Jean-Yves Hayez Jean-Yves Hayez Jean-Yves Hayez Jean-Yves Hayez

Résumés

en

anglais.

* biographie et receuil de publications scientifiques du professeur Jean-Yves Hayez.
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" La vraie trahison est de suivre le monde comme il va
et d'employer l'esprit à le justifier." Jean Guéhenno.

Jean-Yves Hayez
a le plaisir de vous proposer



Publications dont le résumé en anglais est directement accessible.

Alphabétiquement


A national response to paedophilia and child murder(d20) Clinical child psychology and psychiatry, 2000, 5-3, 427-437. abstract
A propos de l'hébergement alterné,
J.-Y. Hayez, P. Kinoo, Acta psychiatrica belgica, 2006, 106-1, 33-38. abstract
A propos d'un cas de refus alimentaire chez un enfant de 30 mois (s119) abstract
A propos d'un syndrôme de stress post-traumatique grave et collectif en Belgique(s6) abstract
Actes pervers isolés et perversions sexuelles chez les enfants. (s19) abstract
Aliénation parentale : un concept à haut risque.(n11)(s108) abstract
Bizarreries sexuelles, actes pervers isolés et perversions sexuelles chez l'enfant.(s40) abstract
Caroline, Gautier et le fantôme de leur maman.(s301) abstract
Caty ne dort toujours pas seule. (s7) abstract
Du discours du mineur d'âge sur l'abus sexuel. Faux positifs et non-crédibilité. (s101) abstract
Fonction des parents dans le traitement de l'enfant hyperkinétique(da06) (s103) abstract
Guidance psychopédagogique des parents d'enfants atteints d'autisme, Wintgens Anne, Hayez Jean-Yves,
Psychiatrie de l'enfant, XLIX, 1, 2006, p. 207 à 226. abstract
Hébergement alterné - Garde alternée - autorité parentale conjointe abstract
Hébergement parental alterné et autorité parentale conjointe , J.-Y. Hayez, P. Kinoo ,
Neuropsychiatrie de l'Enfance et de l'adolescence, 2005, 53, 245-253. abstract
Il vissuto della fratria dei bambini con handicap mentale : dall’adattamento al disturbo mentale,
Anne Witgens, Jean Yves Hayez Quaderni acp 2005, n.12 a.3. abstract
L’éducation quotidienne de l'enfant adopté
     
Le texte original et intégral comme paru dans Neuropsychiatrie de l'enfance et de l'adolescence, 1995, 43 (10-11), 470-476. est disponible sur ce site. abstract
L'abus sexuel sur mineurs d'âge. (s28) abstract
L'évolution des demandes et des pratiques en psychiatrie d'enfants et d'adolescents 
Neuropsychiatr Enfance Adolesc 2001 ; 49 : 277-86 (d24) abstract
L’hébergement alterné et autorité parentale conjointe(s24). abstract
La confrontation des enfants et des adolescents à la pornographie. (s016) abstract
La fiabilité de la parole de l'enfant. résumé
La liaison, un concept au coeur de la psychiatrie infanto juvénile.(s369)
abstract
La psychiatrie de l'enfant et l'urgence. Analyse et spécificités.(s102) abstract
La psychothérapie des jeunes adolescents : témoignage clinique(d09) abstract
Le deuil compliqué et pathologique chez l'enfant(d13) (s49). abstract
Le devenir à long terme des enfants et des adolescents victimes d’abus sexuel abstract
Le pédopsychiatre face aux enfants atteints de troubles dits " fonctionnels " ... et à leurs pédiatres (d03) abstract
Les enfants après le divorce.
abstract
Les enfants et adolescents abusés sexuellement.(s121) abstract
Les premiers entretiens. ( 1984 )(s41) abstract
Les secrets et leur maniement en psychothérapie. (s8) abstract
Maltraitance dirigée contre les enfants en Belgique francophone.(s250) abstract
Modèles d'interventions sociothérapeutiques dans les situations d'abus sexuels sur mineurs d'âge(d22)
Paru dans Thérapie familiale, Genève, 2000, Vol. 21, No 3, pp. 305-321. abstract
Mouvances des familles et réponses aux besoins des enfants. (s15) abstract
« Ouvre la bouche, tu ne sentiras rien », Journal de pédiatrie et de puériculture, 2005, 18-5, 236-242 (s320).
abstract
Pédopsychiatrie sociale ; enfants placés en institutions pour " cas sociaux "
abstract
Peur, anxiétés, et angoisses de l'enfant. Modélisation et traitement. (s17) abstract
Pour battre en brêche l'idée qu'il y a des abuseurs sexuels partout, et dès la maternelle(s24) abstract
Sexualité des enfants en âge d'école primaire(s14) abstract
Un alien est entré dans la maison. abstract
Un projet de programme pour répondre à la violence des jeunes.
Paru dans Neuropsychiatrie de l'enfance et de l'adolescence 50 (2002) 466-474 abstract


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Retour au début.

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A national response to paedophilia and child murder(d20)

In August 1996, Belgium was deeply shocked to learn of the rape and murder of several young girls by a group of paedophiles. In the wake of these events, the Belgian population displayed symptoms of collective emotional shock and bereavement. We endeavoured to come to terms with these feelings as a community. We immediately sent an open letter to all children, which was published in the country's main newspapers. We then organized a group debriefing on national television on a very popular children's programme. This article deals mainly with the processes involved in this debriefing session. Further complications later developed involving, among others, abused children and their families. In order to help them, in addition to individual interventions, we again used the press and radio and TV programmes. When the population eventually began to emerge from the shock and bereavement, we acted to prevent excesses by, among other things, writing an ' open letter to child abusers '.

Key words : (collective) bereavement; (collective) emotional shock; (collective) post-traumatic stress disorder; debriefing session; mental health institutions

Pour retourner à l'endroit dont je viens de partir.


Retour au menu princeps.

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About joint custody

The joint custody may be a positive application of shared parental status, but it is not an obligation.

This paper describes the desirable conditions to the setting up of a joint custody ; they concern as well, the child as the parents’ motivations and the state of mind that will exist once the project set up ; they also concern the practical parameters ( nearness of official domiciles ). The article ends up with a brief evaluation of the results.

Key words : Joint custody ; shared parental status

Pour retourner à l'endroit dont je viens de partir.



je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


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A case of solid food refusal by a thirty months old boy

A case of solid food refusal by a thirty months old boy was successfully treated in five sessions.

To ensure continuity of child and parents therapy sessions, they were asked to pursue at home the techniques elaborated with the consultants. Parents were able to cooperate with efficiency and helped the child differentiate between fantasy and reality.

Pour retourner à l'endroit dont je viens de partir.



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06 - About a severe and collective post-traumatic stress syndrome in Belgium.

- Following the events of August 1996 ( rape and murder ofchildren ), the Belgians have brutally experienced a syndrome of severe post-traumatic stress and acute grief, provoked by the loss of young children identified as loved ones, by the diffuse anxiety of new aggressions, as well as by the repeated evidence of the negligence and rivalries of supposedly protecting officiai institutions. The Mental Health officials present in Belgium at this time have suftered as everybody else and have set up manifold forceful measures aiming at treating the others'traumatic neurosis as well as their own. The originality of part of these measures is that they had a collective purpose so as to produce a powerful multiplier effect. Affenvards, the Mental Health authorities have also had to face other foreseeable consequences of this community stress as, for example, an upsurge of the suffering in parts of a population already fragilized by sexual abuse, or the appearing of contagion phenomena in lovesick teenagers or else, paradoxically, the designation of scapegoats among the children and adolescents themselves. Later on, the Belgian population has stood up again and informal movements of citizenship have arisen around the desire to fight directly or indirectly against sexual abuse and there again the role of the Mental Health institutions has consisted in backing up these movements with solidarity and consideration.

Pour retourner à l'endroit dont je viens de partir.



je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


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... Pour retourner à l'endroit dont je viens de partir.

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019 Actes pervers isolés et perversions sexuelles chez les enfants. (s19)

Perverse sexual activities stricto sensu exist among childrn, although this is the least frequent category ( far behind normal- developmental sexual activities, sexuality generated by fear, etc. ).

There are three mechanisms that account for te appearance of these activities : the fact that the child learns how to seek intense pleasure, which it found first by chance ( in the broad sence of the term ) compensation-denial when dealing with sexual encounters experienced as frightening and of which the idea is repressed ( an explanation put forward by conventional psychoanalysis ); repudiation of sociocultural norms and/or natural laws ( sometimes, in a diffuse manner, with the complicity of a parent ) ( an explanation put forward by Lacanian psychoanalysis).

The main clinical indicators are : the bizarre nature of the sexual act; the intensity of pleasure felt without fear or guilt; the state of " withdrawal " pending the perverse act; the subtle cooperation of intelligence; and if another person is involved, failure to take into account his or her human dignity ( to the point, occasionnally, of perpetrating violence against him or her ).

In order to be able to help and treat such a child in this phase of its sexuality, we must be able : to observe it with vigilance and discretion; to challenge our notions as adults; to dialogue with the child on what it has done and the results of its action; to forbid any recurrence; to arrange for greater presence and appeal in its life.

Pour retourner à l'endroit dont je viens de partir.

je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


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108 Aliénation parentale : un concept à haut risque.(n11)(s108)

The article describes why some children fiercely refuse to have any contact with one of their parents during a long period of time, after their separation. It also depicts serious phenomena that are sometimes bound to this refusal ( child abduction, allegation of child abuse, etc.).

Then, we evoke the risk of reducing these complex phenomena to the only expression of " parental alienation syndrome ", as the Northern-American psychiatrist R. Gardner and his school have promoted it.

Finally, the article explains in details ways of behaving when confronted with such refusal situations, which often have important systemic implications. Each times adapted to original situations, they most often include psychological, social and judicial components and require a lot of energy, coordination and persistence.

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je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


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040 Bizarreries sexuelles, actes pervers isolés et perversions sexuelles chez l'enfant.(s40)

The author goes through the field of children's sexual perversions. Children's bizarre sexual acts, either single or repetitive, ought to be considerate cautiously and without a priori. Some are common, healthy and transient: they constitute signs of a normal sexual maturation. others express the progressive installation of a perverse socio- and psychodynamic organization.

The author aims to describe what types of mechanisms lead to sexual perversion, which clinical signs are specific and how to differentiate normality and pathology. He finally suggests how to bring up and help children with bizarre sexual activities.

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301 Caroline, Gautier et le fantôme de leur maman.(s301)

The article is a case study that describes two sessions of a brief family therapy. These sessions show us how the silence around a mother's death kept profound depression, guilt and self-punishment to the children. Breaking this secret and speaking about all the feelings took the weight off children's mind.


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je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


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07 Caty ne dort toujours pas seule. (s7)

The author relates the case of Catherine ( 9 years ) and her family, whomhe treated for her persistant difficulties in falling asleep. Every evening, she could not go to sleep unless she had settled down in her parents'room, close up to her mother.

This behaviour was assessed as an equivalent of childhood addiction partially brought on by anxious and depressive ideas ans sustaines through the regressive pleasures it procured her.

The therapist proposed treatment for Catherine on the one hand and for her parents on the other. Without jolting them, he helped reflect on the symptom's meaning, and on the pros aud cons of keeping it. The symptom disappeared after a year's work.

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... Inutile de continuer à dérouler car ce qui suit n'est constitué que d'informations techniques automatiques dont les textes sont déjà repris plus haut.

... Ce qui suit ne mérite pas d'être imprimé pour les mêmes raisons et n'a rien à voir avec le texte du professeur Jean-Yves Hayez.





































 




















































































































































































Child Psychiatry Emergencies : Analysis and Specificities.

We have noticed that the topic of psychiatric emergencies of the child hasn't been considered much up to now. However these emergencies exist. We have therefore tempted to redefine this concept and have analysed the usual reasons for which certain child's psychiatric emergencies are " forgotten " ( this raises implicitly the reflection on the actions to be led in order to rectify these lacuna ).

Then we propose a table inspired by the clinic. It allows the drawing of global significances, structures and " etiopathogenic " classes of psychiatric emergencies of the child.

Finally, we try to determine globally the specific aspects of an emergency pedopsychiatric intervention for children according to our ideas.

Pour retourner à l'endroit dont je viens de partir.



je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


Fin du dossier























































































































































































... Inutile de continuer à dérouler car ce qui suit n'est constitué que d'informations techniques automatiques dont les textes sont déjà repris plus haut.

... Ce qui suit ne mérite pas d'être imprimé pour les mêmes raisons et n'a rien à voir avec le texte du professeur Jean-Yves Hayez.





































 




















































































































































































Parental Function for Hyperkinetic Children's' Management.

The author first describes the numerous possible etiologic factors, implicated in child hyperkinetic behavior.

Then, he writes about the parents important function to take charge of the problem. Their therapeutic contribution can be decisive, but requires a lot of energy ; Thanks to a psychosocial guidance, they can find new attitudes that reduce the child's anxiety and negative self-esteem. They also can better educate the expression of his pulsions and improve his psycho-motor control. Topics such as family rules, negative and positive sanctions, and indifference have to be worked out.

The child's teacher can be associated to this work, as well as the parents. rite coordination between parents and teacher is very important to improve.

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je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


Fin du dossier























































































































































































... Inutile de continuer à dérouler car ce qui suit n'est constitué que d'informations techniques automatiques dont les textes sont déjà repris plus haut.

... Ce qui suit ne mérite pas d'être imprimé pour les mêmes raisons et n'a rien à voir avec le texte du professeur Jean-Yves Hayez.





































 




















































































































































































Psychopedagogical guidance for parents of children with autism.

The authors investigate the place given to the parents in the treatment plan for children presenting pervasive developmental disorders, especially autistic troubles and propose the notion of psychopedalogical guidance. This denomination includes an introspective dimension in the work with parents, where listening has a prominent place, as well as a reflection based on more behavioral methods. The authors describe the contents of these encounters along four guidelines : containment, psychic experience, daily life and pedagogical attitudes, as well as the need to continue interacting with the child as a " subject ". They detail the four aspects of their work and illustrate them through the use of clinical examples.

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513 - Hébergement alterné - Garde alternée - autorité parentale conjointe

The joint custody may be a positive application of shared parental status, but it's not an obligation. Ideas, inner feelings and attitudes of each parent are more important than material dispositions to make sure the well-being of the child.

The probability of success of a joint custody will increase following these positive conditions :

- The child agrees with the project, when interviewed by a non suggestive adult. When the child is undecided or indifferent, decision of joint custody can be taken, like a reviewable bet. Nevertheless very young children, under five years, need more stability and don't usually benefit from a joint custody.

- Spontaneously or after having thinking about, both parents are positively interested by the project. At least, they must have ceased permanent fights in front of the child and be able to mutual polite respect. A joint custody never should be considered as a therapy aimed to make peace between the parents.

- Material conditions must be considered ; among others, a geographical proximity between both houses, the possibility to have some important objects and clothes twice ...

- So much the better if this measure can be applied with flexibility and can be revised at long intervals.

Index terms : joint custody, shared parental status.


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je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


Fin du dossier























































































































































































... Inutile de continuer à dérouler car ce qui suit n'est constitué que d'informations techniques automatiques dont les textes sont déjà repris plus haut.

... Ce qui suit ne mérite pas d'être imprimé pour les mêmes raisons et n'a rien à voir avec le texte du professeur Jean-Yves Hayez.





































 





















































































































































































380 - Hébergement parental alterné et autorité parentale conjointe

The joint custody may be a positive application of shared parental status, but it's not an obligation. Ideas, inner feelings and attitudes of each parent are more important than material dispositions to make sure the well-being of the child. The probability of success of a joint custody will increase following these positive conditions : 1. The child agrees with the project, when interviewed by a non-suggestive adult. When the child is undecided or indifferent, decision of joint custody can be taken, like a reviewable bet. Nevertheless very young children, under four years, need more stability and don't usually benefit from a joint custody. 2. Spontaneously or after having thinking about, both parents are positively interested by the project. At least, they must have ceased permanent fights in front of the child and be able to mutual polite respect. A joint custody never should be considered as a therapy aimed to make peace between the parents. 3. Material conditions must be considered ; among others, a geographical proximity between both houses, the possibility to have some important objects and clothes twice ... 4. So much the better if this measure can be applied with flexibility and can be revised at long intervals.

Keywords :

Joint custody ; Shared parental status


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045 L’éducation quotidienne de l'enfant adopté(da07)

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114 - Daily education of the adopted child in
Neuropsychiatrie de l'enfance et de l'adolescence, 1995, 43 (10-11), 470-476.


The author puts forward some main indicators around the daily education of the adopted chid. The majority of these indicators are not, however, fundamentally specific to this child; there are rather applications, to his benefit, of pedagogical attitudes liable to concern ail the children. The author broaches successively the following themes : dream of the Ideal chid and renouncement of the fulfilment of the dream; confrontation with the upheavals linked with the internal working out, by the chid, of his status of " adopted " one; evocation of the undergoing motivations for the adoption; relativization of the impact of the adoption phenomenon and, if the case arises, acceptance of the failure of the " graft " or the severance of the link.

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Sexual abuse on children and adolescents

The article first defines the sexual abuse on minors and discusses the limits of the definition. After that, it describes the psychological functioning of the protagonists of the abuse, the indicators of this one, and the psychic perturbations which are resulting on the minor.
Afterwards, the article describes the main judicial and psychosocial institutional organisation to face the abuse; it displays two axes of the treatment : social interventions and talking meetings, and apply them to two main paradigms which are incest and pedophilia. The article is ending with some critical consideration on social speaking and institutional organisation about sexual abuse.

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127 - Evolution of the requiers and practices in child and adolescent psychiatry.(d24)

The author evaluates the evolution of the functioning of child and adolescent psychiatry for the past thirty years. At first, he evokes new facts in the community, as an interveners'confusion or the needs of objectivity and rapid results demanded by the family. Afterwards, he analyses the evolution of the requiers and those of the psychosocial teams'composition. Then the author notes that a bio-psychosocial pattern of health and illness is more effective and leads to a few modifications of the practices, for example about medication. At least, he evokes some values underlying to the practice and remaining stable.

Keywords :

bio-psycho-social pattern / professional teams / requiers / therapeutic values

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224 - L’hébergement alterné et autorité parentale conjointe(s24).

The joint custody may be a positive application of shared parental status, but it's not an obligation. Ideas, inner feelings and attitudes of each parent are more important than material dispositions to make sure the well-being of the child.

The probability of success of a joint custody will increase following these positive conditions :

- The child agrees with the project, when interviewed by a non suggestive adult. When the child is undecided or indifferent, decision of joint custody can be taken, like a reviewable bet. Nevertheless very young children, under five years, need more stability and don't usually benefit from a joint custody.

- Spontaneously or after having thinking about, both parents are positively interested by the project. At least, they must have ceased permanent fights in front of the child and be able to mutual polite respect. A joint custody never should be considered as a therapy aimed to make peace between the parents.

- Material conditions must be considered; among others, a geographical proximity between both houses, the possibility to have some important objects and clothes twice ...

- So much the better if this measure can be applied with flexibility and can be revised at long intervals.

Pour retourner à l'endroit dont je viens de partir.



je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


Fin du dossier






















































































































































































- Children and adolescents confronted to pornography.

The author describes the influence of pornography on children, focusing on pornographical material on the web. Most children escape almost uninjured from vizualisation of pornoqraphy. However some are either traumatized, or precipitated in a strict perversion. The consequences on adolescents are similar, though more complex. The hypersexualization of teenagers may become complicated by addiction ( so called internet addiction disorder : IAD ), isolation, and perversion. Recommendations for the parents are presented.

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je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


Fin du dossier






















































































































































































- La fiabilité de la parole de l’enfant.

Summary : This article discusses the reliability of the child’s narrative, when he reveals unacceptable aggressions against him, among others in the sexual field. The discussion is led referring to main categories of ages : preschool children’s, those of primary school and adolescents. The author goes into details to describe the main criteria of reliability or no-reliability. He also suggests guide-lines of effectiveness in the quite numerous cases in which deep doubts are persistent.

Key-words : Reliability of child’s narrative ; revelation of abuse ; suggestibility; criteria of reliability

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Child Psychiatry Emergencies : Analysis and Specificities.

We have noticed that the topic of psychiatric emergencies of the child hasn't been considered much up to now. However these emergencies exist. We have therefore tempted to redefine this concept and have analysed the usual reasons for which certain child's psychiatric emergencies are " forgotten " ( this raises implicitly the reflection on the actions to be led in order to rectify these lacuna ).

Then we propose a table inspired by the clinic. It allows the drawing of global significances, structures and " etiopathogenic " classes of psychiatric emergencies of the child.

Finally, we try to determine globally the specific aspects of an emergency pedopsychiatric intervention for children according to our ideas.


Pour retourner à l'endroit dont je viens de partir.



je serais très heureux de dialoguer avec vous à ce propos : jyhayez@uclouvain.be

 


Fin du dossier






















































































































































































Summary :

The authors, each of them practising child consultation-liaison psychiatry since more than twenty years, tell us with this paperwork what are, for them, the most fundamental meanings of this dimension of their work. Their goal is to create a " thinking-together ", which setting up proceeds more from a state of mind than from a planning of meetings.

It is also a matter of helping the other – child, family, nursing staff) to build more links with their inner world. With reference to what they will become more actors of their own life than submissive, either to an inner chaos, or to other people's orders.

The article also describes some inherent risks to the practise of child consultation-liaison psychiatry.

Keywords :

Child consultation-liaison psychiatry, care relation, therapeutically environment, multidisciplinary care, health network.


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The life experience involving the siblings of mentally disabled children : from adaptation to mental disturbance

Abstract :

The Authors underline the recent interest for the psychic life experience of siblings of children with mental disabilities, in particular for autistic disorders. They describe the sibling's function in the subject's psychic development. They analyse in the domain of mental disabilities in general the different factors influencing sibling's life: composition of the brotherhood, type of disabilities and parental psychic life experience. They underline certain characteristics more specific of autistic disorders. Based on their clinical practice and on scientific studies, they try to describe the different sibling's reactions. They define two main solutions: resiliency and mental health troubles. Between these solutions they describe a wide range of more or less successfull stressing adaptations. They conclude by the importance of considering the presence of brothers and sisters in all kind of therapeutic work of child with mental disabilities or autistic disorders.

Keywords :

Brotherhood. Mental disabilities. Resilience.



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112 - La psychothérapie des jeunes adolescents : témoignage clinique(d09)

The author first proposes a clinical description of his psychotherapeutic work with young teenagers and their families. The age category which is examined is that of early adolescence, a moment in life of profound disorganisation of identity. After describing the importance of flexibility in the organisation of the proposed psychotherapy and the materials used, listening and its focus is described : patience, empathy, selective interventions of approval, encouragement or disapproval, warnings, etc. The therapist's concern gains from addressing equally the adolescent and his family, without becoming the arbiter of their relational difficulties.

The author then reviews interventions aimed at " rassurance ", which demonstrate to the early adolescent that his internal debates and gropings are fundamentally part of human destiny.

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109 - La vie sexuelle des 6-11 ans(e20)

Cet article expose ce que sont les manifestations saines ou pathologiques de la sexualité des enfants en âge d'aller à l'école primaire, en y intégrant l'influence des changements relationnels et sociétaux des dernières décennies. L'article expose aussi quelques considérations sur l'éducation et la psychothérapie de la sexualité des enfants de cette tranche d'âge.


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Children’s Complicated and Pathological Mourning

In this article, the authors investigate children’s pathological and complicated bereavement.

They first define a few concepts and talk about mourning, not only when associated to death, but also in every situation of separation perceived as an irreversible loss. They describe briefly phenomenology and etiopathogenesis. They approach somatic mournings, and notions of repression, distress, guilt, depression, shame and traumatism, illustrated by clinical situations. They mention protective and worsening factors.

They particularly underline the therapeutic and educational support that can be given to these children and their close relations.

In their conclusion, they emphasize the role of family members and point out the risk of excessive interference.

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The long-term evolution of children and teenagers victims of sexual abuse

Based on thirty-five years of clinical experience in the field of the fight against sexual abuse, the author offers his clinical observations on the long-term becoming of the victims. Factors of gravity or protection may be evoked, but only by statistical indications. Among other things, one should not underestimate the problem of the secondary traumatization.

The author distinguishes five possible poles of becoming : the healing ( probably most frequent ) ; the maintenance of high post-traumatic anguishes ; depression and culpability ; anger and victimization and finally the modification of the social-affective project in the direction wanted by the author.

Key-words :

Consequences of the sexual abuse ; secondary traumatization ; post- traumatic anguishes ; victimization ; chronic depression ; hypererotisation.


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018 - Le mineur d'âge dans une famille restructurée : ce qu'il y vit et comment l'y accompagner. (s18)

L'auteur décrit le devenir des mineurs d'âge et de leurs relations familiales, dans les familles recomposées après séparation du couple parental originaire.

En étant à l'écoute de ce qui s'y vit, sans prosélytisme, ni conservateur, ni soi-disant progressif, il passe en revue les phénomènes affectifs complexes et mouvants liés à la recomposition : prise de participation d'un nouvel adulte à la vie quotidienne; modification des sentiments et des actes du parent gardien qui trouve un nouveau partenaire ... mais aussi du parent visiteur; mélange d'enfants de lits différents, etc.

L'article propose également quelques recommandations à propos de l'éducation des enfants ici concernés : écoute, information abondante, confiance dans le travail du temps et la capacité d'apprivoisement de chacun; protection du territoire propre de l'enfant; solidification de l'existence de la nouvelle famille et pourtant, paradoxalement, respect de l'existence de sous-systèmes.


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The child psychiatrist facing children suffering from disorders known as "functional" ... and their paediatricians.

The author takes stock of the possible collaboration between child psychiatrists and paediatricians, mainly as regards children labelled as functional or psychosomatic cases. He distinguishes three main categories of situations, depending on whether families and/or children are receptive, ambivalent or hostile to the idea of admitting that psychosocial factors might contribute to the onset of the children's somatic dysfunction. Then, according to the cases, the interventions implemented in liaison child psychiatry, take on particular nuances, without ever leaving aside the importance of the therapeutic alliance with the paediatrician. The case study of an older child presenting abdominal pains and school invalidation, illustrates the concrete aspects of the situation.


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The children after the divorce.

The author, law expert, relates a few cases in which the interests and the deep feelings of the children were not taken into consideration when their divorced parents dispute the care of these children.

In proceeding from the children's pain, as it appears in consultation in form of anguish and guiltiness, the author proposes to the parents concerned, other attitudes in behalf of morality including the respect of the other and in behalf of a psychological efficiency on long term.

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Sexual abuses on minors.

The author gives a definition of sexual abuse on minors, emphasizing it is more frequent inside the family (incest) than outside. He describes the counter-transference reactions this type of abuse induces, especially in professional teams who tend to put each other in a position of rivalry.

Next, he sketches the pathogeny of sexual abuse, the clinical signs and the long-term effects.

The author deduces what should be the first signals of sexual abuse and proposes a pattern of diagnosis.

At last he explains a model of management of the crisis and the long-term close support of this difficult situation.


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First interviews. - After recalling some of the general options which determine the framework of his work, the author describes the successive stages of the first interviews. For each stage, he refers to the interior attitudes which guide the therapist as much as to the form of his interventions. often concretely illustrated. The author reviews the following stages: « family photographs », multifocal descriptions of transactions between parents and children with their behavioural and affective dimension ; empathic reformulations, i.e. re-expression by the therapist of his main impressions, first in a punctual way, then in a synthesis discussed with the patients, from which a working plan is outlined for the future; the stage of options: option of principle when the patients opt for the status quo or for a change, and applied options when a choice is made among the proposals of aid. The aim of this article is less to present an original working method than to recall the importance of respecting a rhythm in the work and the importance of a coherence between the therapist's interventions and his implicit experiences.

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The secrets and their utilisation in psychotherapy.

To possess a secret knowledge, can turn out maturant or destroyer for himself and for the circle of acquaintances to whom one does not communicate it. To do confidence of it to a professional is reliable sign, but can put this one in an awkward position. How to manage the confidences of the child, real or imaginary as some by the one that receives them, in individual interview ? How to choose between values some: the recognition of the right for the intimacy; the educational duty, which often connotes that the parents are informed; the duty of protection? The article suggests a way which integrates the consideration of these various parameters.

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250 - Maltraitance dirigée contre les enfants en Belgique francophone.(s250)

The article focuses on the maltreatment against children in Belgium, and on the main social reactions to care it. Firstly, we describe the evolution of the types of maltreatment revealed, up to their current and omnipresent centration in the sexual field . Then, we evoke the deep evolution of scientific knowledge; practical methods of preventing and helping have changed a lot too, among others in the direction of systemic conceptions and interinstitutional cooperation. Finally, we make an approximative evaluation of the results and mention some important existing errors in the general social representations and programmas; therefore, we conclude with some positive recommandations.

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126 - Socio-therapeutic intervention model in situations of sexual abuse on minors ( 0-18 yr.)

The revelation of sexual abuse situations always creates a crisis event in families as well as among the professionals : diffuse emotions, anxiety, feeling the need to, do something, to protect ... risks of reacting in a rush without the respect of each person rhythm, risks of provoking other forms of abusing behaviours, ...

The article defends the need to, structure the first steps to, follow at the beginning of the intervention.

This major period should be managed by the establishment of models based on indicators. These indicators must be analysed in order to, find the best guidelines for the socio-therapeutic intervention.

The research was accomplished in Belgium under the Belgian legal conditions. But it should be helpful and instructive for all professionals regardless their country.

Key words : Sexual abuse - Collaboration - Crisis - " Judiciarisation " - Intervention model - Psychosocial intervention - Protection.

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015 - Mouvances des familles et réponses aux besoins des enfants. (s15)

... There are lots of different models of family apart from the traditional nuclear family; that is why we will name them with the generic term restructured families. Do they satisfactorily meet - to paraphrase Winnicot - the psychic needs of children that live inside ?
It is obviously impossible to study every individual case and the answer cannot be from the type yes or no : like each human institution, these families bear specific failings and treasures, some of them momentary, during a crisis or a fruitful moment, and others more structural.
In the first of these two articles dedicated to this subject, we will discuss the love offered in response to the child’s expectations and then what happens to his self-confidence, which is in process of formation.

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Résumé en anglais : Summary.

Firstly, the author describes the psychological signification the child attributes to his mouth and teeth, following a normal or problematic personal development. Then, he deducts the usual child's reactions when he is invited to open his mouth for a care. Finally, he proposes how the parents can prepare the examination by the dentist, and support the child in this circumstance. In a broader way, the article helps to understand how the children live every little intrusive care of their body and how to help them so that they manage it in a positive way.


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Résumé en anglais : Summary.

Social child and adolescent psychiatry ; children living in institutions for « social cases »

The author evokes the steps of his professional route which led him to deal with social underprivileged children, when they were sent to residential institutions. From his personal itinerary, he extracts ideas to be meditated by other professionals : how to help these children ? Is listening enough ? What do they teach us on the world ? Which traps to avoid during psychotherapies ? How to deal with their families ? He also raises the question about the real social progress accomplished in time with the care of these children and their families.


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017 - Peur, anxiétés, et angoisses de l'enfant. Modélisation et traitement. (s17)

The article's originality consists to treat together the concepts of anguishes, anxieties and fears by children, which be called anguish. First the author describes clinically the anguish's phenomena and its deployment during time. The operative instances producing anguish and their eventual combination are then analysed. This constructing model is also discussed.
In a second time, the article describes the diary bringing-up, as well as the treatment of child's anguish. The autor develops such themes as : how to prevent the anguish's installation, to avoid some jeopardised, to listen and partage information, to encourage the child to face what is afraid of, to simulate positive imagination, to reinforce self-truth, to use introspective psychotherapies or medication ... and how to accept eventually the child's limits.


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