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Approche psychodynamique de la mort subite du nourrisson et des malaises inopinés : évaluation clinique comparative

Abstract : Sudden infant death syndrome (SIDS) is still one of the major causes of post-neonatal death in industrialised countries. Apparent life-threatening events (ALTE) also often occur during the post-neonatal period and we may establish a relation between these two disorders. Although there may be many hypotheses about causes of these tragedies, they often remain unexplained. These disorders have hitherto been the domain of organicist medicine and has been little explored from the viewpoint of the family psycho-affective environment. This thesis is based on this question. The theoritical framework of the thesis is psychoanalysis, the psychosomatic theory of the Paris School and haptonomy or the science of affectivity. We tested five ethiological hypotheses. They refer to the organicist medical approach, the "explosive cycle" concept, transgenerational transmissions, the lack of a basic state of security and the contingencies of motherhood, respectively, without a priori giving greater importance to any one of them. We met three groups of ten subjects (families that had lost a baby to SIDS, families with a child who have suffered from ALTE and control families). We took down their testimonies during clinical interviews, guided by specific indicators. Our analysis of the contents of these interviews clearly shows that the four hypothese concerning the psychoaffective dimension are confirmed. There are however hierarchical differences that explain the different causes of the pathologies observed. We were able to highlight some factors of risk and protection, showing certain distinctive features for each of the two pathological groups. However, the differences were more pronounced in the two cases with the control group. The preventive measures proposed at the end of this study are based on this observation.
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Submitted on : Thursday, March 29, 2018 - 1:05:56 PM
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Valérie Touvenot. Approche psychodynamique de la mort subite du nourrisson et des malaises inopinés : évaluation clinique comparative. Psychologie. Université Nancy 2, 2000. Français. ⟨NNT : 2000NAN21026⟩. ⟨tel-01751103⟩



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