Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

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6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza de l’Adolescence Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques THURSDAY, May 5 POSTER SESSIONS Poster session 4 Families - Adoption - Support - Educational Training 2 - VERSO UNA NUOVA FAMIGLIA: IMPLICAZIONI E RISCHI NEI PROCESSI DI ADOZIONE Leonardo Sacrato, E. Di Pietro, L. Iero, A. Pellicciari, E. Franzoni, U.O. Neuropsichiatria Infantile S. Orsola Malpighi, Bologna (Bologna - IT) Un bambino adottato implica due eventi non comuni: una separazione ed un incontro, la perdita e la separazione da un ambiente nel quale aveva vissuto precedentemente e l’incontro con coloro che lo accolgono. Il piccolo si trova a dover costruire e nutrire una nuova relazione affettiva forte e complessa, a doversi confrontare con un vissuto di doppia genitorialità che nel tempo dovrà elaborare, ad immergersi in una nuova cultura e, se straniero, imparare una nuova lingua. Il bambino adottato ha tre caratteristiche diverse: l’essere un bambino, l’essere adottato e talvolta straniero. L’approccio del terapeuta, qualora si necessario, davanti a questi giovani pazienti ed alle rispettive famiglie deve essere modellato sulle specifiche esigenze. Il terapeuta deve portare con sé un sincero, forte desiderio 164 di investimento sia nei confronti del piccolo, verso il quale dovrà rivestire una funzione materna, sia nei confronti della famiglia, per favorire l’elaborazione della naturali e fisiologiche delusioni derivate dalla ferita narcisistica genitoriale che la circostanza avrà inevitabilmente comportato. Per soddisfare queste esigenze bisognerà approfondire le motivazioni personali e di coppia che hanno portato i genitori alla scelta fatta, nonché lo svolgimento del processo adottivo. Le difficoltà incontrate le aspettative che lo hanno accompagnato ed il successivo impatto con la realtà. Bisognerà inoltre tenere conto della mancata “illusione generativa” che solitamente precede le aspettative sul nascituro e fa si che queste si formino: sarà in questa lacuna che si inserirà il lavoro del terapeuta con i genitori adottivi. Viene riportato un caso clinico.
6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza de l’Adolescence Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques THURSDAY, May 5 POSTER SESSIONS Poster session 4 Families - Adoption - Support - Educational Training Summary: Peter is an eight-year old; he was adopted at three years of age. Since he arrived in Spain, he has had behavioural problems which lead his parents to take him to various consultations and to read books on ADHD. Through the child’s symptoms, parents, and their demands, I reflect on the transition from action to thought. Key words: child, parents, adoption, demand, thought. ABSTRACT: Peter’s parents When asked about the adoption process, they tell me about the administrative procedures. When the parents saw the child’s photo, they became "very excited”. On arriving here all the medical checkups started. Peter was very restless, and the father began to look through internet and buy books on AD- HD…”has improved a lot since then”. The doctors tested him and the parents were relieved “to know that the brain received normally”. Father brings a book to the session, and puts it on the table. In the end, he reads from the book, “If I don't mind”… “What we have felt”. Peter and his parents 3 - “FROM LOOK TO THOUGHT” Diaz Rodriguez, Maria Esther Psychiatric Section Chief, Complexo Hospitalario Universitario A Coruña - Spain When Peter comes in, the father invites him to sit between him and the mother. He sits beside his mother, she gives him a kiss, and the father looks at the book. He is defined as cheerful, talkative, sociable, and playful, he always wants to get his own way 165 but this seems to be less and less often, he sometimes has tantrums, cries, and insults them. Communicates feelings, he tells them many times that he loves them, and likes to help. He is very loved by older people, likes to be with them and makes them laugh. The father adds that if they give him time to think, he can come round to understanding their point of view. Peter Cheerful and friendly, he intervenes spontaneously providing data. He ends up playing with some boxes in which he puts in and takes out animals and geometric figures. He gives me the keys to these, and asks me to keep them until the next day he comes, showing me where the boxes are hidden. They are not left in open view. He's theatrical, making gestures of supposed comical attitude, but when I tell him the day of the following session, he becomes serious and attentive. Reflections The parents were acting out the symptoms that they brought with them as a diagnosis of their child. As I go through the session with them, they progress from talking about the administrative actions of the adoption to the experience of the same. They put words to personal fantasies, some reflection, and unknown until then by the
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Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

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