Tuesday, 1 June 2010 Museum of Natural Sciences Orleans
Psypropos 2010 CHILDREN (S)
Keynote :
Professor Peter DELION, Lille University Hospital child psychiatrist .
" difficult childhood or children in trouble?
Reflections of a child psychiatrist
from practice today. "
Yesterday evening we came very many at the invitation of the association Psypropos listen DELION Pierre to share his concerns, strong and reasoned, all imbued with practical experience of encounters with children and their parents, as many other meetings of course.
I'm worried, "he said, beginning his remarks.
Rec Room, an echo of silent complicity replied carefully: we. Shared concern with regard to the deconstruction forced march of the field of childhood and societal framework in which children, small people, small humans, grow and learn to grow.
And like a ball on the bounce back, a play on words is over the audience with such ease that we know well: tonight Psypropos us on a conference Pédopsypropos.
From the first moments of the conference, the guideline for thinking that Peter Delion we propose is emerging: Childhood today is in trouble because of the way our society bears interest, as defined libidinal investment, children. The tone is set, this question is a question foremost social that involves politics and the city now become a global dimension of this problem. We all know the story of Victor, the wild boy of Aveyron, collected by Dr. Itard, remained outside the process of humanization shared during the first ten years of his life and who did not accede to the language to enter into a relationship with his patron.
All parents are affected in their parental role by the dominant model of economic relations governed by market rules and behavioral values of globalization: profitability, competition, performance, adaptation, evaluation.
In this context, the anthropological dimension of childhood is overwritten starting with the necessary surroundings which are necessary in small human from birth to go and become the genius of her sex (Dolto). Spotlight goals of profitability and efficiency of short-term duration of stay in maternity, precious time of the first hours of life are becoming shorter, barely three days now, endangering the safety of first moments of life, moments for mother and child can get to know safely. With the speedy release of motherhood, for some families suffering in very precarious relational sometimes settles in the early hours of the infant's life.
But how the financial goals of a stay as short as possible should they be reconciled with the important process of the first times in construction to the baby from her relationship to others? When conducted in a peaceful climate, early emotional experiences enrich so fruitful and lasting genetic heritage with which the child is born and which he will be able to rest to grow and build human with other humans. Pierre Delion, experienced child psychiatrist, said conversely that when these early emotional experiences repeated several times a day, toiletries, bottle or breast, exchange rates, are rather too difficult, too insecure and uncertain, settled in the young child disorders sometimes difficult to reverse. What kind of society are we building that wants to ignore these basic situations?
There are all sorts of compromise, let them do that we're complicit in our knowledge or not, and make possible the advent of this societal framework. Our superego plays also weaken our ability to resist. We endured enough?
Delion Peter also stresses that the age of first births in the logic of the current job market, competitive and competitive, continues to decline, slightly more than 30 years today, reinforcing the process idealization of the expected child, adding to both the difficulties of reception and recognition of the child as it is and the manifestations of infantile omnipotence, the illusion of omnipotence very young children.
It is not uncommon to see a child come with his parents in consultation devastate his arrival the doctor's office that receives, as a "spin washing machine". The metaphor is evocative and speaks volumes about what happens then. The child, in minutes, invades the whole space of consultation need to "store" before they can talk. And if the doctor after the suspended time of amazement, invites parents to participate actively in storage, parental aggression may arise quickly. What is it in this scene? Child psychiatry or education? The child is saying through this devastating hurricane of the frame, through this event that Peter Delion calls "a gaseous state? The child says to his expectation of something other than parental abandonment vis-à-vis any limitation of its desires, restriction to its use?
Can we interpret what happens as a call to help the child to lie parlêtre like to meet other people?
Confusion between social unrest and psychological suffering is maintained, confusion about which Peter said Delion the relevance of the analysis of Jean-Pierre Lebrun in his book A World without limits.
arises today so exacerbated the issue of the paternal function in general. Paternal function, to be understood as the function that allows the passage of "paste" to "take off" the mother-child resting on another called third.
When this third function is faulty or worthless, "says Peter Delion, and there is no collective mechanism to support it or to supplement the function of curiosity, which allows the child to grow, it is deeply affected and sometimes irreparably.
In the consumerist frenzy, the child is considered as an object among other sets of objects, object to be perfect is to say "stick" to what parents and society want him to conform to their expectations to give them full satisfaction. Witness the proliferation of parental psychiatric consultation requests immediate child momentarily "non-conforming" requiring a rapid return to a normalized behavior if not normal. Doctor, it is imperative do something!
course, all kinds of serious devices into place. Some bring real improvements and contribute to solving a number of problems. Among these devices, Pierre Delion cites the example of RASED. Why, he questioned then, why this insistence of the government to disband these support networks and replace them with a battery of relations containing ersatz, ersatz to surround that they contain no more than n surround it, and that will not last long to support the existence in child development who benefit?
Another major concern for Pierre Delion: predictive assignments to a future place (INSERM report of 2005 on conduct disorders in children), ie the requirement to identify the seeds of offenders before the age of 3 years. Magical Thinking catastrophic. Do not always look elsewhere than in the look that adults have about children, the origins of increased violence and incivility. When the state and primarily rulers, through the National Education allocates / distributes an early age label social, it's pretty automatic to comply and thus give reason to those who read in crystal balls. And the violence is growing especially as the immediate responses to the anxieties of everyone, the answers are kind of gadgets or law enforcement.
Predictability is not to be confused with prevention, quite the contrary.
Soil psychiatrist for several years professor at the University Hospital of Lille in the Nord-Pas de Calais, Pierre Delion encounters in his practice of children in very high psychological distress at home, suffering very similar, he said, hospitalism Syndrome. Situations this time hospitalism home and in the presence of parents who can not take care of their child and who also often say, as so many calls for help, through acting out dramatically not heard as many bottles thrown overboard and never recovered. These children, already known and described by Victor Hugo with a literary family in his fresco romantic Thenardier Les Miserables, are now kept at home due to some systematic bias (on the side of Justice often), Pierre Delion Regrets of the highest priority to the family environment. These children within their families while spending enormous energy to bear on themselves to survive. They need to draw themselves and their own envelopes to their anxieties, according to the forms they may take their discovery in the world, discovery made so difficult because of serious deficiencies qualitative family. The child runs out of this hypermaturity to handle alone. The energy for survival leads to situations of severe depression and children, out of energy, present a clinical picture of disharmony severe progressive very well described by Maurice Berger. How child protection are we talking about when the child engaged with a depression that engulfs empty, can not or no longer engage with the world?
child psychiatry, Peter develops a long Delion, absolutely must continue to treat autism. I do not dwell on the packing, "he said in substance with humor. Child psychiatry was born from the description of autism by Kanner and depression of the infant by Spitz. And it was in 1972, it articulated with the political sector circular dated March 15, 1960 legalized in 1985.
What matters to children is not to raise the educational care in a radical alternative as suggested by the ABA but articulate them into relations of complementarity. In this regard, Peter Delion the semantic shift is to describe the autistic syndrome. After recalling that autism in the categories of French Professor Mises fell childhood psychoses, he explained that the terminology has evolved in Pervasive Developmental Disorders, PDD, currently in preparation for the DSM V, denote by autism disorders Autism Spectrum, TSA. These semantic shifts should alert us and Pierre Delion returns on the semantic issue in the work of Victor Klemperer on Language of the Third Reich, the LTI.
Autism spectrum disorders are the paradigm of mental suffering child in that they involve the archaic anxieties of the human psyche. To fight and survive, the child develops a whole system of defensive projective identification in order not to be alone or alone with himself in front of what appears to him as a hostile environment that terrifies him and he will protect being aggressive toward others and / or to himself. These children, unlike an ideology supported by what Peter calls Delion media democracy, require intensive care in psychiatry. Hence the importance of structures such as day hospitals articulated course with other areas of childhood, including school and family. Instead of collective structures in these day care is essential for professional caregivers working together, so the cons multidisciplinary institutional transfers and identify what is really at issue in the institutional problems that arise.
psychiatry sector must continue to exist and be active as a collective space for reflective thinking development of children's issues in great mental suffering, as the space group of institutional analysis.
psychiatry sector must continue to exist to maintain active psychopathology, and with it the value of human folly, without which according to the beautiful expression of Francis Tosquelles is the same man who disappears. Maintain active psychopathology is that the clinic must allow access to deep singular child, which founded the uniqueness of his suffering, which is that this child, and not that of a other than that child with that genetic heritage bequeathed his tribe and that of this child with his relationship history in his family group and the sociocultural context of where and when he is called to grow.
And we know through history that a logic of destruction of psychiatry, the most severely affected in their humanity and are the first victims. Delion Peter reminds us gravely, and uncompromising about the pleasure principle, at a time when psychiatry is being diverted by the government to bring order to the city or to take responsible for "normal" people in management a priority pre-post-traumatic community as it is common in road accidents for example.
In a standard referred to psychiatric behavior, psychotropic medications are a leading choice of therapy. And many children today are subjected to such treatment. This is a public health problem that is and "denounces" courageously Delion Pierre, professor of psychiatry, human science and humanity that calls for greater vigilance on the prescription exclusive rétaline, of Risperdal, antidepressants for children is to tell the exclusion of any other therapy, without seeking a hint of meaning to events and proven in the child's psychological and construction process of humanization, from becoming-man with other men.
"The symptoms can be reduced, by far, his appearance" ...
Problem children Special Education or the title proposed by Pierre Delion for the conference opening Psypropos 2010, s illumines even better after listening to all that spoke to us with the simplicity that characterizes it as if we were friends and we were done.
Delion Thanks to Peter, we have to find joy in Lille in September 2010 in the annual National Day of the Federation of Mental Health Support Navy Cross and Towers December 14, 2010 for a national day Navy Cross organized by the Coordination Centre Navy Cross on the theme of Autism, Psychosis and Existence. This Day in host Vinci throughout the day stakeholder rich clinical experience in the field: Jean Oury, teams Tours of Psychiatry, Lise Gaignard among many others of very high quality.
; ; ; ; MC Hiebel, Romorantin, June 2, 2010
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