When the abuse is acted upon by the maternal assistant: psychic effects and therapeutic modalities


When violence is commited by the nurse, it contaminates the relationship between the child and his parents. Indeed, because every day, he feels he has been given over to the one who maltreats him, the child often thinks his parents are accomplices. So, we see the development of a combined figure of a Great other, full of hate, that mixes his parents’ face with the nurse’s. The clinic work demands to receive the child’s anger because his parents didn’t have protect him, didn’t know, didn’t see, didn’t understand. This is the first step to dismantle this imago and allow the reunion between the child and his reals parents.

Addictions and dissociantes behaviour to the hyperstimulables subjects

Summary :


Addictive behavior is not always a problem of dependence. For some particularly sensitive people, alcohol and drug abuse can be a way to regulate anxiety and negative emotions. The substance fosters dissociation and makes it possible to regain the sense of strangeness, disconnection and depersonalization already experienced during traumatic events experienced in childhood. This dissociative behavior can take different forms and must be differentiated from addictive behavior during the treatment. After presenting our theoretical presuppositions on overexcitability (Dabrowski, 1964) and trauma-related dissociation, four clinical vignettes and speech from the therapy sessions of these four women will illustrate our point.