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Psychological approch of brutal onset retropulsion


l'Information Psychiatrique. Volume 79, Number 5, 427-33, Mai 2003, CLINIQUE

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Author(s) : Nicolas Lépine

Summary : Brutal onset retropulsion is a postural disturbance specific to old age, which is studied here in its psychic aspects. Retropulsion provokes questions on their mortality in affected persons, during a period which they interpret as a psycho-social collapse. A rehabilitation programme is the most appropriate and effective treatment because the specialised approach of the physiotherapist encourages work on a practical physical level, removing the tangle of morbid implications associated with the symptom. The physical improvement progresses alongside a repression of the imagined fears, a repression necessary in order to allow the sufferer to distance themselves from the subconscious motivations activated at the moment of the appearance of the retropulsion. Retropulsion as a defence mechanism can be recognised as an updating of the archaic reactions previously used during the development of the inner personality, this entity psychic feeling threatened at the moment of the postural disturbance.

Keywords : postural disturbance, archaic reactions, gerontology

 

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