R\u00e9tablir, r\u00e9habiliter :un changement de paradigme orient\u00e9 par un n\u00e9olib\u00e9ralisme pragmatique? Aide \u00e0 l’autonomie s’ancrant dans\u00a0l’espace moral des soci\u00e9t\u00e9s individualistes ? A la suite du num\u00e9ro 7, le d\u00e9bat se poursuit ici, mettant l’accent sur le \u00ab pouvoir d’agir \u00bb. La r\u00e9insertion professionnelle tiendra-t-elle ses promesses ? Concernant enfants et adolescents, le secteur m\u00e9dico-social, l’aide \u00e0 l’enfance, la psychiatrie infanto-juv\u00e9nile, sauront-ils les accompagner, les orienter?<\/p>\n
Plusieurs situations dites \u00ab de terrain \u00bb viendront illustrer ces voies de r\u00e9flexion. Plus globalement, cela pose la question de la place des pratiques psychanalytiques en sant\u00e9 mentale infanto-juv\u00e9nile : quelles possibilit\u00e9s pour le sujet de se soutenir comme capable de faire des choix et quels enjeux identificatoires travaillent les parcours de r\u00e9tablissement prescrits.<\/p>\n
\u00c9DITORIAL<\/strong><\/p>\n Savoir(s) d’exp\u00e9rience ?<\/p>\n Emmanuelle Granier<\/em><\/p>\n DOSSIER<\/strong><\/p>\n Introduction : de la n\u00e9cessit\u00e9 d’une critique de la r\u00e9habilitation psychosociale.<\/p>\n Fr\u00e9d\u00e9ric Widart<\/em><\/p>\n Quel avenir pour les pratiques psychanalytiques dans le contexte actuel et futur de la sant\u00e9 mentale?<\/p>\n Thomas Rabeyron<\/em><\/p>\n Quel r\u00e9tablissement pour la psychanalyse ?<\/p>\n L’enfant-individu et ses troubles \u00e0 l’\u00e2ge de l’autonomie normative<\/p>\n Alain Ehrenberg, Nicolas Marquis<\/em><\/p>\n \u00a0<\/span>\u00abAvoir le choix\u00bb : un enjeu de l’\u00e9ducation contemporaine qui n’est pas sans cons\u00e9quence psychopathologique…<\/p>\n Daniel Marcelli<\/em><\/p>\n Pascal, du r\u00eave de m\u00e9tallier au travailleur \u00abhandicapable\u00bb : Le travail entre l’adolescent, sa famille et l’institution<\/p>\n Philippe P\u00e9try<\/em><\/p>\n Trajectoires<\/p>\n Ga\u00eblle Cerutti<\/em><\/p>\n Questionner les sorties des \u00e9tablissements et services medico-sociaux dans le champ de l’enfance : enjeux pluridisciplinaires et m\u00e9thodologiques<\/p>\n Audrey Parron<\/em><\/p>\n VARIA<\/strong><\/p>\n L’adolescence dans l’\u0153uvre de S. Freud : premi\u00e8res recherches sur l’hyst\u00e9rie (1886-1893)<\/p>\n Houssier F., Bonnichon D., Brault A., Haidar H.<\/em><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.20.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.20.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.20.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_orientation=\u00a0\u00bbjustified\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb] <\/span><\/strong><\/p>\n <\/span><\/strong><\/p>\n RESUMES et MOTS-CLES<\/strong><\/p>\n <\/span><\/strong><\/p>\n <\/span><\/strong><\/p>\n <\/span><\/strong><\/p>\n <\/span><\/strong><\/p>\n Quel avenir pour les pratiques psychanalytiques dans le contexte actuel et futur de la sant\u00e9 mentale\u2009?<\/span><\/strong><\/p>\n Thomas Rabeyron<\/p>\n R\u00e9sum\u00e9<\/span><\/strong> \u00a0<\/span><\/p>\n Mots-cl\u00e9s<\/span><\/strong>\u00a0: psychanalyse, psychoth\u00e9rapies psychanalytiques, psychiatrie, n\u00e9olib\u00e9ralisme, num\u00e9rique, crises. <\/span><\/p>\n \u00a0<\/span><\/strong><\/p>\n Abstract:<\/span><\/strong><\/p>\n This paper proposes some reflections concerning the position of psychoanalytical practices in the current and future context of mental health in France. In this regard, after having described the main principles of these therapies, the different factors that contribute to their decline are analysed. In particular, the progressive diffusion of neoliberal ideology leads to a major transformation of the health sector, the deleterious consequences of which are illustrated by several examples. Other trends, in particular the development of digital technology and new currents in psychology and psychiatry (coaching, positive psychology, rehabilitation, etc.) are also mentioned in order to understand the evolution of the mental health practises. The evaluation of psychoanalytic psychotherapy and neuropsychoanalysis appear, however, as factors that may have a positive influence on the place of psychoanalytic practices. Finally, the current context of crisis that we are going through in several fields is evoked, in conclusion, in order to give a broader perspective concerning the future of these practices. <\/span><\/p>\n \u00a0<\/span><\/p>\n Keywords<\/span><\/strong>: psychoanalysis, psychoanalytical therapies, psychiatry, neoliberalism, digital, crisis. <\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a><\/strong><\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n <\/a><\/a><\/a><\/a><\/a>Quel r\u00e9tablissement pour la psychanalyse\u2009?<\/strong><\/span><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>L\u2019enfant-individu et ses troubles \u00e0 l\u2019\u00e2ge de l\u2019autonomie normative<\/strong><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>Alain Ehrenberg, Nicolas Marquis<\/span><\/p>\n R\u00e9sum\u00e9\u00a0: <\/span><\/strong><\/p>\n L\u2019article distingue trois repr\u00e9sentations contemporaines de l\u2019enfant\u00a0: l\u2019enfant d\u00e9ficient dont la volont\u00e9 (anormale ou indisciplin\u00e9e) est \u00e0 corriger, ensuite des ann\u00e9es\u00a040 aux ann\u00e9es\u00a080, la figure de l\u2019enfant expressif port\u00e9e par la psychanalyse, enfin, l\u2019enfant acteur et handicap\u00e9, promu par les neurosciences cognitives. Ces trois figures forment les diff\u00e9rents param\u00e8tres de l\u2019id\u00e9al du potentiel cach\u00e9 appliqu\u00e9 aux enfants. Elles constituent diverses fa\u00e7ons de d\u00e9finir les troubles, leurs origines, leurs significations et la solution \u00e0 y apporter. Enfin, l\u2019article montre comment elles peuvent se rencontrer dans l\u2019approche en termes de \u00ab\u2009comp\u00e9tences psychosociales\u2009\u00bb.\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Mots-cl\u00e9s\u00a0: <\/span><\/strong>Enfant, psychanalyse, neurosciences cognitives, potentiel cach\u00e9, pouvoir d\u2019agir, comp\u00e9tences psychosociales.<\/span><\/p>\n \u00a0<\/span><\/p>\n Abstract <\/span><\/strong><\/p>\n The article distinguishes three contemporary representations of the child: the deficient child whose will (abnormal or undisciplined) is to be corrected, then from the 40\u2019s to the 80\u2019s, the figure of the expressive child carried by psychoanalysis, finally, the actor and handicapped child, promoted by cognitive neuroscience. These three figures constitute the different parameters of the ideal of hidden potential applied to children. They constitute different ways of defining disorders, their origins, their meanings and the solution to be brought to them. Finally, the article shows how they can meet in the approach in terms of \u00ab\u00a0psychosocial skills\u00a0\u00bb. <\/span><\/p>\n \u00a0<\/span><\/p>\n Keywords: <\/span><\/strong>Child, psychoanalysis, cognitive neuroscience, hidden potential, power of action, psychosocial skills.<\/span><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n <\/a>\u00ab\u00a0Avoir le choix\u00a0\u00bb : un enjeu de l\u2019\u00e9ducation contemporaine qui n\u2019est pas sans cons\u00e9quence psychopathologique\u2026.<\/strong><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>Daniel Marcelli<\/span><\/p>\n R\u00e9sum\u00e9\u00a0:<\/span><\/strong><\/p>\n Qu\u2019est-ce que choisir\u2009? Classiquement, un compromis entre le d\u00e9sir inconscient et la rationalit\u00e9 psychique. Chez l\u2019adolescent d\u2019aujourd\u2019hui, le plan narcissique l\u2019emporte sur l\u2019objectal, ce qui implique que la transmission \u00e9volue dans son mode op\u00e9ratoire. Parentale, familiale, culturelle, religieuse, sociale, celle-ci construit l\u2019adolescent. La clinique nous montre une \u00e9volution des modes de construction de ce dernier. Un d\u00e9tour par Aristophane permet d\u2019analyser le refus de choisir son sexe chez les jeunes \u00ab\u2009a-genre\u2009\u00bb, \u00ab\u2009neutre\u2009\u00bb ou \u00ab\u2009bi genre\u2009\u00bb, en \u00e9vitant l\u2019amalgame avec les \u00ab\u2009transgenres\u2009\u00bb.<\/span><\/p>\n Ainsi, il n\u2019y a pas de m\u00e9dicament pour traiter le \u00ab\u2009refus de choix\u2009\u00bb. Un accompagnement psychoth\u00e9rapeutique permet \u00e0 l\u2019adolescent actuel de contourner la \u00ab\u2009fatigue de soi\u2009\u00bb et le refuge dans la passivit\u00e9.<\/span><\/p>\n \u00a0<\/span><\/p>\n Mots-cl\u00e9s\u00a0:<\/span><\/strong> choisir, \u00e9ducation, enfant, adolescent, genre<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/strong>Abstract: <\/span><\/strong><\/p>\n What to choose? Classically, a compromise between unconscious desire and psychic rationality. In today\u2019s adolescent, the narcissistic plane prevails over the object, which implies that the transmission evolves in its modus operandi. Parental, family, cultural, religious, social, it builds the adolescent. The clinic shows us the evolution of the modes of construction of the latter. A detour through Aristophanes allows us to analyse the refusal to choose one\u2019s sex among \u00ab\u00a0a-gender\u00a0\u00bb, \u00ab\u00a0neutral\u00a0\u00bb or \u00ab\u00a0bigendre\u00a0\u00bb young people, avoiding the amalgamation with \u00ab\u00a0transgender\u00a0\u00bb. Thus, there is no medicine to treat \u201cchoice denial\u201d. A psychotherapeutic accompaniment allows the current adolescent to circumvent \u201cself-fatigue\u201d and the refuge in passivity.<\/span><\/p>\n \u00a0<\/span><\/p>\n Keywords:<\/span><\/strong> options, education, childhood, adolescent, gender<\/span><\/p>\n <\/p>\n <\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>Pascal, du r\u00eave de m\u00e9tallier au travailleur \u00ab\u2009handicapable\u2009\u00bb<\/a><\/a><\/a><\/a><\/a><\/a><\/a>. Le travail entre l\u2019adolescent, sa famille et l\u2019institution<\/strong><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>Philippe P\u00e9try<\/span><\/p>\n <\/p>\n R\u00e9sum\u00e9\u00a0:<\/strong><\/p>\n Le projet d\u2019autonomie est interrog\u00e9 \u00e0 partir du parcours d\u2019insertion professionnelle d\u2019un adolescent en h\u00f4pital de jour. Cet article souligne les enjeux identificatoires d\u2019un parcours de r\u00e9tablissement \u00ab\u2009avant la lettre\u2009\u00bb. Il met en avant les notions de potentialit\u00e9s psychotiques et de compromis identificatoire. Il montre comment la notion de r\u00e9tablissement s\u2019inscrit dans un mod\u00e8le social d\u2019autonomie individuelle qui se retrouve dans le nouvel esprit du soin. Cela interroge la mani\u00e8re de concevoir les rapports de l\u2019adolescent, de sa famille, de l\u2019institution, et du social.<\/p>\n \u00a0<\/span><\/p>\n Mots-cl\u00e9s\u00a0:<\/strong> Adolescent, r\u00e9tablissement, autonomie, potentialit\u00e9 psychotique, compromis identificatoire<\/p>\n \u00a0<\/span><\/p>\n Abstract:<\/span><\/strong><\/p>\n The autonomy project is questioned from the point of view of the professional integration of an adolescent in a day hospital. This article underlines the stakes identified to you of a course of recovery. It highlights the notions of psychotic potentialities and of compromise identified with you. It shows how the notion of recovery is part of a social model of individual autonomy that is reflected in the new spirit of the cue. It questions the way of conceiving the relationship between the adolescent, his family, the institution and the social world.<\/span><\/p>\n \u00a0<\/span><\/p>\n Keywords:<\/span><\/strong> Adolescent, recovery, autonomy, psychotic potential, identification and compromise<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>Trajectoires<\/strong><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>Ga\u00eblle Cerutti<\/span><\/p>\n R\u00e9sum\u00e9 <\/strong><\/span><\/p>\n \u00a0<\/span><\/p>\n Cet article propose de r\u00e9fl\u00e9chir \u00e0 la situation de deux jeunes enfants, Tiago et Tim\u00e9o, alors plac\u00e9s par ordonnance judiciaire dans une Maison d\u2019enfants \u00e0 caract\u00e8re sociale. L\u2019hypoth\u00e8se principale \u00e0 notre r\u00e9flexion sera de soutenir que le maintien des droits de visite libres au domicile des parents dans le cadre du placement est le r\u00e9sultat d\u2019une approche et d\u2019un \u00e9tat d\u2019esprit seulement objectivant pos\u00e9 sur la situation de cette famille. En filigrane, nous proposons de penser que le pli de la p\u00e9dopsychiatrie donn\u00e9 aux origines de cette situation a contamin\u00e9 celui de la protection de l\u2019enfance et avec lui, le monde de la justice et des services sociaux, \u00ab\u2009tourn\u00e9s en rond\u2009\u00bb et tous ensemble <\/span>vers la r\u00e9\u00e9ducation de ces enfants et l\u2019aide apport\u00e9e aux parents. Nos hypoth\u00e8ses de pens\u00e9e nous conduiront \u00e0 l\u2019abord des notions et id\u00e9es suivantes\u00a0: le mim\u00e9tisme des dispositifs sociaux \u2014 La bascule vers l\u2019ouverture au contact d\u2019une alt\u00e9rit\u00e9 compr\u00e9hensive \u2014 L\u2019\u00e9mergence de la subjectivit\u00e9 \u00e9cras\u00e9e \u2014 Le contact s\u00e9parant. <\/span><\/p>\n \u00a0<\/span><\/p>\n Mots-cl\u00e9s<\/span><\/strong>\u00a0: Protection de l\u2019enfance, Maison d\u2019enfant \u00e0 caract\u00e8re social, dispositif m\u00e9dico-social, justice, p\u00e9dopsychiatrie, Modalit\u00e9s de placement.<\/span><\/p>\n \u00a0<\/span><\/strong><\/p>\n Abstract\u00a0<\/span><\/strong><\/p>\n \u00a0<\/span><\/p>\n This article offers to reflect on the situation of two young children, Tiago and Tim\u00e9o, who were placed by court order in a social welfare home for children. The main hypothesis of our reflection will be to maintain that the maintenance of free visiting rights at the parents\u2019 home within the framework of the placement is the result of an approach and a state of mind that is only objective in order to the situation of this family. We offer to think that the child psychiatry fold given at the origins of this situation has contaminated the child protection fold and with it, the world of justice and social services, \u00ab\u00a0turned in circles\u00a0\u00bb and all together towards the re-education of these children and the help given to the parents. Our hypotheses of thought will lead us to the approach of the following notions and ideas: The mimicry of social devices\u2009\u2013 The swing towards openness to contact with an understanding otherness\u2009\u2013 The emergence of crushed subjectivity\u2009\u2013 The separating contact.<\/span><\/p>\n \u00a0<\/span><\/p>\n Keywords:<\/span><\/strong> Child protection, children\u2019s home with social character, Medico-social device, justice, Child psychiatry, placement modalities.<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>Questionner les sorties des \u00e9tablissements et services m\u00e9dico-sociaux dans le champ de l\u2019enfance\u00a0: enjeux pluridisciplinaires et m\u00e9thodologiques<\/strong><\/p>\n <\/a><\/a><\/a><\/a><\/a><\/a><\/a>Audrey Parron<\/span><\/p>\n R\u00e9sum\u00e9\u00a0:<\/span><\/strong><\/p>\n Cet article vise \u00e0 soulever des questions de recherche portant sur les trajectoires de sorties d\u2019\u00e9tablissements m\u00e9dico-sociaux dans le champ de la jeunesse. Nous faisons l\u2019hypoth\u00e8se que les sorties de toute prise en charge une fois adulte ne peuvent \u00eatre comprises uniquement comme le signe de la fin des troubles et des besoins de compensation d\u2019une situation de handicap, mais comme l\u2019inad\u00e9quation entre les besoins sp\u00e9cifiques aux d\u00e9buts de l\u2019\u00e2ge adulte et les dispositifs existants. \u00c0 c\u00f4t\u00e9 d\u2019enjeux m\u00e9thodologiques, nous insistons in fine <\/em>sur les besoins de r\u00e9flexions pluridisciplinaires autour de la d\u00e9finition de ces besoins, propos\u00e9e en fonction des publics \u2014 IME ou DITEP \u2014 ainsi qu\u2019en fonction des enjeux associ\u00e9s (familiaux, scolarit\u00e9\/insertion professionnelle, participation sociale entendue au sens large et personnalis\u00e9e).<\/span><\/p>\n \u00a0<\/span><\/p>\n Mots-cl\u00e9s\u00a0<\/span><\/strong>: handicap psychique, jeunesse, parcours, accompagnement m\u00e9dico-social <\/span><\/p>\n \u00a0<\/span><\/strong><\/p>\n Abstract<\/span><\/strong><\/p>\n This article aims to raise research questions concerning the trajectories of exits from medical-social institutions in the field of youth. We make the hypothesis that the exits from any care once adult cannot be understood only as the sign of the end of the disorders and the needs of compensation of a situation of handicap, but as the inadequacy between the specific needs at the beginning of the adulthood and the existing devices. Beside methodological issues, we insist in fine on the needs of multidisciplinary reflections around the definition of these needs, proposed according to the publics\u2009\u2013\u2009IME or DI-TEP\u2009\u2013\u2009as well as according to the associated stakes (family, schooling\/job insertion, social participation understood in the broad and personalised sense). <\/span><\/p>\n
Cet article propose quelques r\u00e9flexions concernant la place des pratiques psychanalytiques dans le contexte actuel et futur de la sant\u00e9 mentale. Dans cette perspective, apr\u00e8s avoir d\u00e9crit les grands principes de ces pratiques, les diff\u00e9rents facteurs qui participent de leur d\u00e9clin sont analys\u00e9s. Il s\u2019agit en particulier de la diffusion progressive de l\u2019id\u00e9ologie n\u00e9olib\u00e9rale qui conduit \u00e0 une transformation majeure de l\u2019ensemble du secteur de la sant\u00e9 dont plusieurs exemples illustrent les cons\u00e9quences d\u00e9l\u00e9t\u00e8res. D\u2019autres tendances, en particulier le d\u00e9veloppement du num\u00e9rique et de nouveaux courants en psychologie et psychiatrie (coaching, psychologie positive, r\u00e9habilitation, etc.) sont \u00e9galement \u00e9voqu\u00e9s pour comprendre l\u2019\u00e9volution du champ de la sant\u00e9 mentale. L\u2019\u00e9valuation des psychoth\u00e9rapies psychanalytiques et de la neuropsychanalyse apparaissent cependant comme des facteurs pouvant avoir une influence positive concernant la place des pratiques psychanalytiques. Enfin, le contexte actuel de crise que nous traversons dans plusieurs domaines est \u00e9voqu\u00e9 en conclusion afin de afin de donner une perspective plus large concernant le devenir de ces pratiques. <\/span><\/p>\n