Neuropsychiatrie de l''Enfance et de l''Adolescence最新文献

英文中文

Troubles de l’oralité alimentaire chez l’enfant : apport de la guidance parentale dans une approche neurodéveloppementale intégrée 儿童饮食失调：父母指导对综合神经发育方法的贡献

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2026-01-01 DOI: 10.1016/j.neurenf.2025.10.003

S. Mezri , S. Bessioud , E. Boughanda

Feeding oral disorders (FODs) are developmental impairments of oral functions, commonly associated with sensory processing abnormalities and motor dysfunctions. These disorders may significantly affect parent–child interactions and psychosocial development. Our work highlights the importance of parental involvement in the management of OFDs, as well as the need to raise awareness among both parents and healthcare professionals, including ENT specialists, pediatricians, child neuropsychiatrists, psychologists, speech therapists, occupational therapists, and psychomotor therapists. Parental engagement is a key factor in restoring an appropriate family dynamic and promoting the child's autonomy in feeding interactions. Rehabilitation professionals contribute to the restoration of oral capacities and the stimulation of sensory and praxic functions, facilitating the child's exploration of the environment and, specifically, of food. They also provide parents with practical daily activities to help familiarize the child with different foods and support multisensory discovery. Finally, feeding constitutes a central vector of communication and interaction between the child, the family, and the broader environment, underscoring the importance of early, coordinated intervention.

喂养性口腔障碍（FODs）是口腔功能发育障碍，通常与感觉加工异常和运动功能障碍有关。这些障碍可能显著影响亲子互动和心理社会发展。我们的工作强调了家长参与强迫症管理的重要性，以及提高家长和医疗保健专业人员（包括耳鼻喉科专家、儿科医生、儿童神经精神病学家、心理学家、语言治疗师、职业治疗师和精神运动治疗师）意识的必要性。父母的参与是恢复适当的家庭动态和促进儿童在喂养互动中的自主性的关键因素。康复专业人员帮助恢复口腔功能，刺激感觉和实用功能，促进儿童探索环境，特别是食物。他们还为家长提供实用的日常活动，帮助孩子熟悉不同的食物，并支持多感官发现。最后，喂养构成了儿童、家庭和更广泛环境之间沟通和互动的中心载体，强调了早期协调干预的重要性。

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引用次数: 0

Trouble des conduites alimentaires maternel, grossesse et développement précoce de l’enfant – étude de cas 母亲饮食失调、怀孕和儿童早期发育-案例研究

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2026-01-01 DOI: 10.1016/j.neurenf.2025.09.004

V. Henry , A. Compeyron , M.R. Moro , A. Ogrizek , R. Radjack

This article aims to describe the psychic and social evolution of the actualization of a patient with a previous eating disorder during the pregnancy. In addition, this article aims to highlight the impact of family dynamics and early childhood development.

Method

We describe the study of a clinical case that was being cared for by the perinatal liaison team of a major Paris hospital. The CARE recommendations were followed in the writing. The clinical data was anonymized. Finally, an ethics number is associated with this article in the context of research on anorexia nervosa.

Results

Ms E. had a history of anorexia nervosa, which was re-actualized due to the pregnancy and its biological, psychological and social transformations. We highlight the difficulty for this mother and all the family complex to reorganize themselves to find a new balance and the best way to educate her child as a subjective individual different from her.

Conclusion

The discussion addresses all the biological and psychological problems that the mother may experience in the child's development. Parenthood is a period of transition at risk for psychic and social organization requiring increased vigilance for both the parents and the child. Transdisciplinary follow-up for mothers with eating disorders is particularly recommended as soon as symptoms ease and with the resumption of sexual activity. The desire to have a child must be supported and integrated into a process of reflection that includes the father and his vulnerabilities.

这篇文章的目的是描述心理和社会演变的实现患者与先前的饮食失调在怀孕期间。此外，本文旨在强调家庭动态和儿童早期发展的影响。方法我们描述了一个临床病例的研究，该病例是由巴黎一家大医院的围产期联络小组护理的。在写作中遵循了CARE的建议。临床数据是匿名的。最后，在神经性厌食症研究的背景下，与本文相关的伦理号码。结果e女士有神经性厌食症病史，因妊娠及其生理、心理和社会变化而重新发生。我们要强调的是，这位母亲和整个家庭都很难重新组织自己，找到一个新的平衡，找到最好的方式来教育她的孩子，让她的孩子成为一个与她不同的主观个体。结论讨论了母亲在儿童发育过程中可能遇到的所有生理和心理问题。为人父母是心理和社会组织面临风险的过渡时期，需要父母和孩子提高警惕。特别建议对患有饮食失调的母亲进行跨学科随访，一旦症状缓解并恢复性活动。想要一个孩子的愿望必须得到支持，并融入一个反思的过程，包括父亲和他的弱点。

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引用次数: 0

Un Conseil national des universités : pour qui et pour quoi faire ? 全国大学理事会：为谁，为了什么？

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2026-01-01 DOI: 10.1016/j.neurenf.2025.11.001

P. Gerardin , L. Gicquel

引用次数: 0

Renoncement et réémergence du désir d’enfant chez les couples d’hommes devenus parents par gestation pour autrui (GPA) 通过代孕成为父母的男性夫妇放弃并重新产生想要孩子的欲望（GPA）

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2026-01-01 DOI: 10.1016/j.neurenf.2025.07.004

A. Riga , A. Cohen de Lara

Objectives

A growing number of same-sex couples are becoming parents. Nevertheless, they still face legal, practical, and psychological barriers in their path to parenthood. This article aims to present the first results of a qualitative study about gay couples who became parents through surrogacy. More specifically, we explore their initially internalized perception that equates being gay with childlessness, along with the psychological factors that have enabled the fulfillment of their desire for parenthood.

Patients and method

Semi-structured interviews were conducted with fifteen gay men who became parents through surrogacy in the United States or Canada. The data obtained were analyzed using thematic analysis.

Results

At the time of their coming out, most participants experienced a renunciation of their desire for parenthood, believing it to be incompatible with their sexual orientation. Furthermore, they faced a feeling of transgression and guilt about bringing into the world a child who would not have a mother. However, these couples finally overcame these psychological barriers and became parents through the symbolic authorization granted by third parties. We identified five sources: beyond the legal recognition of same-sex families, which was the most significant, the symbolic authorization for parenthood also came from their own parents or other parental figures, same-sex parent associations, as well as other same-sex male couples who had achieved parenthood through surrogacy and served as identification models.

Conclusion

Gay men must overcome significant psychological barriers on their journey to parenthood. In this process, third-party authorization plays a significant role in enabling them to pursue parenthood within a same-sex relationship through surrogacy.

越来越多的同性伴侣成为父母。然而，在成为父母的道路上，他们仍然面临法律、实践和心理上的障碍。本文旨在介绍一项关于通过代孕成为父母的同性恋夫妇的定性研究的初步结果。更具体地说，我们探索了他们最初将同性恋与无子女等同起来的内化感知，以及使他们能够实现为人父母愿望的心理因素。患者和方法对15名在美国或加拿大通过代孕成为父母的男同性恋者进行了半结构化访谈。所得数据采用专题分析方法进行分析。结果在他们出柜的时候，大多数参与者都放弃了他们想要为人父母的愿望，认为这与他们的性取向不相容。此外，他们还会因为把一个没有母亲的孩子带到这个世界上而感到违法和内疚。然而，这些夫妇最终克服了这些心理障碍，通过第三方的象征性授权成为了父母。我们确定了五个来源：除了最重要的同性家庭的法律认可之外，对父母身份的象征性授权还来自他们自己的父母或其他父母人物，同性父母协会，以及其他通过代孕获得父母身份并作为身份模型的同性男性伴侣。结论男同性恋者在成为父母的过程中必须克服重大的心理障碍。在这个过程中，第三方授权在使他们能够通过代孕在同性关系中寻求父母身份方面发挥了重要作用。

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引用次数: 0

La fête du court-métrage comme dispositif de médiation thérapeutique en grand groupe : expérience institutionnelle en pédopsychiatrie 短片作为大型团体治疗调解手段的庆典：儿童精神病学的制度实验

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2026-01-01 DOI: 10.1016/j.neurenf.2025.10.006

C. Lebon

Objectives

To present an institutional clinical experience conducted over eight years in a child psychiatry department: the annual organization of a short film festival as a large-group cinematographic therapeutic mediation device.

Patients and methods

This mediation, based on cinematographic artistic works, brought together children, adolescents, and caregivers from different care units, presenting heterogeneous psychopathological profiles (autism, psychosis, borderline disorders, inhibitions, developmental disorders, depression).

Results

This framework, combining cultural, artistic, and therapeutic dimensions, offered an intermediate space between the psychiatric institution and the community. Progressively structured over eight years, it has developed into a genuine clinical framework which has allowed articulating between a large group and subgroups and promoting specific symbolization processes.

Discussion

This experience questions the temporality necessary for the sustainable integration of such a framework in the institutional fabric and illustrates how large-group therapeutic mediations can constitute creative and clinically fertile meeting spaces, both for patients and caregivers.

Conclusions

In an institutional context often marked by fragmentation and disconnection, this framework created a place where patients, caregivers, and institutions could meet differently, thus mobilizing symbolization processes at several levels.

目的介绍在儿童精神科进行的八年多的机构临床经验：每年组织一次短片电影节作为大型团体电影治疗调解装置。患者和方法：该调解以电影艺术作品为基础，将来自不同护理单位的儿童、青少年和护理人员聚集在一起，呈现出不同的精神病理特征（自闭症、精神病、边缘性障碍、抑制、发育障碍、抑郁症）。结果该框架结合了文化、艺术和治疗维度，在精神病院和社区之间提供了一个中间空间。经过八年的逐步构建，它已经发展成为一个真正的临床框架，允许在大群体和亚群体之间表达，并促进特定的符号化过程。这一经验质疑了将这种框架可持续整合到机构结构中所必需的临时性，并说明了大型团体治疗调解如何为患者和护理人员构成创造性和临床肥沃的会议空间。在一个经常以碎片化和脱节为特征的机构环境中，这个框架创造了一个病人、护理人员和机构可以以不同的方式见面的地方，从而在几个层面上动员了象征化过程。

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引用次数: 0

Spécificités des troubles des conduites alimentaires chez les mineurs trans et non binaires : une revue de la littérature 跨性别和非二元未成年人饮食行为障碍的特殊性：文献综述

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2026-01-01 DOI: 10.1016/j.neurenf.2025.09.005

S. Joachim , V. Adrian , F. Medjkane

Objective

To analyze the literature to explore the particularities of eating disorders among transgender and gender diverse youth, with a scoping-review design.

Methods

A scoping review was carried out of literature with computed research on multiple databases like PubMed, Scopus, CINHAL Complete, PsychArticles and ResearchGate concerning studies about eating disorders among TGD youth.

Results

There are three great types of particularities in eating disorders among transgender and gender diverse youth: epidemiological, clinical, and therapeutical.

Discussion

Eating disorders appear to have a higher prevalence among transgender and gender diverse youth. Several therapeutic approaches exist, with the main one appearing to be the need for combined care addressing both eating disorders and gender affirmation.

Conclusion

It is essential to emphasize the need for screening for eating disorders in transgender and non-binary minors. It is important to prevent the onset of eating disorders through early integrated care that addresses both eating disorders and gender affirmation. Training for healthcare providers on issues related to transgender identity, as well as family support, are fundamental aspects to implement the best support for transgender and non-binary minors.

目的通过文献分析，探讨跨性别及性别多元青年饮食失调的特殊性。方法对PubMed、Scopus、CINHAL Complete、psychcharticles、ResearchGate等数据库中有关TGD青少年饮食失调研究的文献进行回顾性分析。结果跨性别及多性别青年饮食失调存在流行病学、临床和治疗三方面的特点。饮食失调似乎在跨性别和性别多样化的年轻人中有更高的患病率。目前存在几种治疗方法，其中主要的一种似乎是需要结合治疗饮食失调和性别肯定。结论应重视跨性别和非二元未成年人饮食障碍筛查的必要性。重要的是，通过解决饮食失调和性别肯定的早期综合护理来预防饮食失调的发生。对医疗保健提供者进行有关跨性别身份和家庭支持问题的培训，是向跨性别和非二元未成年人提供最佳支持的基本方面。

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引用次数: 0

Agenda 议程

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2026-01-01 DOI: 10.1016/j.neurenf.2026.01.001

引用次数: 0

La réflexivité, un processus de compréhension et de transformation clinique 反思，一个理解和临床转变的过程

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2026-01-01 DOI: 10.1016/j.neurenf.2025.10.004

T. Mouhoud , T. Baubet

Reflexivity, a concept derived from philosophy and social sciences, is experiencing renewed interest in the field of psychiatry. Defined as the ability to reflect on one's own practices, it involves sustained subjective work. This article explores the conceptual foundations, its functions in countertransference analysis, and the importance of supervision and psychotherapy in this process. Reflexive writing is presented as a space for symbolic elaboration and verbalization of clinical experience, supporting the function of mentalization. Integrating reflexivity into training, particularly in child psychiatry, is a major challenge in supporting young clinicians in the construction of their professional identity and the development of an ethic of care.

反身性是一个源自哲学和社会科学的概念，在精神病学领域正经历着新的兴趣。它被定义为反思自己实践的能力，涉及持续的主观工作。本文探讨了反移情分析的概念基础、反移情分析在反移情分析中的作用，以及监督和心理治疗在反移情分析中的重要性。反思性写作作为临床经验的象征性阐述和语言化的空间，支持心理化的功能。将反身性纳入培训，特别是儿童精神病学培训，是支持年轻临床医生构建其职业身份和发展护理伦理的主要挑战。

引用次数: 0

Agenda 议程

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2025-11-14 DOI: 10.1016/j.neurenf.2025.10.002

引用次数: 0

Groupe de soutien à l’attention de frères et sœurs de personnes avec un trouble du spectre de l’autisme : effets sur le développement psychoaffectif des participants et sur la dynamique de leur famille 自闭症谱系障碍患者的兄弟姐妹支持小组：对参与者心理-情感发展及其家庭动态的影响

Q4 Medicine

Neuropsychiatrie de l''Enfance et de l''Adolescence

Pub Date : 2025-10-27 DOI: 10.1016/j.neurenf.2025.09.006

S. Claudel

This article presents a clinical and systemic evaluation of a new support group program for siblings of individuals with autism spectrum disorder (with or without intellectual disability). Designed and implemented as an action-research project involving researchers and practitioners, the program was built around precise criteria based on siblings’ needs, as identified by previous research, and on a paradigm that included the dynamics of the whole family. An autism resource center in France implemented the program with a group of nine children (5–11 years old) and a group of six adolescents (12–17 years old) with participants attending monthly sessions led by two clinical psychologists. The program continued for three years during which time we adjusted the protocol as a function of the psychological processes observed within the support groups. We measured the effects of the program's conceptual model via a mixed methodology combining clinical and projective tools (semi-structured interviews and Family Aperception Test) with standardized tools (Anxiety and Depression Scales) with the aim of identifying participants’ developmental difficulties and potential changes to family organization. Results showed that this type of program must adopt a long-term approach, as it takes time for participants to share their authentic feelings within a support group and for the support group's impacts to modify a family's structural dynamics.

这篇文章提出了一个新的支持小组项目的临床和系统的评估，该项目是针对患有自闭症谱系障碍（有或没有智力障碍）的个体的兄弟姐妹。作为一个涉及研究人员和实践者的行动研究项目，该项目的设计和实施围绕着基于兄弟姐妹需求的精确标准，正如之前的研究所确定的那样，以及一个包括整个家庭动态的范例。法国一家自闭症资源中心对9名儿童（5-11岁）和6名青少年（12-17岁）实施了这个项目，参与者每月参加由两名临床心理学家领导的会议。这个项目持续了三年，在此期间，我们根据在支持小组中观察到的心理过程对方案进行了调整。我们通过将临床和投射工具（半结构化访谈和家庭感知测试）与标准化工具（焦虑和抑郁量表）相结合的混合方法来测量项目概念模型的效果，目的是确定参与者的发展困难和家庭组织的潜在变化。结果表明，这种类型的项目必须采取长期的方法，因为参与者需要时间在支持小组中分享他们的真实感受，并且支持小组的影响要改变家庭的结构动态。

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