La famille et les liens d'attachement en thérapie

Delage, Michel; Cyrulnik, Boris; Benghozi, Pierre‐Jean; Clervoy, Patrick; Petitjean, Maryse; Perrin, Francine; Lussiana, Sylvie

doi:10.3917/tf.063.0243

Cited by 17 publications

(4 citation statements)

References 11 publications

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“…Emotions and speech were eventually released and flowed. This emotional update created a real “sensitive period” mobilizing new representations of oneself, of others, and of the interactions in the family ( 63 ). MFT restored moves and circulation in families paralyzed with an injunction of impossible motion.…”

Section: Discussionmentioning

confidence: 99%

Multifamily Therapy for Adolescents With School Refusal: Perspectives of the Adolescents and Their Parents

et al. 2021

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Introduction: School refusal is an important public health concern in adolescent psychiatry increasing over the past several years (5% of child and adolescent psychiatry consultations in France). Multifamily therapy has developed over 30 years. Its efficacy is validated in adult, child and adolescent psychiatry, including for children at risk of school exclusion. In this study, we aimed to explore the adolescents and their parent's experience of a multifamily therapy treatment of school refusal with a qualitative method.Materials and Methods: This qualitative study is based on an Interpretative Phenomenological Analysis approach. We conducted 15 semi-structured interviews, participants were adolescents (n = 6) and their parents (n = 9) who experienced multifamily therapy in an adolescent department in Paris. Data analysis was performed independently by two researchers.Results: For the six families, school was a source of suffering, system paralysis and social exclusion. Families reported painful emotions and separation anxiety. For teenagers, multifamily therapy increased self-confidence and allowed group experience. For parents, it gave support and relieved from feelings of stigmatization and guilt. Parents became more aware of their adolescent's suffering and their insight. They all considered that multifamily therapy improved intra-family communication and expression of emotion. Participants highlighted the benefits of intergenerational interactions, activities, group and guidance from therapists.Discussion: Multifamily therapy uses therapeutic tools from both family therapy (joining, resonance, family competence, and metacommunication) and group therapy (use of media, identity device, and mirror reactions). Parents expect school solutions from multifamily therapy and question how psychiatric treatment can deal with school, school refusal being therefore understood as a social functioning disorder.

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Section: Discussionmentioning

confidence: 99%

Multifamily Therapy for Adolescents With School Refusal: Perspectives of the Adolescents and Their Parents

et al. 2021

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“…Sans chercher à mettre au point un protocole rigide d'intervention, il me semble toutefois légitime de proposer un canevas qui dans l'esprit qui l'anime peut s'apparenter à un protocole invariable si on entend par-là un certain déroulement chronologique des interventions thérapeutiques. On peut alors dessiner trois étapes (Delage, et al, 2006) qu'il est commode et cohérent de mettre en perspective avec les principales caractéristiques de l'attachement sur lesquelles j'ai insisté dans les sections précédentes (Tableau II).…”

Section: Applications Thérapeutiquesunclassified

“…Rey (2004). Le sculpting familial ou de couple Surtout comme il a été montré dans un récent article (Delage, 2006), le moment de ce travail est essentiel. Il survient lorsque l'engagement affectif des différents partenaires du système thérapeutique est tel que le thérapeute est amené à travailler sur sa résonance, sur ce moment présent de contact intersubjectif où s'opère une mutualité des esprits comme l'écrit D. Stern (2003).…”

Section: La Deuxième éTape Est Ensuite Consacrée Au Travail Sur Les é...unclassified

Attachement et systèmes familiaux

Delage¹

2008

Thérapie Familiale

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Distribution électronique Cairn.info pour Médecine & Hygiène. © Médecine & Hygiène. Tous droits réservés pour tous pays.La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.

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“…One of the main support criteria is based on the quality of the relationship between the support-giver and the parent ( 35 ): “most situations are first and foremost in need of a human/humanist touch, and this is very often all it requires” ( 36 ). Through regular HVs, the professional bolsters the security of the family bond by offering a constant and reassuring attachment, becoming an attachment figure for the parent ( 37 ). A PMI nurse may be used as a “resilience mentor” ( 38 ) by creating a temporary safe base ( 39 , 40 ).…”

Section: Introductionmentioning

confidence: 99%

Child Development and Early Interaction: PERL Research Protocol, a Preventive Home Visiting Program, Randomized Controlled Trial in France

et al. 2021

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Background: Early childhood is a key period for reducing the social inequalities that affect health. Some parenting support and home visitation programs have proven to be effective in assisting parents during this period. France's Protection Maternelle et Infantile (maternal and child welfare) services (PMIs) are at the heart of this primary prevention and may adapt their intervention to improve parenting support. In this manuscript, we describe the protocol of the PERL study, an intervention based on a home visiting program.Method and design: The PERL study is a single-center, randomized, controlled interventional trial. The aim was to assess the impact of a preventive home visiting program on the development of young children and parent-baby interaction. Visits were made by PMI nurses to 64 randomly recruited families from the general population. All families who had a baby born after 37 weeks of pregnancy between September 2018 and December 2019, and who resided in the trial area were eligible. Participants were randomly allocated to the intervention group or the control group. The PMI nurses made 12 home visits in the first year, 6 in the second year, and 4 in the third and fourth years of the child's life. Primary and secondary outcomes were measured when the child was 4 and 24 months old. These measurements recorded (i) the child's developmental milestones, in particular, language and socio emotional skills, (ii) early interaction, maternal sensitivity, and attachment patterns, (iii) maternal psychopathology including depression.Discussion: This study aims to assess the impact of home visits, made by specifically-trained and supervised nurses, on the child's development and parent-child interactions. Such interventions are complementary to other preventive programs addressing the impact of social inequalities on perinatal health. Placing nurses' professional skills at the center of this project may prove an effective and cost-saving intervention compared to existing programs. The study proposes a prevention model that is in keeping with the principle of reducing social inequalities in health by providing support from the earliest age through public service.Clinical Trial Registration: The clinical trial number is NCT03506971, registered on April 24, 2018.

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La famille et les liens d'attachement en thérapie

Cited by 17 publications

References 11 publications

Multifamily Therapy for Adolescents With School Refusal: Perspectives of the Adolescents and Their Parents

Multifamily Therapy for Adolescents With School Refusal: Perspectives of the Adolescents and Their Parents

Attachement et systèmes familiaux

Child Development and Early Interaction: PERL Research Protocol, a Preventive Home Visiting Program, Randomized Controlled Trial in France

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