[Several aspects of play in the psychotherapy of the child].
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Biomedical subjects
Publications and source records attributed to R Henny.
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The author lists the different positions of Freud with respect ot the comprehension of the aggressive impulse on a metapsychological as well as on a clinical level, resulting in the concept of the death instinct in 1920. From the cruelty of the child over the instinct for mastery to the comprehension of the economy of instincts in 1915 in "Instincts and their Vicissitudes", Freud demonstrates his hesitations polarized by the conflict with Adler in regard to the aggressivity. The Post-Freudians and in particular Melanie Klein have retaken the texts of Freud in order to go beyond the compulsion of the almost fetishistic instinctual duality in the Kleinian group, more or less disputed by the structural analysts who speak about the neutralization of aggressive impulse.
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Summary of an imaginary letter to a junior doctor who would like to get a training child and adolescent psychiatry. The author tries to give his young colleague particulars about the official aspect his training regulated by the FMH in paedopsychiatry, as well as on the cultural and personal aspects of a training course in psychotherapy.
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A random sample of 300 9-year-old children in the canton of Vand were given a psychiatric examination. Boys showed psychopathology more often than girls, lower class children more than higher class children, children of foreign origin more than children of Swiss parents, children who had been separated from their families during their first three years of life more than children who had not been separated. On the other hand, the child psychiatric services were less well known by persons from those population groups, in which children showed psychopathologic findings more often. Questions concerning the intervention strategies that follow from these observations are discussed.