par Durieux, Marie Paule ;Matot, Jean-Paul
Référence Neuropsychiatrie de l'enfance et de l'adolescence, 44, 12, page (617-624)
Publication Publié, 1996
Article révisé par les pairs
Résumé : After recalling the clinical picture of the infant's primary insomnia and evoking the behavioural approaches usually utilized in paediatric practice, we distinguish two psychopathological configurations. In the first one, insomnia appears as proceeding from a mutual adaptation difficulty between the parents and the baby. It is often favoured by particular circumstances around pregnancy and birth which focus the parental projections on the baby. These cases are generally solved after brief psychotherapeutic interventions. In the second configuration insomnia is set in a severe family dysfunctioning, underlied by parental psychopathologies in which the separation problematic weakens the narcissistic foundations. The treatment implies a long and difficult family approach, permitting to set up progressively the conditions of an individuation of the baby and, through him, of his parents.