Identification des situations à risque de maltraitance infantile intrafamiliale chez le mineur à partir d'une revue systématique de la littérature PDF Download
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Author: Sophie Rebeyrotte
Publisher:
ISBN:
Category :
Languages : fr
Pages : 246
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Book Description
Author: Sophie Rebeyrotte
Publisher:
ISBN:
Category :
Languages : fr
Pages : 246
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Book Description
Author: Oumeyma Mouzali
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Introduction : La maltraitance infantile intrafamiliale est un sérieux problème de santé publique, et engendre des répercussions importantes sur la santé globale de l'enfant et sur son avenir. La prévention est primordiale et débute par le repérage des situations à risque. Objectif : Pondérer les facteurs de risque (FDR) identifiés afin d'élaborer un score de repérage d'une situation à risque de maltraitance intrafamiliale chez le mineur en médecine générale. Méthode : Un consensus formalisé d'experts par rondes Delphi a été conduit entre novembre 2019 et avril 2020. Les experts inclus travaillent en lien avec la protection de l'enfance. 25 facteurs de risque proposés étaient tirés d'une revue systématique de la littérature réalisée en 2016. Une échelle de risque de 1 à 5 points standardisée a été utilisée. Résultats : Trois rondes Delphi ont été réalisées incluant 40 experts. Les 25 FDR proposés ont obtenu une pondération consensuelle permettant l'élaboration d'un score de repérage d'une situation à risque de maltraitance intrafamiliale chez le mineur à destination du médecin généraliste. Aucun désaccord n'a été notifié. Les FDR ayant eu le plus haut score à 5 points sont la violence conjugale, les troubles de l'attachement parent-enfant, les antécédents de maltraitance chez l'enfant, la fratrie ou les parents, et l'abus d'alcool ou la consommation de drogues chez les parents. Conclusion : En outre, les commentaires des experts ont permis de recentrer le score dans le contexte global en précisant l'importance d'une association de FDR pour le repérage d'une situation à risque, l'existence de la maltraitance dans tous les milieux socio-économiques, et le rôle des troubles trans-générationnels du lien parent-enfant. Des études sont nécessaires pour évaluer l'applicabilité de ce score en consultation de médecine générale et son aide au repérage.
Author: Marine Blavignac Momboisse
Publisher:
ISBN:
Category :
Languages : fr
Pages : 170
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Les maltraitances sexuelles chez le mineur en milieu intrafamilial sont des situations fréquentes, graves, mais sous évaluées en raison d'un manque de connaissance dans le repérage. Le médecin généraliste a un rôle central à tenir afin de repérer précocement les situations à risque. 58 dossiers du tribunal de grande instance de Toulouse, portant sur des cas d'inceste sur mineurs, ont été analysés. Les filles sont plus souvent agressées sexuellement que les garçons (respectivement 69% et 31%). Les enfants les plus exposés sont âgés de 7 à 12 ans. Les agresseurs sont dans 95% des cas de sexe masculin et sont en majorité le beau-père ou le père. Un quart des mères des victimes ont elles-mêmes subi cette violence dans leur enfance. Près d'une sur deux a eu son premier enfant à 20 ans ou moins. La violence conjugale et la violence physique sur l'enfant se constatent dans respectivement 47% et 43% des situations. L'alcoolisme est retrouvé chez 41% des agresseurs majeurs. Les familles recomposées avec beaucoup d'enfants sont plus touchées. Dans l'ensemble des familles, les aînés et les seconds sont plus souvent les victimes. 43% des familles ont été repérées en danger préalablement aux abus sexuels. Le médecin généraliste doit s'informer et se former à rechercher et repérer ces situations à risque en se basant sur des recommandations validées.
Author: Philip M. Bromberg
Publisher: Routledge
ISBN: 1134914970
Category : Psychology
Languages : en
Pages : 215
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Book Description
In Awakening the Dreamer: Clinical Journeys, Philip Bromberg continues the illuminating explorations into dissociation and clinical process begun in Standing in the Spaces (1998). Bromberg is among our most gifted clinical writers, especially in his unique ability to record peripheral variations in relatedness - those subtle, split-second changes that capture the powerful workings of dissociation and chart the changing self-states that analyst and patient bring to the moment. For Bromberg, a model of mind premised on the centrality of self-states and dissociation not only offers the optimal lens for comprehending and interpreting clinical data; it also provides maximum leverage for achieving true intersubjective relatedness. And this manner of looking at clinical data offers the best vantage point for integrating psychoanalytic experience with the burgeoning findings of contemporary neuroscience, cognitive and developmental psychology, and attachment research. Dreams are approached not as texts in need of deciphering but as means of contacting genuine but not yet fully conscious self-states. From here, he explores how the patient's "dreamer" and the analyst's "dreamer" can come together to turn the "real" into the "really real" of mutative therapeutic dialogue. The "difficult," frequently traumatized patient is newly appraised in terms of tensions within the therapeutic dyad. And then there is the "haunted" patient who carries a sense of preordained doom through years of otherwise productive work - until the analyst can finally feel the patient's doom as his or her own. Laced with Bromberg's characteristic honesty, humor, and thoughtfulness, these essays elegantly attest to the mind's reliance on dissociation, in both normal and pathological variants, in the ongoing effort to maintain self-organization. Awakening the Dreamer, no less than Standing in the Spaces, is destined to become a permanent part of the literature on therapeutic process and change.
Author: Mario Mikulincer
Publisher: Guilford Publications
ISBN: 1606236105
Category : Psychology
Languages : en
Pages : 593
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Book Description
The concluding chapter reflects on the key issues addressed, considers the deeper philosophical implications of current work in the field, and identifies pivotal directions for future investigation."--BOOK JACKET.
Author: Jean-Pierre P. Changeux
Publisher: Springer Science & Business Media
ISBN: 3540298037
Category : Medical
Languages : en
Pages : 168
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Book Description
Man has been pondering for centuries over the basis of his own ethical and aesthetic values. Until recent times, such issues were primarily fed by the thinking of philosophers, moralists and theologists, or by the findings of historians or sociologists relating to universality or variations in these values within various populations. Science has avoided this field of investigation within the confines of philosophy. Beyond the temptation to stay away from the field of knowledge science may also have felt itself unconcerned by the study of human values for a simple heuristic reason, namely the lack of tools allowing objective study. For the same reason, researchers tended to avoid the study of feelings or consciousness until, over the past two decades, this became a focus of interest for many neuroscientists. It is apparent that many questions linked to research in the field of neuroscience are now arising. The hope is that this book will help to formulate them more clearly rather than skirting them. The authors do not wish to launch a new moral philosophy, but simply to gather objective knowledge for reflection.
Author: David P. Bernstein
Publisher:
ISBN: 9780158102283
Category : Child psychiatry
Languages : en
Pages : 68
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Author: Donald G. Dutton
Publisher: UBC Press
ISBN: 0774859873
Category : Social Science
Languages : en
Pages : 431
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Book Description
Rethinking Domestic Violence is the third in a series of books by Donald Dutton critically reviewing research in the area of intimate partner violence (IPV). The research crosses disciplinary lines, including social and clinical psychology, sociology, psychiatry, affective neuropsychology, criminology, and criminal justice research. Since the area of IPV is so heavily politicized, Dutton tries to steer through conflicting claims by assessing the best research methodology. As a result, he comes to some very new conclusions. These conclusions include the finding that IPV is better predicted by psychological rather than social-structural factors, particularly in cultures where there is relative gender equality. Dutton argues that personality disorders in either gender account for better data on IPV. His findings also contradict earlier views among researchers and policy makers that IPV is essentially perpetrated by males in all societies. Numerous studies are reviewed in arriving at these conclusions, many of which employ new and superior methodologies than were available previously. After twenty years of viewing IPV as generated by gender and focusing on a punitive "law and order" approach, Dutton argues that this approach must be more varied and flexible. Treatment providers, criminal justice system personnel, lawyers, and researchers have indicated the need for a new view of the problem -- one less invested in gender politics and more open to collaborative views and interdisciplinary insights. Dutton’s rethinking of the fundamentals of IPV is essential reading for psychologists, policy makers, and those dealing with the sociology of social science, the relationship of psychology to law, and explanations of adverse behaviour.
Author: Murray A. Straus
Publisher: Routledge
ISBN: 1351298666
Category : Family & Relationships
Languages : en
Pages : 261
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Book Description
The marriage license as a hitting license, child abuse, sibling war is the powerful message of "Behind Closed Doors". The book is grounded in the unprecedented national survey of the extent, patterns, and causes of violence in the American family. Based on a seven-year study of over 2,000 families, the authors provide landmark insights into this phenomenon of violence and what causes Americans to inflict it on their family members. The authors explore the relationship between spousal abuse and child abuse as well as abuse between siblings, violence by children against their parents, and the causes and effects of verbal abuse. Taken together, their analysis provides a vivid picture of how violence is woven into the fabric of family life and why the hallmark of family life is both love and violence. This is a comprehensive, highly readable account of interest to both the professional and the lay-person on an important topic, which concerns the social well-being of us all.
Author: James D. Unnever
Publisher: Taylor & Francis
ISBN: 113680921X
Category : Social Science
Languages : en
Pages : 289
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Book Description
This book argues that a theory of crime specific to the African American experience is justified by qualitative and quantitative data, not just because of the disproportionately higher percentage of African Americans (in the U.S. population) who are offenders, but also because of the vastly higher percentage of Black Americans who are non-offenders.
