Speranza Mario, Debbané Martin
Service universitaire de psychiatrie de l'enfant et de l'adolescent, centre hospitalier de Versailles, Versailles, France.
Équipe INSERM Psychiatrie du développement, Centre de recherche en épidémiologie et santé des populations, UMR 1018, université Paris-Saclay, université Versailles-Saint- Quentin-en-Yvelines, France.
Rev Prat. 2020 May;70(5):514-519.
Innovations in child psychotherapy. The psychotherapeutic approach represents the main focus of care in the field of child and adolescent mental health because of the limited place of psychopharmacology at this period of life. In recent years we have witnessed a diversification of theoretical models and the development of new focused approaches which explicitly raise the question of the formalization of therapeutic objectives and their sharing with the child/adolescent and his/her family. The aim of this article is to present some of the main innovations developed in recent years in the field of child and adolescent psychotherapy and in particular : parental guidance, mindfulness meditation, trauma-focused psychotherapies and psychotherapies delivered via the internet. Beyond the specificities of these models, all these approaches converge to underline the involvement of the entourage and the perception on the part of the child of being understood by the therapist as the two main mechanisms at the heart of change in psychotherapy and as levers capable of promoting the re-emergence of a capacity to learn in the interpersonal and social world.
儿童心理治疗的创新。由于在儿童和青少年时期心理药理学的作用有限,心理治疗方法成为儿童和青少年心理健康领域护理的主要重点。近年来,我们见证了理论模型的多样化以及新的聚焦方法的发展,这些方法明确提出了治疗目标的形式化以及与儿童/青少年及其家庭共享这些目标的问题。本文的目的是介绍近年来在儿童和青少年心理治疗领域所取得的一些主要创新,特别是:家长指导、正念冥想、创伤聚焦心理治疗以及通过互联网提供的心理治疗。除了这些模型的特殊性之外,所有这些方法都一致强调周围人的参与以及儿童对被治疗师理解的感知,这是心理治疗中改变的两个核心机制,也是能够促进在人际和社会世界中学习能力重新出现的杠杆。