La question du diagnostic en psychiatrie infanto-juvénile
(2015) La Psychiatrie de l’Enfant — (2015)
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- (en) In the field of the help and care towards the child and towards the teenager, the related questions with the diagnosis often transcends the aspects of assumptions and therapeutic links as well as the multiple exchanges between professionals concerned. The diagnosis pedopsychiatric is a dynamic, modifiable and temporary process, the pathological organizations being for the majority in permanent transformation. In a specific way and according to the process développemental, the set of themes of the diagnosis in pédopsychiatrie returns more to the question of the evolutionary risk than to the question of a pathological state in oneself. The aspects of the continuity of the mental disorders of childhood at the adulthood represent a real issue développemental indeed. Two points of view are opposed in the literature. The first, in link with a predeterminism, estimates that the trajectories all are traced, uncertainty resting in the diagnosis; concretely, it is a question of locating in an early way of the individuals at the risk because they are carrying a disorder which should be treated. The second point of view considers that the trajectories are not given but are in permanent rewriting; here, the risk is not any more at the level of the diagnosis but of the forecast, in a preoccupation of prevention and not with a prediction. The article proposes the reflections of four clinicians psychiatrists on this set of themes in the light of their practice and their exchanges
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de Becker, E., François, A., Kinoo, P., & Malchair, A. (2015). La question du diagnostic en psychiatrie infanto-juvénile. La Psychiatrie de l’Enfant. Accepted/in-press. https://hdl.handle.net/2078.5/193505 (Original work published 2015)