Boucher L
Service de Consultation-Liaison, hôpital Sainte-Justine, Montréal.
Psychiatr Enfant. 1987;30(1):5-32.
Do infants suffering of severe feeding problems let themselves die? From this question, the author attempts to describe some of the central elements of her psychodynamic understanding of merycist infants and of their treatment in an inpatient paediatric setting. Merycism appears as a vicissitude, within the parent-child relationship, of pathological mourning. Projective identifications allow the parents to avoid a melancholic fate but they hinder the development of the child's psychic and physical life. A clinical vignette illustrates the theoretical constructions as well as the therapeutic setting and approaches used by the author. The important role of a mother-child room and the central place of interpretations are discussed.
患有严重喂养问题的婴儿会任由自己死亡吗？基于这个问题，作者试图描述她对拒食婴儿及其在儿科住院环境中治疗的心理动力学理解的一些核心要素。拒食现象表现为亲子关系中病理性哀悼的一种变迁。投射性认同使父母能够避免陷入抑郁的命运，但却阻碍了孩子心理和生理生活的发展。一个临床案例说明了作者所使用的理论架构以及治疗环境和方法。文中还讨论了母婴室的重要作用以及诠释的核心地位。
