The psychoanalytic literature tells us that behavioral disorders in adolescence are often linked to a defect in the containing function of the psyche. In this respect, the therapeutic approach must be able to act as a counterpoint to these organizations of the psyche in order to promote the resumpti...
After restating the etymology of the concept of disability, the authors compare the two major international classifications of disability to show the differences between them: the International Classification of Impairments, Disabilities and Handicaps (ICIDH) and the International Classification of...
The author draws on psychoanalysis to relate a challenging clinical experience involving a psychotic child who had been in the “infans” stage for a long time. He develops the temporality of the context for this encounter with psychosis, where the infra-verbal remains a central theme of psycho-affect...
Child sexual abuse is not only an individual health issue but also a public health issue. While sexual abuse is a physical and psychological health issue for an individual, with multiple and varied repercussions, it also involves aspects of the earliest bonds, the bonds of attachment, since it usual...
This article focuses on the narrativity of adolescent girls with an eating disorder of the anorexic type. The adolescent girls are hospitalized in the care unit of the Maison des adolescents – Maison de Solenn for varying lengths of time, and their multidisciplinary care program provides for a weekl...
The aim of this study was to explore the reasons why primiparous pregnant women choose to know or not to know the fetal sex, and to compare their representations of the expected child. A total of thirty-one women, fourteen of whom did not know the fetal sex, were included in the study between their...
In the practice of child psychoanalytic psychotherapy, it is not uncommon to find children who, limited in their capacity for symbolization, do not play during the session. The material received from play is expressed in the sensory, bodily, and emotional registers. If games contain fantasies and ar...
At a time when the identification, assessment, and diagnosis of autism spectrum disorder (ASD) is a major issue in terms of public health policy, it is important to consider how to provide these assessments. This article presents the clinical reflection of the team at the Unité de Diagnostic et d’Év...
In adolescents, the diagnosis of gender dysphoria is a delicate matter, as it occurs during a period of hormonal upheaval, physical changes, and psychic discomfort. Pediatric, endocrinological, and even surgical treatment will depend on this diagnostic decision. The diagnostic confirmation of gender...
Adolescent school phobia regularly confronts the clinician with an unusual degree of resistance to the therapies undertaken, whether ambulatory or institutional. To get around this impasse, we propose to consider school not only as the place of learning, or a place that symbolizes separation from th...
By having adolescents experiment with games concerning time, group psychoanalytic psychodrama may lead to the construction of a shareable group past. A session offering a machine to explore time and rediscover the lost time of holidays illustrates this tool’s substantial therapeutic potential.
In this study, the authors present the clinical case of Mrs. M, who was seen for the first time at age 7—when she received psychotherapy for two years—and again at age 30. We focus on two dimensions of the case. The first is psychodynamic. This allows us to interpret the patient’s disorder using the...
There has recently been a growing focus on sensoriality in autism spectrum disorders (ASD), although sensorial signs have long been considered as secondary, compared to other elements of the autistic syndrom. This article consists in a review of the literature dealing with this subject, combining th...
As a sensory element, sound appears particularly well suited to treating children with autism spectrum disorder. But evaluations of the use of music therapy in this population are relative rare, particularly within a psychoanalytic theoretical framework. This study presents the results of a study, c...
The question of developing a therapeutic environment was prominent throughout Winnicott’s career. We present an unpublished clinical case from Winnicott, based on previously unknown correspondence with Anna Freud. We begin by providing historical context for Winnicott’s views on the psychoanalytic t...
On July 14, 2016, the city of Nice was the scene of a very large-scale terrorist attack. This collective traumatic event required child psychiatrists to establish a specific system for offering psychological trauma care, adapted to a population of young children. The neurocognitive, emotional, and s...
The diagnosis of borderline personality disorder (BPD) in children is surrounded by controversy. Some authors emphasize the risks of giving early diagnoses, while others consider it essential for guiding treatment. An intermediate position involves identifying clinical indicators of the possibility...
This article explores the psychic work mobilized during pregnancy in female couples using donor insemination. Although medically assisted procreation is forbidden in France, an increasing number of such couples are using these medical techniques, with anonymous or semi-anonymous donors. Through rese...
This article describes the psychotherapeutic treatment of a group of siblings aged from two to five years old who were hospitalized and provided with follow-up care after the murder of their mother and grandmother by their father. The loss of a mother at the hands of the other parent is probably the...
At a time when public psychiatric services are struggling to respond quickly to demands on them regarding worrying behavior by adolescents, this article reports on an experiment in emergency therapeutic response for teenagers presenting acute disorders (including suicidal acts or ideation, self-harm...
This article presents an analysis of the interactive and attachment profiles of children with pediatric diseases that may induce eating disorders. This research stems from a broader project within the child psychiatry department of the Necker Children’s Hospital, PILE (Programme International sur le...
Much like schools and the courts, public child psychiatry is experiencing a great malaise over the care and protection it provides to children. But what is this malaise about? Attempting to find out points us in the direction of political issues relating to child safeguarding and protection policies...
On January 12, 2010, a terrible earthquake destroyed Port-au-Prince, affecting 3.5 million people. Following the event, French parents trying to adopt children born in Haiti were faced with a major crisis. After activism by parents’ collectives, the French government decided in late January to trans...
We describe the therapeutic treatment of a fifteen-month-old child in our hospital following the murder of the mother by the father. Therapeutic treatment in such a dramatic context (sudden loss of both attachment figures and emergency placement) raises specific problems, particularly because of the...