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Le silence de l'enfant: La communication sans les mots
No full text"Le Silence de l'Enfant" a pour but d’aider les parents et les professionnels à saisir avec compassion les difficultés qu’éprouve l’enfant à dépendre de quelqu’un qui reçoive sa communication: difficultés à adresser des signaux à la mère et à ce qu’ils soient acceptés, à développer le langage en tant que personne distincte et à jeter une passerelle vers autrui, mais aussi à continuer à se servir de mots pour communiquer ses états d’esprit une fois que s’est développée la capacité de parole. Les difficultés qu’a l’enfant à dépendre des autres sont liées à la qualité des personnes qui s’occupent de lui, ainsi qu’à celle d’autres membres de la famille, eux-mêmes influencés par les relations familiales actuelles et transgénérationnelles.
Cet ouvrage est né de la nécessité que nous avons ressentie de penser et de décrire certaines de nos intuitions concernant la manière de travailler avec les enfants émotionnellement régressés, admis à l’hôpital en repli complet du monde extérieur
Personality disorder and self-rated health: A population-based cross-sectional survey
No full textLittle is known about the impact of personality disorder (PD) on the health of people living in the community. The authors set out to examine the association between PD and general health, using a cross-sectional survey of a representative community sample in London, UK. A total of 1,698 adults aged 16 years or over from 1,075 randomly selected households were recruited and interviewed face-to-face by trained interviewers. Using multivariable logistic regression, the authors examined the cross-sectional association between PD screen status, as assessed by the Standardised Assessment of Personality-Abbreviated Scale (SAPAS), and self-rated health, adjusting for demographic and health covariates. Of the participants, 14.5% screened positively for PD. A greater proportion of those scoring positively for PD reported poor self-rated health, compared to screen negative participants (41.3% versus 15.0%). This association was reduced, but remained significant, after adjustment for potential confounders (unadjusted odds ratio (OR) = 3.99, 95% CI [2.93, 5.42]; fully adjusted OR = 1.53, 95% CI [1.02, 2.29]. Of note, subthreshold symptoms of PD were significantly associated with poor self-rated health (unadjusted OR per unit SAPAS score increment = 1.53, 95% CI [1.40, 1.67]; fully adjusted OR = 1.19, 95% CI [1.07, 1.33]. Furthermore, people screening positive for PD were more likely to report multiple (three or more) long-standing illnesses. The authors conclude that in the general population, individuals who are at high risk for PD are independently at increased risk of poor general health
The true nature of perversions
No full textThe current article explores that dangers may be encountered if a prospective patient is not ready to take on either psychoanalysis or any other psychotherapeutic intervention, partly due to the influence that the acquisition of insight into what lies beneath the perversion may have on the patient. Since behind every perversion is a non-resolved mourning process, its awareness may produce either a serious depression with suicidal ideation or a psychotic breakdown. We could say that the perversion acts as an active avoidance of emotional suffering, and that is why they (the perverse patients) are so resistant to face any psychotherapeutic treatment that will challenge them and eventually provoke the mental agony that insight inflicts in them. People suffering from perversions take many serious risks from which they also experience or derive a great sense of excitement that acts as reinforcement that they are still alive. This flirting with danger clearly describes the unconscious mechanism at work that may appear in the countertransference processes when the analyst/psycho therapist feels unwittingly titillated, mesmerized, and seduced by the patients' psychopathology
Running the gauntlet of institutional defence: From the prison gate to the hospital wing
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No man’s land: Making a map. The contribution of child psychotherapy to decision-making for Looked After Children in transition
No full textThe research is a small-scale study of the potential benefits of Child Psychotherapy assessment of Looked After Children in transition, for the child and for the professional network caring for the child where the child psychotherapist-researcher is part of the network working together to plan for the child’s long-term future. The assessments aim to bring specific understanding of the child’s emotional state and emotional needs, of his perception of what has happened in his life and of the ways in which his development has been influenced by these external events and perceptions. The assessments also explore the potential for the work to help the child make sense of his history and of himself and the assessments aim to be a distinct and essential part of the overarching assessment process which informs preparation of the children and their prospective carers for permanent alternative placement. Four latency-aged children in transition were assessed in an inner-city community-based Child and Adolescent Mental Health Service by the clinician-researcher. using Standard child psychotherapy techniques were used with some adaptations of technique to address the children’s transitional status. The assessment framework included in-depth interviews with social workers and foster carers and information from schools. Process recordings of the assessment sessions are the primary data in this enquiry and these are analysed using an adapted version of Grounded Theory methodology. The depth and complexity of the children’s experiences and their internal worlds is strikingly revealed by the assessments, in new and compelling detail. All of the assessments were highly significant in shaping short and long-term provision for the children. The outcome of the study strongly supports the inclusion of child psychotherapy assessment as part of an integrated, multi-disciplinary assessment process for all children in transition. The method of assessment and of analysis of data transfers well to a range of Looked After Children in transition in the study as well as providing an effective basis from which to communicate clearly and effectively across interdisciplinary boundaries: making possible a more truly representative, responsive and integrated map for the future
