Delwarde M, Boyer J P, Dullin P, Paris M C
Centre hospitalier, Saint, Vallier.
Psychiatr Enfant. 1988;31(2):413-44.
The authors report observing three children showing symptoms both of West's syndrome and autism. For them, the relational aspect was highlighted during hospitalization on an out-patient basis in a child psychiatry center instead of taking medication (for one of the children, no medication for epilepsy was taken; for the other two, medication was stopped shortly after, during their stay in the hospital). The positive outcome for these children (after four years for one of them) leads to the following question: Mightn't hypsarrhythmia be an early sign of relational problems, a symptom seen in child autism? The authors try to show that this is possible, placing more importance on the sick person than on his symptoms, and concentrating more on listening both to the parents and their suffering child.
作者报告称观察到三名儿童同时出现韦斯特综合征和自闭症的症状。对他们而言，在儿童精神病中心门诊住院期间，关系层面的问题而非药物治疗被凸显出来（其中一名儿童未服用治疗癫痫的药物；另外两名儿童在住院期间不久后就停止了用药）。这些儿童的积极预后（其中一名儿童四年后）引发了以下问题：高峰节律紊乱难道不可能是关系问题的早期迹象吗？这是儿童自闭症中出现的一种症状。作者试图表明这是有可能的，更重视患病个体而非其症状，并更多地专注于倾听父母及其患病孩子的心声。
