By Henri Rey-Flaud
L’autisme n’est pas un déficit psychological irréversible. Les observations les plus récentes des cliniciens ont permis à l’auteur d’établir que les autistes sont arrêtés au stade primordial de los angeles vie, dominé par les sensations, stade où déferlent en permanence sur le nourrisson des flots d’excitations anarchiques et insensés.
Pour émerger de cet état primitif et accéder à l’espace plus élaboré des perceptions, l’autiste attend seulement d’être relancé dans los angeles dynamique du langage à laquelle les autres enfants sont introduits spontanément, sans difficultés majeures.
Le défaut de conversation, expression l. a. plus manifeste de l’enfermement de l’autiste, révèle alors qu’il peut être corrigé et le touch avec l’entourage restauré. Mais il faut pour cela avoir reconnu l. a. nature des processus psychiques qui régissent normalement les premiers échanges entre le nourrisson et les mom and dad, afin d’identifier le style de court-circuit qui, à un second donné, a coupé l’enfant de los angeles possibilité du partage.
Redonner leur sens aux conduites aberrantes et souvent rebutantes des enfants autistes et, à partir de là, comprendre pourquoi ils ont échoué dans los angeles relation vitale à autrui est aujourd’hui l’approche l. a. plus respectueuse des sujets prisonniers de cette douloureuse, en même temps que los angeles seule véritablement vulnerable de les réintégrer dans l. a. communauté humaine.
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Additional info for L'enfant qui s'est arrêté au seuil du langage: Comprendre l’autisme
He first listens to the chief complaint which seems so worrisome. He hears it out and can then provide the reassurance of experience and reality. M. is not cancer after all. There is a magical transference to the physician who can listen without judgment and offer a way of relief that not only reassures but also augments self-esteem. Every patient unconsciously wishes for a "Dr. Mom" of the cough syrup ads, who is the legendary "family doctor who makes house calls" from the past. Perhaps he did exist as depicted, but it is more likely a transference yearning from one's childhood.
Culture A good description of the Catholic and mystical overlying the erotic elements of Hispanic culture comes from the pen of the Nobel prize-winning author Gabriel Garcia Marquez. In Of Love and Other Demons we read of a sheltered South American girl of twelve living in the Colonial era. On her 52 LISTENING TO PATIENTS twelfth birthday, Sierva Maria is bitten on the ankle by a mad dog. She develops the "symptoms" of chronic pain and mutism long after the wound is healed. Believed to be possessed, she is brought to a convent for treatment.
The transference to the physician, often totally unconscious, is to that 36 LISTENING TO PATIENTS initial healer and caregiver who nourishes, relieves pain, and lays on hands of comfort. Much of this function is now taken up by other caregivers, such as nurses and physical therapists. (Mr. Y. ) But the unconscious hope is that the physician will somehow use these nonverbal techniques that will lovingly lessen the pain and relieve the primitive discomforts. The second positive transference harkens back to a later phase, when the child is venturing forth; he is encountering other children, perhaps beginning nursery school.
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