Lecuyer R
Ann Med Psychol (Paris). 1995 Jan;153(1):81-6.
Partnership and role of the psychiatrist beside the mentally handicapped persons and their families. The author analyses his 35 years long collaboration with parents and their associations, and the follow up of mentally handicapped persons themselves. The author questions:--the generalisation of debatable theories without enough explicativity, which makes difficult the "therapeutic alliance" with the parents--the deficiency of educative projects--the doubtful reactions from the responsibles of parents associations in the scientifical spheres, and their refusal to make up their mind with some incomplete results of education. However, the collaboration with most of the parents is usually efficient and pleasant. It seems difficult to manage the psychopedagogy with the toddlers and the polyhandicapped persons without them. Finally, the author insists on the necessity of a patient psychological preparing of the handicapped person, in order he becomes conscience of his difference. Argument for a reflexion about each one role and responsibility, for a real partner-ship, with harmony and complementarity.
精神科医生在智力障碍者及其家庭中的合作与角色。作者分析了自己与家长及其协会长达35年的合作,以及对智力障碍者本人的随访情况。作者质疑:——一些缺乏足够解释力的有争议理论的泛化,这使得与家长建立“治疗联盟”变得困难——教育项目的不足——家长协会在科学领域的负责人的可疑反应,以及他们拒绝接受一些不完整教育结果的态度。然而,与大多数家长的合作通常是高效且愉快的。没有他们,似乎很难对幼儿和多重障碍者进行心理教育。最后,作者强调对残疾人进行耐心心理准备的必要性,以便他意识到自己的差异。主张对各自的角色和责任进行反思,建立真正的伙伴关系,实现和谐与互补。