  • Francophone conference on CBT / Geneva (Switzerland) / June 14-16th 2018
  • World Congress of Contextual Behavioral Science / Montreal (Canada) / July 26-29th 2018
  • International Society of Traumatic Stress, Annual Conference / Washington (USA) / November 8-10th 2018

Formations

  • Training in Coherence Therapy / Sophie Coté et Pierre Cousineau / Paris / October 18-19th 2018

Publications

Links

  • AFTCC Site of French Association of Behavior Therapy
  • ACBS Association of Contextual Behavioral Science (informations about ACT)
  • ISTSS Site of international society of traumatic stress studies
  • Laboratoire de la voix : RMB and MD practice in the Paris voice laboratory, a group practice

Glossary

- a -

  • ACT Acceptance and Commitment Therapy
  • Anxiety A feeling of dread; fear of what might happen.

- b -

  • Borderline
  • Bulimia Eating disorder characterized by ingestion of large quantities of food in a compulsive manner without pleasure.

- c -

  • Compassion therapy (Paul Gilbert) Emotion regulation therapy and self acceptance.

- d -

  • Depression Disorder characterized by anhedonia, loss of hope, past focus.

- e -

- f -

  • Fight or flight Stress response.

- g -

  • Generalize Learning principle, applying something learned in one context to another.

- h -

  • Harassment also mobbing: Workplace practice to discourage, demoralize and humiliate ae employee.

- i -

  • Inhibition Process of blocking action common in anxiety disorders.

- j -

  • Jealousy Emotion linked to rumination about loss of loved one to another.

- k -

  • Kleptomania Compulsive stealing.

- l -

  • Libido sexual energy

- m -

  • Melancholy serious form of depression.
  • Mindfulness

- n -

  • Narcissistic Personality disorder characterized by over inflated ego.

- o -

  • Obsessions Recurring intrusive thoughts.

- p -

  • Psychopath Personality disorder characterized by lack of empathy and feelings of guilt.

- q -

  • Questioning Socratic Form of questioning that helps the patient come to his own conclusions.

- r -

  • Rumination Circular obsessive thinking.

- s -

  • Self esteem Feeling of self worth, of having a value.
  • Shemas Unconscious cognitve structures that organize experience.

- t -

  • Trichotilomania Compulisve hair pulling.

- u -

  • Urge surging Technique that involves surfing on an urge used to treat addictions.

- v -

  • Values What matters, what provides meaning.

- w -

  • Wolpe, Joseph Father of behavior therapy known for systematic desensitization.

- x, y, z -

  • Xenophobia A specific form of psychological rigidity and the rejection of difference.
  • Young, Jeffrey Founder of schema therapy.
  • Zoloft Antidepressant used for treating PTSD.

Coming in consultation

Address of practice

7 Rue de Saint-Sénoch, 75017 Paris

Rosemarie Bourgault, psychologist

+33 6 13 50 82 60 and leave a message

Maria David, psychologist

+33 6 12 72 56 98 and leave a message

Crédits, mentions légales et politique de confidentialité

Rosemarie Bourgault, psychologue

7 Rue de Saint-Sénoch, 75017 Paris
+33 1 47 20 40 11

Editor and site publisher

Rosemarie Bourgault

Webdesign

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Herbert-Baum-Str. 11 - D- 13088 Berlin

Illustrations, videos and interviews

Tania Boisset

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