marie-michèle Bourrat

• Praticien Hospitalier-Chef de pôle at Centre Hospitalier Esquirol de Limoges

Roger Mises, sous le terme de pathologies limites de l’enfant, décrit des organisations spécifiques se situant hors ou entre les champs de la psychose et de la névrose. Il en fait une organisation psychique à part entière, caractérisée par une relation d’objet anaclitique. Ces organisations se caractérisent essentiellement par la difficulté à mettr...

La dépression est un des troubles psychiatriques les plus fréquents et qui génèrent le plus de situations de handicap. Son incidence augmente à l’adolescence, période de fragilité dans la vie de l’individu pendant laquelle se manifestent souvent les premiers symptômes de ce trouble. La prévalence de la dépression à l’adolescence est estimée entre 5...

A significant number of children who visit this child psychiatric clinic with traumatic stories have prevented the formation of a transitional area to permit the creation of a mental space, differentiating real and imaginary and the possibility of creating a space for thought. If resilience allows a number of children to build their personality in...

Children and psychic trauma: The narrative and a way of resilience A significant number of children who visit this child psychiatric clinic with traumatic stories have prevented the formation of a transitional area to permit the creation of a mental space, differentiating real and imaginary and the possibility of creating a space for thought. If re...

Objectives This article develops the psychoanalytical theories of trauma in Freud's work and that of other psychoanalysts. The author will show the place of traumatism prior to language acquisition and its specificities. We will propose a method of treatment, group therapy.Freud's theoryUsually traumatism designates a psychological impact of events...

Background Shared decision making (DM) is increasingly advocated as the most appropriate model to support parents confronted with end-of-life (EoL) decisions for a child in the neonatal intensive care unit (NICU). However, few studies have explored its impact on their long-term grief. Objectives The aim of this study was to investigate whether pare...

Occupations of parents quoted in the paper. (DOC)

Outline of parent interviews. (DOC)

The importance of involving parents in the end-of-life decision-making-process (EOL DMP) for their child in the neonatal intensive care unit (NICU) is recognised by ethical guidelines in numerous countries. However, studies exploring parents' opinions on the type of involvement report conflicting results. This study sought to explore parents' exper...

Since the instant when two gametes unite to give birth to the embryo's first cell founder, begins a deep work of differentiation, which will lead to the one and the same individual in his distinctive feature. Ever as the biological process, which, from two parents will give birth to a child, the long maturation building the structured identity will...

From a longitudinal and prospective research, concerning children conceived after a sudden infant death, the author proves how an experimental procedure built for a research becomes a medium for care. The duration of the research enables the families to use the researcher as a support to the grieving process and the newborn child's "identity work"....

L’auteur présente ses réflexions sur le congrès qui s’est déroulé à Tours sur le thème de l’autisme. Il a permis de riches échanges sur les différents points de vue. L’auteur recense les points importants sur lesquels ont portés les discussions : le passage du terme d’autisme à celui de troubles envahissant du développement est plus qu’un simple ch...

In 2002, the Inserm (...) published an expert appraisal of Child and Adolescent Mental Illness. This report emphasised that research should fulfil the demands of EBM (evidence-based medicine), if it wished to be viewed as scientific, which is rarely seen in French research. Thus, we decided to discover what is in fact the case, by examining the res...

Confronted in our practice as catchment area pedopsychiatrists with referral for consultations, not only for difficult babies but also for young children with sleeping problems, we have noticed the frequent presence of traumatic elements in these babies’ family antecedents who seem to show what we call a hyperactivity. Both formerly and at present,...

Quentin, six mois, présente un comportement impressionnant dès la salle d'attente : il se dresse sur des jambes qui s'agitent sans cesse comme deux ressorts, il glisse des genoux de sa mère, se tend en direction d'objets, qu'il ne prend pas, semblant aussitôt diriger son attention ailleurs. Il est quasi impossible d'obtenir son regard, il ne se cal...

Excitement appears to be the central axis of the personnality organisation for numerous children seen in consultation. Behind apparently opposite behaviours, going from a great agitation to an almost complete inhibition, the mecanisms are similar: they express theirs affects and psychical movementsat once, by theirs bodies and their motivity, by be...

The turning to the emergency consultation increases in every child psychiatrics institutions. Even if the term of crisis is not used during the consultation, the evocation of an earlier traumatic event is very frequent. The author wonders about different uses that could be done with the earlier traumatic event in the consultation and in the treatme...

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The relations between mourning and depression have been studied for a long time. However, few studies exist on the place mourning can take up in children as a possible risk of depression, while it has been more studied as a risk factor in adulthood. Likewise, one can say that it is mainly the maternal (or even parental) mourning which is studied as...

We studied the different motivations mothers had for choosing a particular mode of nursing at the University Hospital in Limoges. An anonymous questionnaire was distributed to all mothers who hat delivered between January 1 and April 30, 1992. It was apparent that the medical team did little to promote breast-feeding or to counteract negative attit...

This study, originally intended to identify the status of puerperal psychoses, has revealed today, on the basis of a review of 16 requests for psychiatric opinions coming from departments of gynecology and obstetrics in Limoges, that this acute psychiatric situation plays only a tiny role in psychiatric psychology associated with pregnancy. Post-pa...

The authors present a description of the working of a day hospital for elderly people and an analysis of the results which have been achieved there. The material refers to 46 cases: 28 women and 18 men who were treated over a 2 year period. The hospital is unusual in that it is in a rural setting and it is oriented towards mental disorders, althoug...

The effect of the ethyl alcohol on the system involves a symptomatology of clinical variable expression. The ethanol has an incontestable psychotrope effect. In small dose it calms anxiety but in large dose it mostly has an anesthesic effect and disturbs consciousness. The well-known acute inebriety beside, there is the pathologic hallucinatory and...

Following a historical approach, the authors first describe the original development of the concept of inhibition in neurophysiology and then analyze the subsequent adaptations made in psychiatry around such concept including those of: -- Pavlov, Hull, Watson and the behaviorists, -- Freud and the Freudian School, -- clinicians and psychopharmacolo...