Partition rythmique et orchestration symbolique du corps. En partant de l’observation émotionnelle de bébés jumeaux

Abstract

The purpose of this article is to put into perspective certain theoretical insights (without going into depth) and clinical observations with the common thread being the movement of the beginnings of life, in its valency of physical movements, emotional movements as well as movement psychics. Indeed, within the framework of our perinatal child psychiatry unit, the early observation of babies in vulnerable environments revealed “changing” early disorders. The manifestations/expressions were very disparate, having only somato-psychic disorganization in common, and were marked by their intensity and extreme contrasts, by a chaotic temporality, not only physiological and tonic states, but also states of vigilance of babies and again early interactions. Starting from the repertoire of these signs/symptoms of babies’ suffering, the recognized experience of pediatricians, psychiatrists and psychoanalysts directed us towards dynamic clinical thinking in its neurophysiological and psychosomatic dimensions. Our research was oriented towards the movements, rhythms, and sensorialities of the first stages of life. Clinical observations of twin babies raised our awareness of these physical aspects of their conditions and testified to the value of the neonatal environment in terms of adaptation/adjustment/attunement. A progressive somato/corporal/psychic organization is discussed during the first weeks of life for neonatologists, the first nine months of the baby's life according to psychosomaticians, or even the first 1000 days for psy-perinatalists. Experiences and lived experiences provide material for thought and vice versa, towards a state of transitionality (corporeal and psychological) of ways of being and existing in these early ages. Emotionality reveals itself as a fundamental essence to the first corporo-psychic envelopes, its originally takes the form of a co-hosted rhythmic movement, it is a source of vital momentum and generator of a delicate somato-psychic balance towards a complex development/growth dynamic. Over the course of these cross-reflections, a contemporary clinical thought of the archaic was established, at the same time corporeal, developmental, psychodynamic and psychoanalytic.