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Parents of babies with perverse injuries and bruises


l'Information Psychiatrique. Volume 88, Number 3, 181-5, Mars 2012, Pathologie des interactions parents-enfants

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Author(s) : Annick Le Nestour, Gisèle Apter

Summary : This article concerns a work of careful reflection over the past 20 years regarding the evaluation and management of the parent-baby relationship, in extreme situations of borderline parenthood. In these situations, early dysfunctional interactions are infiltrated by trans-generational processes that induce the patterns and functioning of a perverse type. Their initial consequences regarding an interactive sphere are often characterized by disqualification, accompanied at times by a weakening lack of affection. Without taking care to avoid massive identical repetition the perverse process could also affect young children, with the emotional wounds and bruises of the mind leading to massive distress quickly overshadowed by three types of denial (perceptual denial, denegation, abrasion of affection, which amputate psychic life). These parents have previous experiences that they are not aware of from their childhood, mechanisms which could help suppress their distress. A clinical example illustrates these phenomena as well as certain aspects of care management, primarily the manner in which the interpretative interaction of the therapeutic caregiver permits to re-initiate the creativity of psychic life in order to help in breaking perverse links with the past.

Keywords : perversion, infant, parent-child relationship, psychic development, narcissism, aggressor identification, clinical case

 

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