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The aim of this research was to study the role of enculturation and language in expressing mental suffering. Our conclusion is that therapeutic treatment must be expressed in a cultural code because mental illness is socially constructed. From that point of view, mental activity is a representation of things and words. ; International audience The aim of this research was to studies the rôle of enculturation and language on mental suffering. Our conclusion was that he therapeutic device, it need to be expressed in a cultural code because the mental disorders are socially and cultural constructed. From this point of view, the psychical activity would raise in the représentation of things and words. ; The aim of this research was to study the role of enculturation and language in expressing mental suffering. Our conclusion is that therapeutic treatment must be expressed in a cultural code because mental illness is socially constructed. From that point of view, mental activity is a representation of things and words. ; Le but de cette recherche était d'étudier le rôle de l'enculturation et du langage dans l'expression de la souffrance psychique. Notre conclusion est que la prise en charge thérapeutique doit être exprimée dans un code culturel car la maladie mentale fait l'objet d'une construction sociale. De ce point de vue, l'activité psychique relèverait des représentations des choses et des mots