Les yeux, la bouche et les sphincters anal et urétral chez l'enfant présentant des troubles envahissants du développement

Abstract : The bodily openings "on which we have a voluntary control" establish, like the skin, a surface of contact between the outside and the inside of the body. However, they have a unique dynamic and role in that they actively organize exchanges between the inside and the outside of the body, between oneself and the other, between oneself and the environment. They are places of passage, circulation of flows (of any kind). First, we have found that these bodily openings "over which we have a voluntary control", in all their complexity and taken within a relational network, are essential and necessary in the development of the child. We then observed their dynamics in building the "house of the body". Thus, attention to the eyes, the mouth and the sphincters, informs about the psychomotor development of the child (encompassing the relational, emotional and communication spheres) and gives elements on its level of psycho-corporal structuring. It also sheds light on how each child lives in his "house of the body" and thus on his singular experience. Subsequently, we noted that these body openings are mentioned and questioned in the diagnostic tools and during the psychomotor assessment (especially through the field of the image of the body), of the child presenting Pervasive Developmental Disorders. They can therefore be proposed as a 'guide of investigation' and psychomotor reading of the child as a whole. Finally, the clinic showed that these places of the body can be weakened. They then impact the subject in his daily life. Taking an interest in them then allows us to reflect on the accompaniment to be offered to these children and their entourage.We noted that wading mediation can be a therapeutic lever for these children. Through pleasure, sensory-motor exploration, manipulations of emptying / filling, etc. Alongside the psychomotorian and in a contextualized and contained framework, this work can accompany them in order to tend to a safe habitation of their body as a relational container. The psychomotor approach is fully part of the care of the child presenting the Pervasive Developmental Disorders, bringing him elements favorable to the conquest of his autonomy. And it is this very 'distancing', this journey towards independence (in all its aura and complexity), which was approached in these back and forth by "the openings of the body over which we have control voluntary ".
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Master Thesis
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Manouchka Bouzard. Les yeux, la bouche et les sphincters anal et urétral chez l'enfant présentant des troubles envahissants du développement. Médecine humaine et pathologie. 2017. ⟨dumas-01562018⟩

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