[Interactions of the infant with its partners: evaluation of preventive and therapeutic approaches].

La psychiatrie de l'enfant Pub Date : 1991-01-01
M Lamour, S Lebovici
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引用次数: 0

Abstract

Interactions between the infant and its partners are defined and described on three levels: behavior, affect, fantasy, with a special focus on the functioning of the infant. The dynamics of the parent/infant relationships are analyzed along transactional theories: the infant and its partners influence each other in a constant process of developing and changing. Together with acknowledging the baby's active role in the relation, we seek better understanding of how the infant shapes up throughout transactions. Different assessment methods of the interactions are analyzed both within a clinical framework and a research framework, and examples of assessment format are given. The transactional perspective in clinical practice with the infant introduces a new model for understanding the pathogenesis of relational disturbances. It appears necessary to conceptualize a specific nosology of interactive pathology, beyond the reference to parental or infant pathology; we thus propose a classification of interactive disturbances by integrating the three levels (behavior, affect, fantasy). The aim of this investigation of interactions, based on an attempt to synthetize anglo-saxon and european research in the field, is to outline a new perspective in clinical concepts and practice which is not solely focused on the description of behaviors in infant interactions with its partners. This viewpoint, resolutely psychopathological in its orientation, implies an empathic approach which leads to important therapeutic changes and legitimizes early preventive interventions.

[婴儿与其伴侣的互动:预防和治疗方法的评估]。
婴儿与其伴侣之间的互动在三个层面上进行定义和描述:行为、情感、幻想,特别关注婴儿的功能。根据交易理论分析了父母/婴儿关系的动态:婴儿及其伴侣在不断发展和变化的过程中相互影响。在承认婴儿在关系中的积极作用的同时,我们寻求更好地理解婴儿在整个交易中是如何形成的。在临床框架和研究框架内分析了相互作用的不同评估方法,并给出了评估格式的例子。在婴儿临床实践中的交易视角为理解关系障碍的发病机制引入了一种新的模型。似乎有必要概念化互动病理学的特定分类学,超越父母或婴儿病理学的参考;因此,我们通过整合三个层次(行为、情感、幻想)提出了交互式干扰的分类。本次互动调查的目的,基于对该领域的盎格鲁-撒克逊和欧洲研究的综合尝试,是在临床概念和实践中概述一个新的视角,而不仅仅是专注于婴儿与其伴侣互动行为的描述。这一观点,在其取向上绝对是精神病理学的,意味着一种移情的方法,它导致了重要的治疗变化,并使早期预防干预合法化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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