TIC, TAC, TOC, TED et THADA : la fonction et le fonctionnement

Abstract

If the psychology and the psychiatry of the child owe of evidence integrate very naturally the recent contributions of the neurosciences and the neurocognitive and functional perspectives into their modes of understanding of the suffering of the child and the teenager in all its dimensions (emotional, instrumental, developmental and intersubjective) as much as in their therapeutic projects; it seems to us that this integration is made in a strange way (fragmented, conflicting and antipsychic) while it should be made in a complementary way, and to be an authentic call for a joint elaborative and pluridimensional, better a plea for the complexity of man's young in development! It is necessary to us to notice that the confrontation of the neurosciences and the psychoanalysis too often misses its object, in long dialogues of the deaf, and by shunting the potential points of articulation between the neurone and the unconscious… This mysterious jump appears a kind of debate on the sex of the angels as long as we shall not have understood that these joints, weave through the developmental story of the small subject and through the experiences of his “body-en-relation”. The psychomotor crossroads (that is the experience of the body lived in the development) is the missing link in number of developmental and instrumental pathologies as much as in the effective joint between the equipment and the neurocognitive potential, its deployment in the development, and its subjective and drive investment in the fall of the psychic life of the person, joint between functions and functionings. Clinic (by e.g. the THADA and the attentionnels deficits, the instrumental disorders [confusions] and the exemplary nature of the dyspraxia; or still autistic paradigm) obliges us to engage the reflection farther than in a simple contradictory reading of two models, but good in an attempt of joint (so theoretical and psychopathologic, that technicotherapeutics) in the pathology of these young patients. Rather than in an apprehension of the functions and their specificities, it is good in the adversities of the functioning of said functions which the psychopathology always sends back.