{"id":694,"date":"2023-02-19T13:30:19","date_gmt":"2023-02-19T12:30:19","guid":{"rendered":"http:\/\/association-recherche-enfance-adolescence.org\/?p=694"},"modified":"2024-04-01T16:15:37","modified_gmt":"2024-04-01T14:15:37","slug":"retablissement-et-pouvoir-dagir-en-sante-mentale-infanto-juvenile","status":"publish","type":"post","link":"https:\/\/association-recherche-enfance-adolescence.org\/index.php\/2023\/02\/19\/retablissement-et-pouvoir-dagir-en-sante-mentale-infanto-juvenile\/","title":{"rendered":"NREA 7 : R\u00c9TABLISSEMENT ET POUVOIR D\u2019AGIR EN SANT\u00c9 MENTALE INFANTO-JUV\u00c9NILE"},"content":{"rendered":"\n[et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.18.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]
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SOMMAIRE<\/strong><\/p>\n

\u00c9DITORIAL <\/strong>Automatismes mentaux<\/span> <\/span>?<\/span>
<\/span>Emmanuelle Granier<\/em><\/p>\n

INTRODUCTION <\/strong>\u00a0<\/span><\/p>\n

Fr\u00e9d\u00e9ric Widart<\/em><\/p>\n

1 R\u00e9habilitation psychosociale et soins psychiques<\/strong><\/em>\u00a0<\/span><\/p>\n

Le mod\u00e8le de la r\u00e9habilitation psychosociale en p\u00e9dopsychiatrie : quelle pertinence<\/span> <\/span>?\u00a0<\/span><\/p>\n

R\u00e9tablissement et subjectivit\u00e9 en sant\u00e9 mentale infanto- juv\u00e9nile : consid\u00e9rations conceptuelles <\/span>Rosanna Wannberg<\/em><\/p>\n

Na\u00eetre chacun autonome ou le devenir ensemble : deux conceptions pour une politique de sant\u00e9 mentale <\/span><\/p>\n

Cyprien Anrochte, Matthieu Frossard<\/em><\/p>\n

2. N\u00e9olib\u00e9ralisme et sant\u00e9 mentale\u00a0<\/strong><\/em><\/p>\n

Psychopathologie et n\u00e9olib\u00e9ralisme ou quand produire et consommer deviennent l\u2019alpha et l\u2019om\u00e9ga de la sant\u00e9 mentale<\/span><\/p>\n

\u00a0<\/span>Bernard Golse<\/em><\/p>\n

Malaise dans le soin aux enfants et adolescents, pour une mobilisation \u00e0 la recherche d\u2019un consensus intelligent <\/span><\/p>\n

Thierry Delcourt<\/em><\/p>\n

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3. Cons\u00e9quences cliniques\u00a0<\/strong><\/em><\/p>\n

Le cadre du soin psychique : secret professionnel et responsabilit\u00e9 du professionnel<\/span><\/p>\n

Genevi\u00e8ve Monnoye<\/em><\/p>\n

La violence de l\u2019injonction. La prescription de l\u2019autonomie \u00a0<\/span><\/p>\n

Albert Ciccone<\/em><\/p>\n

VARIA<\/strong><\/p>\n

\u00a0Notes cliniques en temps de pand\u00e9mie, IX<\/span><\/p>\n

Patricia Janody<\/em><\/p>\n

Infirmier en pratique avanc\u00e9e, nouvel acteur de sant\u00e9\u00a0<\/span><\/p>\n

Florence Richard<\/em><\/p>\n

Pratique \u00ab<\/span> <\/span>freinetique<\/span> <\/span>\u00bb de l\u2019\u00e9quipe\u00a0<\/span><\/p>\n

Edmond Perrier<\/em>
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R\u00c9SUM\u00c9S ET MOTS CL\u00c9S<\/strong><\/h2>\n

Le mod\u00e8le de la r\u00e9habilitation psychosociale en p\u00e9dopsychiatrie : quelle pertinence<\/span> <\/span>?<\/span><\/h4>\n

Nathalie Zottner<\/span><\/p>\n

R\u00e9sum\u00e9 <\/span>: L\u2019auteur cherche \u00e0 comprendre la pertinence que pourrait avoir la r\u00e9habilitation psychosociale dans le champ de la p\u00e9dopsychiatrie. Un aper\u00e7u de l\u2019histoire de la r\u00e9habilitation et de celle du secteur, articul\u00e9es aux enjeux actuels de la p\u00e9dopsychiatrie dans un contexte socio -politico-\u00e9conomique en pleine mutation, l\u2019am\u00e8ne \u00e0 s\u2019interroger sur les diff\u00e9rents mod\u00e8les de compr\u00e9hension et traitement des troubles de l\u2019enfant. Une articulation est-elle possible<\/span> <\/span>? Entre r\u00e9ductionnisme et empi\u00e9tement, elle interroge les difficult\u00e9s et les cons\u00e9quences qu\u2019une fragmentation de l\u2019offre de soin pourrait entra\u00eener pour les patients atteints de maladie mentale.<\/span><\/p>\n

Mots-cl\u00e9s <\/span>: R\u00e9habilitation psychosociale, P\u00e9dopsychiatrie, Soin psychiatrique, Dimension psychique, R\u00e9seau<\/span><\/p>\n

Abstract<\/span>: The author tries to understand the possible relevance of psychosocial rehabilitation in the field of child psychiatry. An overview of the history of rehabilitation and of the sector, articulated to the current issues of child psychiatry in a socio- politico-economic context in full mutation, leads her to question the different models of understanding and treatment of child disorders. Is an articulation possible? Between reductionism and encroachment, she questions the difficulties and the consequences that a fragmented care offer could have for patients suffering from mental illness.<\/span><\/p>\n

Keywords<\/span>: psychosocial rehabilitation, child psychiatry, psychiatric care, psychic dimension, network<\/span><\/p>\n<\/div>\n<\/div>\n

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R\u00e9tablissement et subjectivit\u00e9 en sant\u00e9 mentale infanto- juv\u00e9nile : consid\u00e9rations conceptuelles<\/span><\/h4>\n

Rosanna Wannberg<\/span><\/p>\n

R\u00e9sum\u00e9 <\/span>: cet article th\u00e9orique vise \u00e0 clarifier l\u2019usage des termes de r\u00e9tablissement et de subjectivit\u00e9 dans les d\u00e9bats internationaux en sant\u00e9 mentale. La premi\u00e8re partie porte sur le sens g\u00e9n\u00e9ral du paradigme du r\u00e9tablissement et la notion du sujet qu\u2019il mobilise, entendu comme agent autonome. Une deuxi\u00e8me partie explore une critique selon laquelle ce paradigme n\u00e9gligerait la subjectivit\u00e9 des troubles mentaux, via l\u2019exemple des \u00e9chelles de d\u00e9tection d\u2019\u00e9tats \u00e0 risque de la psychose. La troisi\u00e8me partie interroge les liens entre autonomie et subjectivit\u00e9.<\/span><\/p>\n

Mots-cl\u00e9s <\/span>: r\u00e9tablissement, pr\u00e9vention, psychose, schizophr\u00e9nie, subjectivit\u00e9.<\/span><\/p>\n

Abstract: <\/span>This theoretical article aims to clarify the use of the terms recovery and subjectivity in international mental health debates. The first part focuses on the general meaning of the recovery paradigm and the notion of the subject it mobilizes, understood as an autonomous agent. The second part explores a criticism that this paradigm neglects the subjectivity of mental disorders, via the example of scales for detecting states at risk of psychosis. The third part questions the links between autonomy and subjectivity.<\/span><\/p>\n

Keywords: <\/span>recovery, prevention, psychosis, schizophrenia, subjectivity.<\/span><\/p>\n

Na\u00eetre chacun autonome ou le devenir ensemble : deux conceptions pour une politique de sant\u00e9 mentale<\/span><\/h4>\n

Cyprien Anrochte, Matthieu Frossard<\/span><\/p>\n

R\u00e9sum\u00e9: <\/span>les auteurs pr\u00e9sentent l\u2019articulation entre la d\u00e9sinstitutionnalisation, la mont\u00e9e de l\u2019individualisme et le n\u00e9olib\u00e9ralisme. Ils croisent diff\u00e9rentes perspectives des sciences humaines pour d\u00e9montrer que les volont\u00e9s politiques de r\u00e9formes du champ de la sant\u00e9 mentale, qui d\u00e9voient l\u2019id\u00e9al originaire de<\/span><\/p>\n<\/div>\n<\/div>\n

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la r\u00e9habilitation psychosociale, ne peuvent \u00eatre comprises que si elles sont replac\u00e9es dans le contexte de l\u2019\u00e9volution du concept d\u2019autonomie dans la soci\u00e9t\u00e9 contemporaine.
<\/span>Mots-cl\u00e9s : <\/span>Autonomie, r\u00e9habilitation, processus de subjectivation, hyperindividualisme.<\/span><\/p>\n

Abstract: t<\/span>he authors present the articulation between deinstitutionalization, the rise of individualism and neoliberalism. They intersect different perspectives from the human sciences to demonstrate that the political wills for reforms in the field of mental health, which pervert the original ideal of psychosocial rehabilitation, can only be understood if they are placed in the evolution context of the concept of autonomy in contemporary society.<\/span><\/p>\n

Keywords: <\/span>Autonomy, rehabilitation, process of subjectivation, hyperindividualism<\/span><\/p>\n

Psychopathologie et n\u00e9olib\u00e9ralisme ou
quand produire et consommer deviennent l\u2019alpha et l\u2019om\u00e9ga de la sant\u00e9 mentale<\/span><\/h4>\n

Bernard Golse<\/span><\/p>\n

R\u00e9sum\u00e9 : <\/span>parler de sant\u00e9 mentale plut\u00f4t que de psychopathologie n\u2019est pas anodin. Face \u00e0 la grave crise actuelle de la p\u00e9dopsychiatrie en France, l\u2019auteur souligne l\u2019importance de parler des psychopathologies au pluriel dans la mesure o\u00f9 la psychopathologie n\u2019est plus seulement aujourd\u2019hui de type psychanalytique.<\/span><\/p>\n

Il aborde enfin l\u2019impact du n\u00e9olib\u00e9ralisme sur la conception de la p\u00e9dopsychiatrie en y r\u00e9fl\u00e9chissant dans diff\u00e9rents champs (social, culturel, administratif et financier, politique).
<\/span>Mots-cl\u00e9s : <\/span>N\u00e9olib\u00e9ralisme \u2014 P\u00e9dopsychiatrie \u2013 Psychanalyse \u2013 Psychopathologie \u2013 Sant\u00e9 mentale<\/span><\/p>\n

Abstract: <\/span>talking about mental health rather than psychopathology is not trivial.
Faced with the current and serious crisis in child psychiatry in France, the author stresses the importance of talking about<\/span><\/p>\n<\/div>\n<\/div>\n

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psychopathologies in the plural insofar as psychopathology is no longer only of the psychoanalytical type.
Finally, he addresses the impact of neoliberalism on the conception of child psychiatry by reflecting on it in different fields (social, cultural, administrative, and financial, political). <\/span>Keywords: <\/span>Child psychiatry<\/span> <\/span>\u2013<\/span> <\/span>Neoliberalism \u2013 Mental Health<\/span> <\/span>\u2013 <\/span><\/span>Psychoanalysis<\/span> <\/span>\u2013<\/span><\/span>Psychopathology<\/span><\/p>\n

Malaise dans le soin aux enfants et adolescents pour une mobilisation \u00e0 la recherche d\u2019un consensus intelligent<\/span><\/h4>\n

Thierry Delcourt<\/span><\/p>\n

R\u00e9sum\u00e9 : <\/span>la p\u00e9dopsychiatrie fran\u00e7aise est en crise. Pourquoi cette crise : la forte croissance des demandes li\u00e9es \u00e0 la souffrance psychique des enfants et adolescents dans la vie familiale, sociale, scolaire, face au resserrement des normes d\u2019apprentissage, d\u2019adaptation et \u00e0 l\u2019id\u00e9ologie du tout handicap. Alors qu\u2019il y a p\u00e9nurie de moyens pour r\u00e9pondre aux souffrances des enfants et aux attentes des parents, la priorit\u00e9 est impos\u00e9e au diagnostic et au soin de troubles dits neurod\u00e9veloppementaux. <\/span>Mots-cl\u00e9s<\/span><\/p>\n

Crise, handicap, \u00e9thique, cr\u00e9ativit\u00e9, identit\u00e9<\/span><\/p>\n

Abstract: <\/span>french child psychiatry is in crisis. Why this crisis: the strong growth of demands related to the psychological suffering of children and adolescents in family, social and school life, in the face of the tightening of learning and adaptation norms and the ideology of all handicap. While there is a shortage of means to respond to the suffering of children and the expectations of parents, priority is given to the diagnosis and care of so-called neurodevelopmental disorders.<\/span><\/p>\n

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Crisis, disability, ethics, creativity, identity<\/span><\/p>\n<\/div>\n<\/div>\n

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Le cadre du soin psychique : Secret professionnel et responsabilit\u00e9 du professionnel.<\/span><\/h4>\n

Genevi\u00e8ve Monnoye<\/span><\/p>\n

R\u00e9sum\u00e9 : <\/span>deux principes fondent le cadre du processus de soin psychique: le secret professionnel et la responsabilit\u00e9 du professionnel. Une situation clinique d\u00e9crite sous l\u2019angle du dossier papier, compar\u00e9e aux exigences du Dossier Patient Informatis\u00e9-partag\u00e9 pointe les difficult\u00e9s \u00e0 surmonter. Notre responsabilit\u00e9 de professionnel du champ de la sant\u00e9 mentale est \u00e9tay\u00e9e par les r\u00e8gles des codes de d\u00e9ontologie, confort\u00e9e par les principes du Code p\u00e9nal et par les recommandations de l\u2019Autorit\u00e9 de Protection des Donn\u00e9es qui s\u2019appuient sur le RGPD. <\/span>Mots-cl\u00e9s : <\/span>Soin psychique, intimit\u00e9, secret professionnel, responsabilit\u00e9 du professionnel, dossier patient informatis\u00e9 (DPI).<\/span><\/p>\n

Summary: <\/span>Two principles underpin the framework of the psychic care process: professional secrecy and professional responsibility. A clinical situation described from the point of view of the paper file and compared to the requirements of the shared Computerised Patient File points out the difficulties to be overcome. Our responsibility as professionals in the field of mental health, supported by the rules of the codes of ethics, will be reinforced by the principles of the penal code and by the recommendations of the Data Protection Authority which are based on the RGPD<\/span><\/p>\n

Keywords: <\/span>Psychological care, privacy, professional secrecy<\/span> <\/span>\u2013 <\/span><\/span>professional responsibility, computerized patient record (CPR).<\/span><\/p>\n

La violence de l\u2019injonction. La prescription de l\u2019autonomie.<\/span><\/h4>\n

Albert Ciccone.<\/span><\/p>\n

R\u00e9sum\u00e9 : <\/span>La mont\u00e9e actuelle du paradigme de la promotion de l\u2019autonomie et de l\u2019ind\u00e9pendance du sujet constitue une violence dans la mesure o\u00f9 la subjectivit\u00e9 se trouve r\u00e9duite au d\u00e9veloppement des comp\u00e9tences, plut\u00f4t qu\u2019\u00e0 la prise en compte<\/span><\/p>\n<\/div>\n<\/div>\n

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de la mani\u00e8re personnelle dont le sujet se d\u00e9brouille avec la pathologie. Ce paradigme transforme \u00e9galement le travail des professionnels qui se trouve r\u00e9duit \u00e0 des techniques de promotion des comp\u00e9tences. Plusieurs situations cliniques illustrent ce propos<\/span><\/p>\n

Mots-cl\u00e8s : <\/span>Autonomie, ind\u00e9pendance, comp\u00e9tences, professionnels.<\/span><\/p>\n

Summary: <\/span>The current rise of the paradigm of the promotion of autonomy and independence of the subject constitutes a risk of violence insofar as subjectivity is reduced to the development of competences, rather than to the taking into account of the personal way in which the subject copes with the pathology. This paradigm also transforms the work of professionals, which is reduced to techniques for promoting skills. Several clinical situations illustrate this point.
<\/span>Keywords: <\/span>autonomy, independence, skills, professionals<\/span><\/p>\n

Notes cliniques en temps de pand\u00e9mie, IX<\/span><\/h4>\n

Patricia Janody<\/span><\/p>\n

R\u00e9sum\u00e9 : <\/span>Cette note clinique part de la rencontre d\u2019une jeune femme qui a pr\u00e9sent\u00e9 apr\u00e8s le confinement un effondrement d\u00e9pressif grave. Cette rencontre interroge ce qui pousse le clinicien \u00e0 \u00e9crire lorsque la douleur du patient s\u2019inscrit dans le corps et appara\u00eet d\u00e9pourvue de prise signifiante.<\/span><\/p>\n

L\u2019auteur interroge la tradition des m\u00e9decins-\u00e9crivains et montre combien ces patients, r\u00e9put\u00e9s plus difficiles, rappellent l e s praticiens \u00e0 leur ignorance de fond, \u00e0 ce versant de la pratique qui r\u00e9siste aux mises en r\u00e9cit, ou alors se figure \u00e0 la mani\u00e8re d\u2019une page blanche transf\u00e9rentielle.<\/span><\/p>\n

Mots-cl\u00e9s : <\/span>Effondrement, corps, \u00e9criture<\/span><\/p>\n

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clinician to write when the patient\u2019s pain is inscribed in the body and appears to be devoid of any signifying grip.
The author questions the tradition of doctor-writers and shows how much these patients, reputed to be more difficult, remind practitioners of their basic ignorance, of this side of practice which resists being put into a narrative, or which appears as a blank transferential page.<\/span><\/p>\n<\/div>\n<\/div>\n

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Keywords: <\/span>Collapse, body, writing<\/span><\/p>\n

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L\u2019auteur t\u00e9moigne de son exp\u00e9rience d\u2019\u00e9cole primaire dans une\u00a0<\/span>classe \u00ab<\/span> <\/span>Freinet<\/span> <\/span>\u00bb<\/span><\/p>\n

Il d\u00e9crit les pratiques de travail en \u00e9quipe et les ateliers. Il met en rapport ces mani\u00e8res de faire avec les pratiques qu\u2019il a d\u00e9couvertes, jeune interne, en assistant aux journ\u00e9es de psychoth\u00e9rapie institutionnelle \u00e0 Saint-Alban.
L\u2019importance de l\u2019\u00e9quipe et du collectif est mise \u00e0 mal aujourd\u2019hui par l\u2019id\u00e9ologie gestionnaire. Ce discours dominant ne peut se d\u00e9ployer que dans une organisation hi\u00e9rarchis\u00e9e, quantifi\u00e9e, pes\u00e9e, \u00e9valu\u00e9e qui brise les solidarit\u00e9s et pousse beaucoup au retrait de l\u2019engagement.
Malgr\u00e9 tout, des lieux subsistent o\u00f9 le travail en \u00e9quipe r\u00e9siste et s\u2019av\u00e8re toujours f\u00e9cond
<\/span>Mots-cl\u00e9s : <\/span>P\u00e9dagogie Freinet, psychoth\u00e9rapie institutionnelle, travail en \u00e9quipe.<\/span><\/p>\n

Summary: <\/span>The author testifies to his experience in an elementary school in a \u2018Freinet\u2019 class.
He describes the teamwork practices and the workshops. He relates these ways of doing things to the practices he discovered as a young intern while attending the days of institutional psychotherapy in Saint-Alban<\/span><\/p>\n

The importance of the team and of the collective is undermined today by the ideology of management. This dominant discourse can only be deployed in a hierarchical, quantified, weighed and<\/span><\/p>\n<\/div>\n<\/div>\n

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evaluated organization that breaks down solidarity and pushes many to withdraw from commitment.
In spite of everything, there are still places where teamwork resists and is always fruitful.<\/span><\/p>\n

Keywords: <\/span>Freinet pedagogy, institutional psychotherapy, teamwork.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb|2px||4px|false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]

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SOMMAIRE \u00c9DITORIAL Automatismes mentaux ? Emmanuelle Granier INTRODUCTION \u00a0 Fr\u00e9d\u00e9ric Widart 1 R\u00e9habilitation psychosociale et soins psychiques\u00a0 Le mod\u00e8le de la r\u00e9habilitation psychosociale en p\u00e9dopsychiatrie : quelle pertinence ?\u00a0 R\u00e9tablissement et subjectivit\u00e9 en sant\u00e9 mentale infanto- juv\u00e9nile : consid\u00e9rations conceptuelles Rosanna Wannberg Na\u00eetre chacun autonome ou le devenir ensemble : deux conceptions pour une politique […]<\/p>\n","protected":false},"author":1,"featured_media":1076,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"\n

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