Soins Pediatrie/Puericulture最新文献

Stéphanie Larchanché is a medical anthropologist and therapist who specializes in the study of cultural representations of illness and care strategies in a migratory context, particularly in mental health. Currently a consultant, independent trainer and head of research at Sigmund-Freud University-Paris, she has, for twelve years, directed training, teaching and research activities at the Françoise-Minkowska medical-psychological center in Paris. She is also an administrator of the ISM-Interpretariat association, and has a pertinent view of the role played by the interpreter with the health professional and his patient. The following interview took place before she left the Minkowska Center.

The pain center of the Armand-Trousseau hospital in Paris receives children and adolescents for a multidisciplinary management of their pain. From all cultural backgrounds, these young people have different representations of suffering. The aim here is not to highlight cultural differences in the sensory experience of pain, but to analyze the representations of the experience of chronic pain. To do this, we will use the clinical case of Kayla, aged 15.

The care of unaccompanied young exiles in public health care facilities for adolescents often requires teams to adapt their capacities for institutional containment. We describe the case of a 16 year old female migrant adolescent, whose follow-up occurred at the Maison des adolescents of the Cochin Hospital, with several healthcare workers involved. The healthcare team had to reflect on the meaning of her somatic symptoms and why the referring adults were so worried (such as fear of death). We describe how we articulated somatic and psychological care for this adolescent girl living in a precarious situation.

The context of containment due to the Covid-19 epidemic forced professionals to suspend their face-to-face therapeutic education programs. For young patients with asthma, the situation was made even more complex by anxiety-provoking communications (which turned out to be inaccurate) about the possible aggravating role of corticosteroids in the event of Covid-19, which led to untimely discontinuations and sometimes to a decrease in their therapeutic adherence, exposing them to an increased risk of poor control of their disease. Faced with the feeling of abandonment felt by some families in this singular context, a team at Trousseau Hospital in Paris decided to rethink and adapt its distance therapeutic education workshops.

In the child psychiatry hospital setting, educational approaches and the therapeutic alliance are fundamental principles on which professionals rely on a daily basis. Therapeutic acts, including the administration of psychotropic drugs, are carried out in a specific care area. What about the child's or adolescent's compliance with medication outside this setting? A booklet dedicated to psychotropic treatments, intended for patients and their relatives, has been designed with an informative objective.

The majority of psychoanalysts today admit that the body and the mind are not separate, but are on the contrary deeply intertwined with each other. Thus, it is possible to consider the psychic life as stemming from the vital necessity to process sensory information. Based on the recent discoveries of embryology, it becomes possible to rethink the consequences of the first inscriptions in the construction of the psyche, in connection with sensory experiences. This new knowledge makes it necessary to revise the metapsychology, making the first impulse appear as "tact-pulsion".

The development of attachment in toddlers is linked to the quality of their early interactions with their mother and father. The impact of interactive dysfunctions, in relation to different parental circumstances, constitutes an important risk for the development of disorganized attachment. Although this aspect is fairly well known, few studies have been done on the children of people with borderline personality disorder.

Positioning an infant in a physiological way is not trivial, even more so when it is born prematurely. To promote development, a posture that allows self-regulation and vegetative stability is essential. Particular attention must be paid to good positioning throughout the hospitalization in neonatal services, whether during or outside of care, during skin-to-skin sessions or in babywearing.