Titre 1-22

1.The three little pigs

Article 1-22

In our clinical practice of 242 patients (active file as of January 1, 2022,) we have 28 patients followed in our practice (11.6%) with Asperger's syndrome and we have evaluated until 2016 about 50 patients with this diagnosis. Often we noted in these patients symptoms of obsessive disorders, major compulsive disorders (OCD) and attention deficit disorder with or without hyperactivity (ADHD). In several patients who came to us for consultation, the presence of this symptomatological triad of Asperger's, ADHD and OCD was striking.

To make our speech easily understandable with the help of a well-known image, we let's talk about the «three little pigs»: the three little pigs being Asperger's syndrome, ADHD and OCD which, according to our experience, with a different priority depending on the case, are nevertheless always present at the same time. To avoid overly long formulations, we define the person with the Triple Diagnosis as a PTD person. The expression «the three little pigs» comes from the fact that the three little pigs are always together. It is easy to understand for patients as well as for colleagues that the three little pigs Asperger's Syndrome ADHD and TOC which, we have to recognize, are always present together.

Keywords: Asperger's syndrome ; Obsessive Compulsive Disorder;  Attention Deficit Disorder
Article 1 2-22

Giuliana Galli Carminati1 , Federico Carminati2, Gregory Zecca3, Carmen Zecca-Tagan4

1 MD, PhD, psychiatrist, psychotherapist FMH, Assistant Professor at Seoul University (Bundang Hospital), member of the Charles Baudouin Institute of Psychoanalysis, founder and didactician of the International Society of Multidisciplinary Psychoanalysis, former Privat-Docent and lecturer at the University of Geneva.

2 Physicist, member of the Charles Baudouin Institute of Psychoanalysis, didactician of the International Society of Multidisciplinary Psychoanalysis.

3 Psychologist specialized in psychotherapy FSP; hypnotherapist SHYPS; lecturer, Haute École de Travail et de la Santé de Lausanne (HETSL); member of the Centre de Recherche en Psychologie du Conseil et de l'Orientation (CePCO) and associate member of the Cognitive and Affective Regulation Laboratory (CARLA), Institute of Psychology, University of Lausanne.

4 Psychologist specializing in psychotherapy FSP.

 324 KB
Language: French
Titre 2-22

2. Post-pandemic perspectives in social care. Toward the end of medicine?

Article 2-22

The debate about residential institutions for the elderly with disabilities (RSA) is back current in the last two years, as a result of the pandemic, which highlighted its structural limitations. However, consideration should be given to the problem of reforming these institutions bearing in mind the clinical and psychosocial dimension of users, which is constantly evolving thanks to advances in medicine. Otherwise, the changes would be technocratic and detached from the needs of users and their families.

Il dibattito sulle istituzioni residenziali per anziani disabili (RSA) è ridivenuto attuale, nel corso degli ultimi due anni, a seguito delle note vicende pandemiche, che ne hanno messo in evidenza i limiti strutturali. Tuttavia, bisogna tenere presente che mettere a tema la problematica di una riforma di tali istituzioni prescindendo o comunque subordinando a essa la dimensione clinica e psicosociale degli utenti, in costante evoluzione grazie ai progressi della medicina, rischia di generare cambiamenti tecnocratici sostanzialmente avulsi dai bisogni degli utenti e delle loro famiglie.

Keywords: RSA, health care quality, disability, assessment
Article 2 2-22

Dr. Ennio Cocco
Hôpital Dufresne Sommeiller
La Tour (France)

 214 KB
Language: English
Titre 3-22

3. Representations of professionals and parents about social inclusion of adults with intellectual disability according to an ecological approach

Article 3-22

Despite literature and political framework about social inclusion of people with intellectual disabilities (ID), knowledge of social inclusion and concrete resources to deploy inclusive practices are still unclear and uncertain for professional and parents. The implementation of effective inclusive practices requires the development of an ecological approach. In this context, one reference model exists (Simplican et al., 2015) and develops different ecological pathways, through individual, interpersonal, organizational, community and socio-political, influencing social inclusion of people with ID. The present study aims to question knowledge and practices about social inclusion of adults with ID. To this end, 52 semi-structured interviews were conducted with professionals and parents which were then subjected to a deductive thematic analysis based on ecological factors from the model of Simplican et al. (2015). Results show that in overall, each ecological pathway of the model are considered both by professionals and parents as influencing positively or negatively social inclusion possibilities. By order of importance attributed by both samples, pathways are community, organization, individual, interpersonal and socio-political.

Keywords: social inclusion, intellectual disability, ecological model
Article 3 2-22
Authors : Elise Batselé1, Valentine Malou1, Marine Ballé2, Hursula Mengue Topio2, Marie-Claire Haelewyck1, & Romina Rinaldi1
Affiliations ; 1 Service d’Orthopédagogie Clinique, Université de Mons, 18 Place du Parc, 7000 Mons, Belgique. 
2 Unité de Recherche en Psychologie : Interactions, Temps, Emotions, Cognition, Université de Lille, Domaine du Pont de Bois, Rue du Barreau, 59650 Villeneuve d’Ascq, France.

Email addresses :
Elise Batselé : elise.batsele@umons.ac.be
Valentine Malou : valentine.malou@umons.ac.be
Marine Ballé : balle_marine@yahoo.fr
Hursula Mengue Topio : hursula.mengue-topio@univ-lille.fr
Marie-Claire Haelewyck : marie-claire.haelewyck@umons.ac.be
Romina Rinaldi : romina.rinaldi@umons.ac.be
 274 KB
Language: French
Titre 4-22

4. A pet therapist on the road

Article 4-22

Faced with a patient with a neurodevelopmental disorder, what is the role of the animal in a context of animal-assisted psychotherapy ?

Being part of our environment since the beginning of time, the animal reminds us of our relationship with nature, salutary and indispensable. The benefits resulting from the human-pet relationship are thus today undeniable and it is obvious that the latter fulfills several roles, beneficial at various levels, both in intervention and in everyday life. As a pet-therapist in a unit specializing in intellectual disability and autism for almost 20 years, my practice has led me to know this population well. Most of the time patients used to come to me, but nowadays I go to their place of living. In the context of animal-assisted psychotherapy, the role of the psychotherapist, which remains primordial, consists above all in knowing how to introduce the animal to the patient and what role to have it play according to the objective of the psychotherapy, the patient and his diagnosis. We will therefore examine the role of the animal and how it influences the therapist's attitudes toward patients with a neurodevelopmental disorder, i.e. an intellectual development disorder, autism spectrum disorder or attention deficit disorder. This summary of the role of the animal in pet therapy, considered as a therapeutic system, leads me to propose a new way of conceiving animal-assisted psychotherapy, as a system-centered therapy.

Keywords: Pet therapy, animal-assisted psychotherapy, neurodevelopmental disorders, role of the animal, human-animal relationship
Article 4 2-22
Rachel Lehotkay, MA, PhD
Docteure en psychologie, spécialiste en psychothérapie FSP et zoothérapeute certifiée ASZ
Présidente de l’Association Suisse de Zoothérapie (ASZ) et de la Société pour la Recherche & l’Education en Relation Homme-Animal (SHARRE)
Membre de la Fédération Suisse des Psychologues (FSP) et de l’Association Genevoise des Psychologues (AGPsy)
Membre de la commission scientifique de la Fondation pour la Recherche en faveur des personnes avec Handicap (FRH)
 284 KB
Language: French
Titre 5-22

5. From diagnostic errancy to the relief of being among Asperger's

Article 5-22

Patients who come to us often have two types of profile. Some have heard about Asperger's syndrome and find themselves in the description found on the Internet, in a book, a report or a testimony. Others are referred by their care network who wonder if this diagnosis might fit.

Patients report long follow-ups while exploring various leads. However, the diagnoses made did not cover all the difficulties or suffering perceived by the patients (Zecca, et al., 2021; Galli Carminati, et al, 2022). In fact, most of our assessment patients are over 30 years old and have a turbulent journey. Many people come to us to find answers to this feeling of weirdness, of being out of step with others and society. As soon as we start the history-taking interview, they can share their thoughts and reflections with a professional who understands what they are experiencing because of our specialization. It is then a mixture of relief, questioning about their newly revealed functioning and sometimes even anxiety that the patients can share with us.

Then comes the time of the group, once the discomfort of the novelty is overcome, there is a fluidity of sharing with peers who think or function like them, and with whom it is easy to express themselves without using thousand words. They can take off the social mask and share their experiences, stop forcing themselves to respect all the social codes to be « normal ». What a relief being among Asperger’s !

Keywords: ASD, discussion group, diagnostic errancy, diagnosis and care, adapted therapeutic group
Article 5 2-22
Carmen Tagan
Psychologue spécialiste en psychothérapie FSP
Psychothérapeute reconnue au niveau fédéral
Cabinet de Diagnostic et Soins - Geneve

Céline Ronchietto 
Psychologue FSP

Cabinet de Diagnostic et Soins - Geneve

 328 KB
Language: French
Titre 6-22

6. Play therapy: A creative approach of behavioural therapy among intellectual disability

Article 6-22

The Role of Play therapy was aimed to facilitate intellectually disabled children diagnosed with Behaviour problems. The sample for the current study consisted of 28 intellectually disabled children with high behavioural problems, selected from Vizianagaram district of Andhra Pradesh. Behavioural problems among intellectually disabled children were diagnosed by ABC–C Check–list, developed and standardised by Aman and translated in Telugu by MVR.Raju, Lehotkay R, and Saraswathi Devi T, Giuliana Galli Carminati for this study. Play therapy intervention was conducted by using computer assisted video games, indoor and outdoor games and sports. Pre-test and post-test design with 28 sample focused upon the testing of the effectiveness of the developed psychological intervention. The results observed a significant difference between pre-test and post-test measures of Behaviour problems predominantly irritability, lethargy, stereotype and hyperactivity on the application of Play therapy as an intervention for intellectually disabled children.

Keywords: Play therapy, behavioural problems, computer assisted video games, irritability;
Article 6 2-22
J. Luciana Sandhya Rani
Assistant Professor, Department of Education, Dr. B.R. Ambedkar University, Srikakulam

M. Vijaya Rama Raju
Senior Professor and Head of the Department, Department of Psychology, Andhra University, Visakhapatnam. Email: mvrrajuau@gmail.com
 301 KO
Language: English
Titre 7-22

7. Complex cases...did you say complex ?

Article 7-22

A sociological and historical view

In reality, complexity is everywhere; we live in an increasingly complex world. This is the reality.

Yet knowledge is separated and contingent on disciplines. Knowledge is distributed in watertight compartments.

If, for Aristotle, science was only one great subject, he admitted three great classes of sciences: poetic, practical and speculative. After him, we have few other visions proposed. But since the Lumières, there has been an acceleration of classifications and rankings in all fields.

While this practice can certainly be justified on rational grounds, we can see that it leads to a society of increasingly specialised specialists who are less and less in touch with human reality.

How then can we approach, help and care for these « complex cases », a kind of UFO in a world of carefully compartmentalized specialties ? 

Mots clés: Disability management, networking
Article 7 2-22
Maryse Hendrix

Formation:en criminologie, psychologie des groupes et analyse transgénérationnelle.

Formatrice ASTRAG ASsociation TRavail Groupal thérapeutique et Social.

Expérience croisée des secteurs enseignement, aide à la jeunesse, handicap et santé mentale.

Approche globale et holistique des situations individuelles ou de groupe.


 .340 KB
Language: French
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