Continuing Education Day Blois June 29, 2010 proposed by the Navy Cross Regional Coordination Centre.
"About a group of words with the families of Bordeaux for 15 years" Intervention Serge Beder, analyst, doctor of psychopathology Holzl And Francis, member UNAFAM 33, Chairman of Hope 33
Before speaking more directly to the group's experience of parents of Bordeaux I host since its inception 15 years ago with a or co-pilot of UNAFAM, I must make a detour additional to what we heard this morning about what the clinic teaches us to recognize as the essence of what "made family".
This is very important because it has formed my desire to answer this myself when I am asked for names of professionals who may be interested in creating a group Speaking of parents in the UNAFAM in Bordeaux. This answer me dictated by a number of years worked in psychiatry, particularly in child psychiatry, and what guides my practice, namely a reference to psychoanalysis.
I am indeed in my case a member of Espace Analytique. Space was founded by Maud Mannoni, who since 1964 had attempted to articulate, through its publications, in the wake of Lacan but also of Winnicott (with whom she had worked extensively in London - that's what she recalled in what has been his last intervention in the Analytic Space seminar Dominique Caïtucoli and has always assumed the position of spiritual testament ), The psychological intricacies not only between the child and his mother, but also with the family (child, his illness and others) including professionals (Psychiatrists, its crazy and psychoanalysis).
I mention this now because it affects the benchmarks with which I direct myself in my practice. Not benchmarks "applied", but benchmarks "audited" benchmarks reviewed in the light of practice, in terms of 15 years of practice, a practice invented in several, far I hope all ideology.
is very important, albeit difficult to define what "fact family".
Basically it is a matter of emotions, encounter between two people and therefore between two stories, so it's a matter of discourse.
A case of speech because human beings are speaking, their history is transmitted by a speech.
It also exactly which raises the question of assumption of the unconscious:
Ø " What we learn about to recognize as his unconscious is its history, that is to say that we help to improve the archiving of current events that have already identified a number of historical turning points. But if they have had this role is already as facts of history, that is to say, as recognized in some way or censored in some order " [2]
We therefore have no choice but to try to think back to how it works out, in addition to or in the periphery of the biological, how a story transmitted, how one can identify in what is transmitted or subtracted to psychologically cope with our strange destiny of humans marked by speech and having to cope with the issue of filiation, the relation to sex and relationship to death. You'll notice, as clinicians, it is around these three axes that are unfolding precisely delusional constructions.
From family history to the intervention of professionals: a matter of discourse.
Initially, one could say that there is "Radio Mom Dad and some others."
We all have in common, we who are here today, have been auditors (trices) a single radio that we necessarily thought at one point she was telling the truth , the whole truth. Generally, we have gradually learned to nuance, perspective, writing the truth with "s" plural, to question official versions of history.
Is that in general, there were other positions in radio, which led us to modify our point of view and gradually acquire a right of reply.
Radio or Radio Crèche Nanny "and" Radio School "," Radio Uncle Auntie "
Radio Mamie" "Radio Papi," "Radio Buddies," "Radio Profs" etc ....
The problem with all this is that the language pack includes the integrated program and misunderstanding that we can not run one without the aute. The misunderstanding usually spent the first surprise and the first crisis of confidence, in fact, is rather interesting since it is through him that the password can create and open culture.
However, there are also misunderstandings more serious, structural, which can go unnoticed for a long time and suddenly burst the open, real explosion which shook the breath balances in place. Balances family quickly become unsustainable and sooner or later it becomes necessary to use external speakers, professional.
The problem is that while everyone ends up connected to "Psy Radio" or "Radio CMP" or "Hospital Radio" and that the risk short that no one recognizes it.
Everyone feels effect quickly betrayed by the way it is spoken by another. Feels labeled, judged, identified, locked in the definitions in misunderstandings unbearable. Can no longer be heard.
Everyone tries to understand, however, before the scandal of unreason, before this scandal is the fact that "mental illnesses" can exist.
There is no human without history.
processes to work from a story and characters of this story is that parents make them agents of complex transactions that exceed necessarily.
If an accident occurs in the adventure of language, and in the process of psychic construction, there is not much to blame.
Being parents, it is in a position of agents of complex and delicate some of which, unbeknownst to all, may be only partially completed or installed incorrectly. I do not want to offend anyone by making use of the computer metaphor. But a program can be installed without the knowledge of the person who installs it. ç may even have to walk a while, as one does not need to mobilize all resources. Then one day, without warning, it can "bugue, and you can not understand anything.
We try to remake the program in reverse. We lost. Sometimes it's a mistake to spot, but other times, it is an incompatibility of programs ...
The essential program, in humans, is the dream.
It's nice to dream a child before the host, to dream alone, alone, and in part 2 and have to readjust it all along life: the child is there, which happens never quite imagined the child.
Hyper availability application hosting as a whole little can be impeded, hampered by some accident of life that makes psychic wave, or some echo of history not found earlier.
When the family collapses when what we took for an adolescent crisis a bit high or unusual is to be something more complicated, more difficult is First, the whole program is the dream that collided head.
Indeed, each parent can take place only under this part of the dream that he feeds his role, task, mission and through which he has invested.
At the same time it is a complex alchemy where to deposit build on this part of the dream of a child support also helps to live, to endure the bad joke that is life, as the only assurance we have is that it ends badly.
When disaster arises is all that is achieved.
The announcement of a disease, especially if it involves a child, just always trauma at that point.
The announcement of any disease. But one of "mental illness" has a particular impact.
Because mental illness has a particular impact.
For it touches on what is most human in man.
And it strikes the program without dreams to protect themselves from the impact. The dreams of one, another. The dreams made whole.
In that context, the questions of professionals can quickly become unbearable, and cause additional suffering, even if their intervention was often required for weeks or months.
Indeed, query history, knowledge of history collides head-on the dimension of the dream engine's position as a parent.
Parents would they "badly wanted" their child?
Would they have committed a "fault dream"?
How then to respond to a fault that can not be thought to have committed?
Behind the dream, it's bound to be history. The history of each and everyone, taking in the history of the generation before. The dream of the other in which it was necessarily self-made, having the means to decode or not.
other words, everything that we told, what we wanted to escape to sometimes just pain old and give the lie, that the success of our children to avert a destiny mapped out or be repeated misfortunes and former misfires.
The clash with the speech professional
The problem is complicated by the fact that the positions of professional based on knowledge that is not all, of knowledge "hole" and that they are not always willing to admit.
Indeed, there is no certainty and absolute truth on the psychological functioning of humans.
Depending on their training, their trajectory, the professionals are not always inclined to accept that the discourse on which they base their interventions are speeches that can be faulted.
Sometimes they have difficulty to find a spot held by parents and to recognize it.
There is a real difficulty to adjust the wavelength on which the communication between parents and team will be established.
In this long and painful road, there are often clashes, misunderstandings, defensive positions or positions that do violence.
Especially since the world of psychiatry is not at his best. That means they fail. The currents of ideas are opposed. If psychoanalysis has long prevailed
(at least some idea or ideology of psychoanalysis ..) and if it has accredited a clumsy speech that it would be "fault" of the parents, the current prevalence of reference to the behavioral sciences, medicine and everything in that we tend to call "the bible of psychiatry, namely the DSM IV, is fueling further violence.
may be attractive in its attempt to rationality, which is, lest we forget not a statistical tool, finds its limit in effect soon. We can not code and define the psychic functioning as you would other product categories. Some colleagues have recently attempted a reaction with a creative mode in "fiction" a character with schizophrenia who had the idea of making a work based on the fact to match the return of items ratings of DSM and references ... Catalog Picard frozen food!
(eg: score 42.0, obsessive compulsive disorder and carrot sticks, steamed or score 60.0, paranoid personality and roast potatoes XL).
Install a device to free speech and solidarity
other words, in this turmoil around the disease outbreak of a psychic child, it is urgent to install a device that allows re arrange the speech .
This can only be based on the size of the freely and agreed with the assurance to say, can say without fear of reprisal or trial, his questions and his suffering.
In this group, the path of each course is unique and can not be generalized.
However, the singular experience that is often reads value of encouragement to other participants who find the courage to start to turn. Although not in direct line, it is through these exchanges, the creation and transmission of knowledge. Not knowing how to do a on revenue, not a know neither for nor against, but know as a parent on which there will often be not to quit, including against the best teams.
If you cry sometimes in this group, if there are crossings of despair sometimes, we also learn to smile again or to share moments of laughter.
Everyone enjoys the welcome is the caring presence of others. Everyone welcome, can become welcoming to turn to another time.
This group produced a type of "mental capacity" which allows users to find trust points, benchmarks, cross crises and overcome the suffering that seemed insurmountable.
The professional that I am a learning experience each time on humans.
The professional that I hear in this group of things, references to other experiences of parenting in particular, that to be the same, do not find to unfold, when we are dialectically meeting in an institution providing care or one of the children who developed a "mental illness".
The professional that I am is here and ensure that the floor moves, folds, circulating, but comes at a little background to avoid the risk of closing a true word that emerges.
The professional that I am not here to provide explanations, advice, but to guarantee a space for freedom of speech, free trade ... interventions are often other parents, they also have that much reach.
is also a group which unfolds a "listening solidarity."
This intervention is possible only if it is held within the same time another home position in the group, which is the "pole UNAFAM, provided that I 'd put at the beginning of the experiment that will evoke François Holzl.
0 comments:
Post a Comment