Accompagnement du chien d’assistance judiciaire auprès de mineur(e)s présumé(e)s victimes. Étude pilote menée en France en 2021

IF 0.6 4区 医学 Q4 PSYCHIATRY
Maryse Manginot (Interne en psychiatrie) , Bernard Kabuth (Professeur) , Fabienne Ligier (Professeur)
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引用次数: 0

Abstract

Objectives

In France, 10% of the population's 13,700,000 minors are recognized as abused, and 50% of abused minors are under the age of 2. Article 19 of the International Convention on the Rights of the Child obliges States to protect children against all forms of violence, hence the concern, in France, for efficient justice and the least possible impact on minors presumed to be victims during proceedings. Legal proceedings conducted by investigators, and in particular those hearings of minors presumed to be victims, can be a trying time. To ensure that the conditions for giving evidence are as untraumatizing as possible, an experiment involving the accompaniment of minors by a courthouse dog (CHD) was begun in Cahors in 2019 and was extended to other towns such as Orléans. This accompaniment by a CHD, inspired by an initiative developed in the United States in 2012, can take place during all stages of the legal process. Currently, France is the only European country to experiment with this accompaniment. Before proposing a systematization of the use of CHD, it is necessary to assess the feelings of those involved in this accompaniment, particularly those of the victims, which is the aim of this study.

Method

This study is multicentric (conducted in Orléans and Cahors), retrospective, and descriptive. Data were collected in 2021 using hetero-questionnaires proposed to the minors and focusing on their behaviors and feelings (n = 111), before presentation of the CHD; during the presence of the CHD; and at the end of the hearing. The feelings of the interviewers, caregivers, and other professionals were also collected.

Results

Before the CHD presentation, 60% of the minors were worried and 17% were smiling. After the hearing and on departure, in the presence of the dog: 4.5% were still showing signs of anxiety and 27% were smiling. The CHD had a calming effect on all those involved, too. It did not disrupt the course of the hearings. The CHD guaranteed total neutrality, did not induce any suggestibility, and was able to position himself with the minors in a discreet, gentle, and effective manner.

Discussion

The triangular relationship – juvenile, investigator, CHD – appears to be beneficial for all involved, according to the testimonies of both juveniles and professionals. The CHD is a catalyst for the minors’ attention, a protector in the face of the unknown; it seems to encourage the freeing of speech and establishes a calming dynamic. Physical and visual contact with the CHD had a reassuring effect. For the investigators, who were generally meeting the minor for the first time, the CHD was appreciated as a real support, as a working partner and a neutral positive reinforcer, as investigators must exercise their profession according to a legal approach of absolute neutrality that does not necessarily correspond to the needs of the traumatized minors they receive, which sometimes makes it difficult to establish a connection. The results also underline the possible protective effect of the CHD on professionals who may be prone to vicarious trauma, as well as on those close to and/or accompanying the minors, who were also reassured by the animal's presence. As far as refusal to be accompanied by the CHD is concerned, there may be a notion of danger or aggressiveness on the part of the dog, hence the importance of proposing this accompaniment in the knowledge of possible reticence or even phobia. This French pilot study on the accompaniment of minors by a legal assistance dog has its limitations due to the small number of participants. It does, however, have the advantage of being original and paving the way for future studies.

Conclusion

The impact of the CHD's support on all minors and caregivers was positive overall. The interest in extending this type of study to other sites with CHD, by associating the views of child psychiatrists and behaviorists, could provide an even more significant overview and optimize support for minors based on observation of animal-human interactions.

陪同法律援助犬到假定的未成年受害者。2021年在法国进行的试点研究
在法国,1370万未成年人中有10%被认定为受虐者,其中50%的受虐未成年人年龄在2岁以下。《儿童权利国际公约》第19条责成各国保护儿童免遭一切形式的暴力,因此,法国关心的是有效的司法和在诉讼过程中对推定为受害者的未成年人尽可能少的影响。调查人员进行的法律诉讼,特别是那些被认为是受害者的未成年人的听证会,可能是一段艰难的时期。为了确保提供证据的条件尽可能不受创伤,2019年在卡奥尔开始了一项涉及未成年人陪伴的法庭狗(CHD)的实验,并扩展到奥尔尔海姆斯等其他城镇。这种附带的CHD可以在法律程序的所有阶段进行,其灵感来自于2012年在美国开发的一项倡议。目前,法国是唯一一个尝试这种伴奏的欧洲国家。在提出系统化使用冠心病之前,有必要评估参与这种陪伴的人的感受,特别是受害者的感受,这是本研究的目的。方法本研究为多中心研究(在orlsamans和Cahors进行),回顾性和描述性研究。数据收集于2021年,使用向未成年人提出的异性恋问卷,重点关注他们在冠心病出现前的行为和感受(n = 111);在冠心病出现期间;在听证会结束时。访谈者、照顾者和其他专业人员的感受也被收集起来。结果在冠心病宣讲前,60%的未成年人焦虑,17%的未成年人微笑。听证会结束后和离开时,在狗在场的情况下,4.5%的人仍然表现出焦虑的迹象,27%的人微笑。冠心病对所有参与者都有镇静作用。这并没有干扰听证会的进行。CHD保证完全中立,不诱导任何暗示性,并且能够以谨慎、温和和有效的方式与未成年人相处。根据青少年和专业人士的证词,这种三角关系——青少年、调查员、冠心病患者——似乎对所有参与者都有利。CHD是未成年人关注的催化剂,是面对未知的保护者;这似乎鼓励了言论自由,并建立了一种平静的动力。与冠心病患者的身体和视觉接触有令人安心的效果。对于调查人员来说,他们通常是第一次见到未成年人,他们认为CHD是一个真正的支持,是一个工作伙伴和一个中立的积极强化者,因为调查人员必须根据绝对中立的法律方法行使他们的职业,而这并不一定符合他们接收的受创伤未成年人的需求,这有时会使他们很难建立联系。研究结果还强调了冠心病对那些可能容易遭受替代性创伤的专业人员,以及那些接近和/或陪伴未成年人的人可能产生的保护作用,这些人也因为动物的存在而感到放心。至于拒绝携带CHD,狗可能有危险或攻击性的想法,因此在知道可能沉默甚至恐惧的情况下提出这种陪伴是很重要的。这项法国关于法律援助犬陪伴未成年人的试点研究由于参与者人数少而有其局限性。然而,它确实具有原创性和为未来研究铺平道路的优势。结论冠心病支持对未成年人及照顾者的影响总体为正。通过将儿童精神病学家和行为学家的观点联系起来,将这种类型的研究扩展到其他有冠心病的地方,可以提供一个更重要的概述,并基于观察动物与人类的互动来优化对未成年人的支持。
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来源期刊
CiteScore
0.70
自引率
50.00%
发文量
72
期刊介绍: Une revue de référence pour le praticien, le chercheur et le étudiant en sciences humaines Cahiers de psychologie clinique et de psychopathologie générale fondés en 1925, Évolution psychiatrique est restée fidèle à sa mission de ouverture de la psychiatrie à tous les courants de pensée scientifique et philosophique, la recherche clinique et les réflexions critiques dans son champ comme dans les domaines connexes. Attentive à histoire de la psychiatrie autant aux dernières avancées de la recherche en biologie, en psychanalyse et en sciences sociales, la revue constitue un outil de information et une source de référence pour les praticiens, les chercheurs et les étudiants.
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