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Biomedical subjects

L Boucher

Publications and source records attributed to L Boucher.

22 records · Page 2Linked to original sources

[Severe digestive disorders in infants: infants who let themselves die?].

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.

Grief↗

The results after 20 months of a study testing the efficacy of a weekly fluoride mouthrinsing program.

The purpose of this study was to determine the efficacy of weekly mouthrinsing with a 0.2 percent NaF solution in first-grade children living in a non-fluoridated community. Children in the control group were also participants in a randomized clinical trial to evaluate the efficacy of semiannual fluoride varnish treatments. Children allocated to the mouthrinse group attended school at three of the 17 area schools where the varnish study was occurring. Random allocation of children into the treatment group was considered impractical because of potential problems of teacher cooperation and compliance. The same two standardized examiners examined all participants, and were blind to group assignment for all children. After two academic years, or approximately 72 weeks of rinsing, 178 and 247 children remained in the treatment and control groups, respectively. The control group experienced a mean caries rate of 2.02 surfaces over 20 months, while the treatment group demonstrated an increment of only 1.33 surfaces, representing a savings of about 0.34 surfaces per year or a reduction in DMFS of 34.2 percent. Surface-specific incremental reductions after 20 months were 0.35, 0.19, and 0.14 for the occlusal, buccal, and lingual surfaces, respectively. The proximal increment was too small to draw any meaningful conclusions. In the primary dentition, the treatment and control dfs increments were 0.74 and 1.74, respectively. This reduction represents a savings of one-half surface increment per year, or a reduction of 57.5 percent.

Child↗

[The family of the schizophrenic : interfering or ally?].

We have presented an overview of the different studies of the family of the schizophrénie completed in the second half of this century. The first studies, of a more descriptive nature, sought to establish the aetiology of schizophrenia; they identified the family as one of the principal causes of the illness. Subsequently, methodological refinements and the contribution of genetic research have brought researchers to consider the family from a different perspective. From that point on, the family appears as an important factor, but it is linked to subtle and complex environmental factors which remain to be determined. Researchers now tend to favour an approach which permits the family to play an active role in relation to the evolution of the illness. The family is perceived more and more as a potential ally of the affected person and efforts are made to incorporate it in the treatment. This is, at least, the goal sought by proponents of the psycho-educational approach, and the therapeutic results appear to be most encouraging at the present time.

English Abstract↗