par De Becker, Emmanuel;François, Anne 
;Kinoo, Philippe;Malchair, A.
Référence La Psychiatrie de l'enfant, 58, 2, page (571-594)
Publication Publié, 2015
;Kinoo, Philippe;Malchair, A.Référence La Psychiatrie de l'enfant, 58, 2, page (571-594)
Publication Publié, 2015
Article révisé par les pairs
| Résumé : | In the vast field of care and treatment for children and adolescents, questions linked to diagnosis often transcend the aspects of the the treatment itself and the therapeutic bonds as well as the multiple exchanges between professionals involved. Diagnosis in child psychiatry is a dynamic process, modifiable and momentary in that most pathological organisations during this period are in permanent transformation. In a specific way and as a function of the developmental process, the theme of diagnosis in child psychiatry refers more to the question of evolving risk than to the question of the pathological state itself. The aspects of continuity of mental troubles from childhood to adulthood represent a veritable developmental issue. There are two opposing points of view in the literature. The first, in connection with pre-determinism, believes that their trajectories are already traced, the uncertanty being in the diagnosis itself. Concretely, the idea is to spot individuals at risk as early as possible because they are carriers of a trouble that must be treated. The second point of view holds that the trajectories are not pre-determined but are constantly being rewritten. Here, the risk is not at the diagnostic level, but rather in the prognosis with the goal being prevention rather than prediction. The article proposes reflections of four clinical psychiatrists in infanto-juvenile psychiatry on this theme, in the light of their practice and their exchanges. |
