Intérêts de la psychothérapie à médiation sensorielle dans le cadre de la prise en charge des troubles de la relation et de la communication chez des enfants autistes sévèrement déficitaires I : introduction aux applications cliniques

Abstract

BackgroundSensory and emotional disorders are typical in autism spectrum and were analyzed by psychological, neuropsychological and psychodynamic models of interpretation. ObjectivesIn the current article, we aim: to analyze the theoretical models relating to the explanation of the autistic syndrome, with a particular focus on the place of its sensory features; to conceptualize an approach of psychotherapy with sensory mediation intended to formulate therapeutic proposals for remediation of relationship and communication disorders. MethodWe develop the framework of such an approach by combining the theoretical and practical foundations of: sensory integration therapies and Snoezelen approach for the matter of sensory and embodiment development (neuropsychological perspective); basal stimulation and psychomotor therapies for the stabilization of the corporeal image and body image; touch therapy and relaxation in relation to the “skin–ego” construction; and music therapy for the relational and communicative skills development. The following article will present a clinical illustration of this theoretical study. We will demonstrate our care devices and their application within the framework of a research program, and results obtained with five patients exposed during 18 months to individual and weekly sessions of psychotherapy with sensory mediation.