thesis

Influence de l'etat de maternation sur l'etat autistique du foetus infans - grand premature -en service de reanimation neonatale

Defense date:

Jan. 1, 1994

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Institution:

Nice

Disciplines:

Directors:

Abstract EN:

This research was based on the above-mentioned case hospitalised ind the neonatal reanimation service and on the autistic state presented. After clinical examination we conclued that the autistic state observed was not a normal autistic state but an autistitic state of "protection" as a reaction tho the higly medicalises environment in which the newborn found it self and to the numerous occasions of "physical aggression" on the body brought about ley necessary medical care essential to the survival of the child. To these aggressions was added a precocious rupture of the link between mother and child posing thas a problem of a deficiency of mother love. We upheld, on the basis following the theoretical psycho-analytic model, that the newborn infant in this premature state could come out of its said state using a psychotherapy of a "materbal" type which allows the installation of an object relation. We were brougth to conclude that the psycho-sensory-moteur developpment installs it self as soon as there is a presence of another mother being which places the newborn in a subject situation with a future and this regardless of foetal age within clearly the limits of possibility.

Abstract FR:

Cette recherche est axee sur le foetus infans hospitalise en service de reanimation neonatale et sur l'etat autistique qu'il presente. Nous postulons que cet etat autisitique qui est observe n'est pas un etat autisitque normal mais un etat autisitique de protection face a un environnement hyper-medicalise ou le corps est l'objet de nombreuses agressions physiques. A ces agressions se rajoute une rupture precoce du lien mere-enfant qui pose le probleme de la carence en soins maternels. Nous soutenons sur la base du materiel clinique et selon le modele theorique psychanalytique que le foetus infans peut sortir du dit etat par une psychotherapie de type "maternant" qui permet l'installation d'une relation d'objet. Nous avons ete amenee a constater que le developpement psycho-sensori-moteur s'installe des qu'il y a presence d'un autre maternant qui pose lme foetus infans en situation de sujet en devenir et ce, quel que soit son age foetal dans les limites de la viabilite.