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Biomedical subjects

P Mazet

Publications and source records attributed to P Mazet.

At least 19 recordsLinked to original sources
PubMed1988

[A French classification of mental disorders in children and adolescents].

A French classification of child and teenage mental problems is presented. It is biaxial; a glossary is included. The motives and options that went into its creation and differences with existing classifications are specified. Equivalencies with CHO project ICD-10 have been set up. The results of a first trial by child psychiatrists are commented on.

Adolescent↗
PubMed1984

[Theoretical viewpoints in psychosomatic medicine. The historical and current aspects].

Everyday cases, clinical experience, and some experimental data show that emotional life has significant and varied expressions in the body: behaviours expressed somatically, "functional" visceral disorders, and even "organic" diseases. To explain these findings, various theoretical concepts have been or are currently put forward. Taking the basic hypothesis of psychosomatics, i.e. the notion of a psyche-soma functional unit, as a starting point, the author considers these main concepts under three different lightings, which are related to the methodologic conditions under which facts are studied: 1) the physiologic approach, which underscores the significance of psychophysiologic interactions, emphasizes either the results of conditioning or those of emotions, according to the case; stress is considered under this angle; 2) the psychological approach, according to the point of view, emphasizes the following notions: life event, subjective experience, personality profile, specific conflict, conversion or regression, defective mentalization; 3) the sociologic and ecologic approach focuses on the relationships between the individual and his surroundings and gives predominance to the notion of environment factors. After a few considerations on the concept of disease and the notion of etiologic multideterminism it is recalled that therapeutic effectiveness stems from the ability to take into account both bodily and psychic distress.

Disease↗
PubMed1983

[To be (a girl) or not to be! Or the sex of the angels? Problems in individuation (and identification) in a 3-year-old child. Case report, theoretical comments, treatment].

During a lengthy hospitalization in a pedopsychiatric department, with an intermediate several-week period at home, a child seen at the age of three with severe disorders of relationships and identity was able to progress significantly and to improve organization of personality. The authors report this case and show that this child's problems are largely due to the distortion of family relationships and personal identification problems of the two young parents who were unable to assume freely their own parental role for this child.

Child, Preschool↗
PubMed1983

["How goes it, Awa?" Nutritional deficiency, emotional deprivation, severe depressive state in an child under 2 years of age. Diagnostic and therapeutic problems].

The authors report a very illustrative case of analytic depression in an infant under two years of age. The significance of this observation is in the overwhelming nature of symptoms with a characteristic marasmus syndrome fitting classic descriptions, and in the deliberate approach which led a pedo-psychiatric team to an understanding of the problems and to a rapid and dramatic reparation. By the ascription of a significant role to the impact of mother-child, mother-family and social circle relationships, involved members were able to determine their place and reassume their role and function. This approach also draws attention to the susceptibility and vulnerability of children to separation and severance of bonds.

Acculturation↗
PubMed1983

[Crises in adolescence. Value of a specialized hospitalization unit].

Hospitalization of a disturbed adolescent is not necessarily a distressing experience. It may provide the opportunity for the separation-individuation process to develop. The various possibilities offered by the Adolescent Psychiatric Unit at the Salpêtrière Hospital are described. The outcome of hospitalization is often gradual autonomy of the adolescent in his family. The functioning of the Unit is illustrated by three clinical reports.

Adolescent↗
PubMed1983

[Psychiatric emergencies in childhood and adolescence].

The referrals for urgent psychiatric treatment were studied systematically to improve our understanding of the acute forms of psychological distress in children and adolescents and the crisis situations which disrupt the usual relationships between the child and his family. During the last 12 months, 212 requests for urgent psychiatric opinion in children under 18 years of age were received. The following points were analyzed: --general: age, sex, geographical distribution of the patients and their families, present family conditions, socio-economic class, origin of the urgent referral; --psychological or psychopathological: presenting symptoms, organisation of the personality of the child or adolescent, previous psychological or psychiatric history; --practical: the emergency management, ulterior orientation. The authors conclude with some remarks on the possible lines of action in the emergency situations.

Acute Disease↗
PubMed1982

[Difficulties and pitfalls in the approach to psychosomatic diseases].

The specific particularities, difficulties and, in some instances, pitfalls which are attendant to the approach of "psychosomatic" patients may be a source of therapeutic satisfactions for the practitioner but also of feelings of uneasiness or helplessness. The existence of a psychosomatic relationship, i.e. of evidence which connects, at least in part, a somatic disorder to the psychological context in which it occurs, and the characteristics of the psychosomatic mechanism, i.e. of the various modalities through which psychological distress is converted into physical suffering (physical behaviour and attitudes, conversion hysteria, functional disorders, so-called psychosomatic diseases) are the two questions to be addressed as soon as diagnosis is considered. The difficulties and pitfalls are mostly met during management; the role of the physical practitioner is underscored; some utilizations of psychotropic agents as well as some of the physicians' attitudes and phrases are discussed; the value of methods involving the body (relaxation, etc.) is recalled.

Humans↗
PubMed1982

[Role of specialized care units in the psychiatric approach of very young children].

Among the various means of answering psychiatric problems in young children, specialized care units for the very young, such as the one set up at psychiatric department for children and adolescents at the Salpêtrière Hospital, appear to be helpful in some situations which are psychologically highly dangerous as well as life-threatening. The modalities of the reception and therapy of the child and its family are described and discussed. It seems that this type of hospitalization may contribute to the resuming of dynamic developing processes in the child and of positive relationships between child and family, particularly the mother.

Child Psychiatry↗
PubMed1982

[Do psychiatric emergencies exist in children and adolescents?].

From our experience in the pedopsychiatric emergency unit at the Salpêtrière Hospital, we discuss the concept of psychiatric emergency in children and adolescents. In 90% of cases, patients are adolescents aged 14 to 18 years. The acting out and the ensuing emergency consultation seem to be a propitious time for establishing a relationship with the adolescent, meeting his difficulties from a psychological rather than affective standpoint and instituting an exchange with the family.

Adolescent↗