- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
Psychopathological Research about Children, Teenagers and Great Adolescents with Disharmonic Features of the Personality’s
Hugues Scharbach*
Neuro-Psychiatrist Paris University, Pedo-Psychiatrist Hospital Psychiatrist, Doctor on Psychology (LYON II), France
Submission:February 07, 2020;Published:April 29, 2020
*Corresponding author:Hugues Scharbach, Neuro-Psychiatrist Paris University, Pedo-Psychiatrist Hospital Psychiatrist, Doctor on Psychology (LYON II), France
How to cite this article:Hugues S. Psychopathological Research about Children, Teenagers and Great Adolescents with Disharmonic Features of the Personality’s. J of Pharmacol & Clin Res. 2020; 8(3): 555739. DOI:10.19080/JPCR.2019.08.555739
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
Abstract
This clinical and psychopathological research is conducted after 40 years of experience in pedo-psychiatric practice, notably in institutional care and as a judicial and administrative expert. In a changing society, even in mutation, both in socio-familial and economical and technological fields, the conditions of exchange, the aim or even the sense of the work- also although human relationships, existential modalities - can cause stumbling blocks on the construction or building of identity. The children, the teenagers, the great adolescents are confronted with new ethical and deontological strandards and benchmarks, attractive requests, while they are at the age of experiences, even adventures, in case of failures of the symbolic and poverty of the imaginery. So this way, they can be brought to inapproprietaly rushing into real through actings sometimes incongruous, transgressive, even deviant, sometimes deadly, all the more so as the latency phase has shrunk a lot, or even faded and that the pubertal period no longer takes place under the same conditions of naive quest. Disarray, like the dazzling test of discovery can be expressed in reckless taking of risks like the emptiness of feelings, the weak ideational development can provoke negations in the activies of substitute stimulation, like the game or the effects of use of toxics. Sometimes , acts of gratuitous violence can take place, especially in disavantaged urban areas.
Keywords:
Dysharmonic Personnality ; Antisocial acting Transgressive Act ; Deviant Behavior ; Psychopathologic Analysis ; Therapeutic Means Forensic Expertise
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
Introduction
One of the targets and objectives of the research after 40 years of pedo-psychiatric practice is trying to get a comprehensive approach to morbidity in children, teenagers and adolescents, who present Psychopathological disorders as comportment disability, emotional and affective vulnerability, and possible (depression) including loneliness’s feeling. Sometimes, paradoxically, the mechanism of reversal intervenes, in its opposite, a type of hostility, irritability, even irascible opposition with bad personal control. The efforts made by them to offset this stage are often unsuccessful and take factitious connotations without adequate aid. They may be trying toxic substances until they become an addict. It is in general when the young have been confronted with a harrowing feeling when he had to face a real or fantasmatic situation -we can in this last case evoke the contribution of S. FREUD: (we beat a child) -, or even disowned, underestimated, suffered from a lack of consideration, that he can be brought to transgressive behavior, which can have a translation in terms of deviance. All these harmful influences must be taken into account when establishing a well-defined care project a relevant evaluation of educational and pedagogical rehabilitation plans [1]. Usually, that needs to listen to the child as well using game or graphics as the adolescent by listening attentively to his aspirations, with patience and empathy. So well emerge in the confidence significant words to explain their conceptualization underlying their reactivity when that real good contact is established. This one may be the result of the pertinent survey by the therapist. Thus, he may detect apparition by the children or the teenagers of possible links with traumatic facts as aggressivity, affective disturbance, disinvestment, clumsy relation, sleep troubles, nightmare, in correlation with a different type of abuse: past misuse, harassment by adults-sometimes in the family, even by grand-father or by peers or even abandonment’s feelings. Anyway, in case of deviant acting, the preoccupation is located between: (to protect or to punish).
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
A new psychological economy is obvious. The mental diseases of the father as obsessive, phobic or hysterical neurosis depending on the oedipal conflict are diminishing but these of the mother increasing depending on narcissistic fragility and iffy identity: borderline states, schizophrenics, depress states, addictions. These new pathological expressions could be referred to as the particularities of new social links and more from the selfideal’s problematic training rather ashamed perception linked with low self-esteem rather than guilt’s conflict. We will focus on the connection between the etiopathogenesis features of the personality of these subjects with the determinism of inadequate, inappropriate acts so well as antisocial acting’s. In this regard, it seems necessary to re-establish the expression of these in the light of a new contemporary society, changing, both technologically – especially in digital mutation, use of algorithms, software package and their applying – economically, ethically aspects and in the kind of interrelationships and even the dynamic and the energetic of the groups. We thing particularly to meetings, like the one in the past years Woodstock and still now as Metal or (Vieilles Charrues) in Britain. It’s also to mention the kid’s in the group’s boroughs and a band of thieves of adolescents in the great cities. The acceleration of social changing may have different impacts on the quality of life of the main income population. Conceptual advances may also modify lifestyles as well as existential purpose [2]. Sometimes, real transformation induces a diversification of interests and investments, which become much renewed or adjusted. This provision is due, in particular, to an extension and enlargement of the exchanges, to the ease of the communication and also of the travel -in speed conditions – and in the organization of meetings, which permit to discover alter egos shaped by differentiated cultures [3]. The connectivity in informatique, the social networks help largely these contacts. In that way, some leaders can reach thousands of followers, sometimes with passionate feelings.
The epistemological expression is stimulated in various fields. At the same time, teenagers or adolescents may improve in several cognitive areas with the use of a rich new slangy vocabulary, whereas the academic language appears neglected, as well as the interest for pedagogic knowledge and basic learning and professional training, even so, they think and understand quickly as the older at the same age and rouse their curiosity in the body ‘expression and even sharpened earlier their senses in sexual experiences. If some adolescents can become aggressor, even without personal traumatism before, their acting being linked by the disharmonic features of their personality, some kids may become more victims, either by seducer adults, sometimes by virtual means, such as mails, or by others in the frame of group or gang. A misleading presentation, with the development of fallacious arguments, may meet a preoccupation for a teenager to do as he believes elders are doing. Thus, the leading to realize transgressive acting, including surpassing of the emotional shudder and to go beyond the constraint or the taboo. We had recently to approach such case commit by a twelve years old one, who had an uncertain identity during his time of the maturative sequence of life. He had been solicited by an adult telling he was younger as he effectively was during their broadcasted exchange s by the way of emails and attached views.
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
a. If the mental pathologies remain kind of the same in America as in Europe, the shock of culture has a lasting and predictable effect on the expression of troubles and behaviors, notably those who cause or create antisocial acting’s by the ways of technical means. They can take a detachment of the victim with speediness or use the internet. This is the case, for instance, of the diffusion of pedo-pornographic views, fake news, swindling or harassment. Adolescence speeds up also death’ pulsion and to take dangerous risk’s behavior.
b. The repercussion of the new configuration of the family
The relative obsolescence of status and the straight image of the father inherent in the ancient model of homeland power endure from the roman to the middle age, during centuries, his certainly not to be regret. He had even for the first time the power and the right to life and death over his children and, even to choose the one who would succeed him. His wife was considered a minor. This time his over, especially since the French revolution. The softening brought the concept of parental responsibility and had to evolve slowly towards shared rights before the turn of the postwar period. The compulsory schooling has had big consequences, though the father was supposed to educate himself on his children and even change interrelationships. We have still been led to listen to several adolescents after they have reported their parents’ mistreatments or violence, in particular about poor school results or a lack of application in learning. Before, the disqualifying attitudes could induce negatively behavioral and emotional in terms of the maturative development of young’s. Reactions were multiple, beyond the crust aspects of the personality, sometimes taking the form escape or subversive of a violent revolt against the tyrannical authoritarianism of that father. However, the environmental context, often poor intellectually, evoking a weak capacity of introspection, as well as the moral and conceptual social pressure, blunted the dysfunctions and their diversifications.
Some took place in an asylum, others are sent to the galleys or as soldiers. The contemporary family today, often “syncretic,” parents may be looking themselves for personal identification themselves is very different. It’s also many recomposed families. Changes in parenthood can also lead to failures in the rearing of children, so that the family, where the benchmarks of authority are no longer as defined as in traditional families, must give way to institutional third parties for educational guidance [4]. Invisible loyalty and intergenerational debt can be reversed. Children, especially the eldest as before, who have grown up to be young adults, rarely follow now the same activity as your father, whether it concerns the transmission o a farm, a craft workshop or the pursuit of family activities. There is little acceptance of a sedentary lifestyle. Also, the mother’s name can even be added to that of the father. But, conversely, after their retirement, the grandparents are no longer as devoted and sometimes even make trips of land’s discovery or leisure.
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
We can discern two symptomatic structuring and functioning modalities during disharmonic personality disorders in children, teenagers and adolescents with variations between the prepsychic (pre-psychotic aspects) and especially depressive and anxious features which are near abandoning and loneliness feelings, symbiotic aspects, which decrease personal area and with possible intrusion, that invade that personal area and those which proceed from reversal into the opposite, depending on archaic defense mechanisms playing. The second type of young’s with a sociopathic tendency is apted on a background of egocentrism, even ideal of grandiose ego with irritability-hostility clinical expression to a propensity to the passage to the transgressive act often on an impulsive mode.
In this way, can discern two symptomatic clinical expressions:
i. The young’s suffering from a syndrome of empty behavior, with blank objective relation, depressive retirement, in link with a failure of libidinal investment and mode of narcissistic supplying. The bad being, loss of self-confidence, low self-esteem is observable. They could be the victim of their peers or by old aggressors, who can be in the parental circle.
ii. The young’s with aggressive reaction, possible explosive fury, even impulsive discharge close to rabies with violent effects such as the other appear no more as a congener) emerge before the feeling of helplessness, even on detriment. They present insufficiency of bearing capacity, such as « pare-excitation », lack direction in the education, the lack of leaning being suited to frustration. Way suffers from anger, psychomotor instability, hyperactivity without coherence; It’s also a poor control of the drives or inhibition. On remarque also impulsiveness or cautious withdrawal into oneself, auto-aggressive gestures, transgressive acting’s with the sometimes-antisocial component, brief strange and sexual acts.
The emergence in the frame of the maturating evolution arouses drive demands with the quest for representations of imaginary or symbolic objects. The weighting of primitive defense mechanisms based in particular on stumbling blocks disrupts interpersonal exchanges such as behavioral adequacy and social behavior. Among them: repression of pulsions, projective identification, projection, denial, which can also underlie varied troubles, often by structured personality including borderline state-sociopathic’s features and toxicophilic addiction entangled. Classically, the etiopathogenic causes reported are parental deficiencies or the absence of the father representation. Which is the case in the Arthur RIMBAUD’s story, a brilliant and provocative adolescent, finding in VERLAINE a substitutive father but, after his father left his family, as he was only four years old, according to a psychological cleavage, should abandon poetry as he was 20 years old, coming in young adult age, to seek in his travels symbolically the spoor of his father in AFRICA, where that one had stayed.
The other case has to be evoked: The incendiary acting of Misoguchy of the Kinakanu of Kyoto -built-in 1400 - taken by Yukio MISHIMA in his novel: «the « Golden Pavilion », He was becoming a novice in this temple after he has lost his father and was stuttering and so ugliness. Mingling mixed bad feelings of retaliation after the disappointment of not becoming one day master, having bad relation with the Buddhist priest, master of this monument or place of reference of the beauty and an irrepressible attack of extinction of a fascination becoming deleterious, he became fireraiser to destroy the famous temple. Otherwise, in contemporary conditions, we must highlight the negative influence of video games and long stays in front of screens, particularly in young children, causing dyslexia, attention deficit disorder and even disposal to Hyperactivity with Poor Investment in Learning (HDATA). Some children spend hours on the internet fascinated by strategy games or other magical solicitations and abandon the educational and academic appeal and the investments of your chronologic age more in line with existential reality. However, a few rare little geniuses get so sharp, that they manage themselves to create an attractive game, which can be diffused, broadcasted. Some can even penetrate networks, becoming possibly later hackers. Sometimes, exceptionally, piercing state codes, they will be hired by the security services. More generally, concerning the negative effects, eating disorders often result in long seating before the screen with the development of obesity as well as addictives tendencies and of loss of motivation in the engagement in constraints of pedagogical learning and insertion in social reality. On the contrary, they are more well-informed and as a victim can denounce the aggression.
c. To continue our study out to focus on the increase of violent behavioral disorders in young people.
i. We have seen that violent games or fantastic scenario in T.V. or movie habits induce hostility in the interrelation and provoke by the teenagers the realization of transgressive or deviant behaviors. Such acting’s may also often favor by festive impulsive reactions, but mainly by addictive behaviors, especially dependent on abuse of alcohol or various toxic substances [5].
ii. Different influences are playing, as the pregnant harmful of the virtual, TV or video, especially in the case of fantastic or violence in the series, taking some young’s non-support within a disaggregated family, to an imaginary and fantasm/real nondifferentiation. The pregnancy of the new cult of appearance, the strained criteria of the beauty as well as the need to follow the fashion are also to take in consideration, inducing young’s to lifestyle: atypical presentation, odd or singular clothes, tattoos, even no-genre expression choosing.
iii. While the disorders linked to transgressive behavior are more the work of teenagers or older adolescents, children abuse is not to underestimate, sometimes by older. Even very young guys can commit sometimes serious offenses, beyond criminal acts and already Mélanie KLEIN, in his book”Psychoanalysis Essays” (6;7) evoked aspiring murderers. The case of two children who killed another in Liverpool-ENGLAND more than 25 years ago is still remembered. D .W. WINICOOT studied the antisocial tendency [6]. Such fantastic resentment may get an emergency after a frustration. Acting against family’s member, as parricide stay rarely. Conversely, infanticides can learn a lot of things about the fantasmatic determinism of the human pulsion of destruction.
iv. Among our expertise’s works we also had to examine a 10-year-old child who, after I had left his parents visiting his ill uncle to explore the explore to corridors of the hospital office set fire to burning paper on a desk with a lighter [7,8]. He had a preoccupation with the use of that think. Incendiaries acting are sometimes acting by teenagers running away on the place of their squat.
v. Past stressing events in case of war or terroristic attack may carry away psychological stress and narcissistic fragility and we have had to examine such cases, notably for the army service. Conversely, bad early experience, negative examples or models at a young age may incite a sort of appropriation of aggressive and even violent way of life by adolescents by the mean of a psychological mechanism as the reversal of the situational remembering in acting in the contrary.
d. That means that psychiatric and medico-psychological assessments -and expertise – of children, adolescents, and young adults have become more complex in their realization in recent decades, due to multifactorial requirements. The disharmonic parts of the personality’s organization, as well as the conditions of psychopathological structuring of the mind, have to be clarified. Asks of examination of youngs in the frame of psychological expertise have become more frequent since the conceptual contributions of psychoanalysis. That allows a better understanding between the cause of the actings and the possibility of psychotherapeutic management. In addition to the classic cognitive and instrumental evaluation, they involve an elaborate and refined psychodynamic approach and rehabilitation project. That involves examining the new requirements, such as the understanding of the psychopathological approach attempts to identify the determinism of the transition to transgressive act, which reflects the aspects and expressions of the human stance, which engage in the reality of action. The definition of the associated therapeutic modalities is more noticeable. It is important to specify the developmental capacities of the person concerned, those of change according to adaptability, as well as the levels of skills identified. The mission involves the search for all the aptitudes conducive to social reintegration. These can be better situated, taking into account both conceptual advances in psychiatric registers, educational and training orientations, without underestimating the characteristics of current societal aspects, which are therefore undergoing profound changes. Thus, the affective and relational exchange disharmonic modalities, the imaginary fixations, the symbolic markers, especially in the oedipal register, may involve a deciphering, or even sometimes subtle decoding, according to the ideological, philosophical, religious combinations. Especially since the new family sometimes appears less container or guiding.
e. Transgressive acts and diversified actings, defiantopposing attitudes, the use of primitive or regressive psychological mechanisms of defense that can go as far as to silence when approaching and hearing anti-social facts from young people, their frequency increases with certainty, despite the progress of social and educational assistance and the multiplication of places and listening time. There is an increasing demand for juvenile and adult education judges, while hearings of subjects who are often reluctant or unpredictable in their reactions to various aids and solicitations certainly complicate decisions and actions not to punish but to put in place rehabilitation and rehabilitation projects based on assured foundations. In these minors, the variability of their behaviors, the liability of the effects, the oscillation of their moods, the poor control of their impulses, particularly aggressive ones, with frequent recourse to violent raptus, call on different levels at the medico-forensic and judicial levels. Thus, the relevance of judicial decisions and rehabilitation projects, however, elaborate, even injunctive, do not always carry conviction towards a future amendment of lifestyles and an adequate social commitment. Therapists, caregivers, educators, and occupational therapists are then confronted with the consequences of a polymorphism of emotional signs and an asynclitism of behavioral expressions, with the difficulty of a hierarchy of these [9]. Indeed, these minor subjects often express themselves in a contradictory way, according to sometimes hasty or superficial demands and relational disagreements, as much with their peers as with their parents, their relatives or referents or even according to environmental hazards and/or the incidence of addictive behaviors associated, both toxicophilic and resulting from alcohol abuse.
f. Larger conflicts are often difficult to perceive or interpret, and confrontation with danger appears to some to be a usual way of being. Their in-itself is not very available or accessible to the inner language, to the introspection capacities. Conceptual handling and abstractions, the use of verbalization, the fluency of speech sometimes seem insufficiently developed or even while the attraction to resources of positive and elaborate creativity appear diminished, more by the fact of Misuse, inhibitory, or even a blocking by the fact of the weighing of deficit aspects, against a backdrop of fragile narcissistic identity, loneliness or emptiness feelings, although the status of representation is acquired. The pedo-psychiatrists are not the only ones to highlight, in their reports of expertise, these identity disorders being closely connected with disharmony or borderline personality features as well as the psychic oscillations of these « stable subjects in their instability ». These young’s subjects appear to be confronted with a kind double reality or biologic and too submissive against a backdrop of floating anguish and depressiveness. The search for support to an anaclitic object, emotional, affective, and instinctual fluctuations lead to active reactivity [10,11]. They seem sometimes subject to return to flows in the elational expansion causing actions that are poorly measured in their consequences or sometimes flowing back into attitudes of abandonment withdrawn, experiences of emptiness or loneliness, or even return to a more markedly depressive experience [12,13]. It is important to specify the developmental capacities of the person concerned, those of change according to adaptability, as well as the levels of skills identified. The mission involves the search of all the aptitudes conducive to social reintegration. These can be better situated, taking into account both conceptual advances in psychiatric registers, educational and training orientations, without underestimating the characteristics of current societal aspects, which are therefore undergoing profound changes. Thus, the affective and relational exchange modalities, the imaginary fixations, the symbolic markers, especially in the oedipal register, may involve a deciphering or even sometimes subtle decoding, according to the ideological, philosophical, religious combinations. Especially since the new family sometimes appears less container or guiding [14,15].
g. Transgressive acts and diversified acting’s, defiantopposing attitudes, the use of primitive or regressive mechanisms of defense that can go as far as to silence when approaching and hearing anti-social facts from young people increases with certainty. This despite the progress of social and educational assistance and the multiplication of institutional places and listening time. There is also legal, court-order demand for suitable by the situation, while hearings of subjects who are often reluctant or unpredictable in their reactions to various aids and solicitations. This certainly complicates decisions and actions not to punish but to put in place rehabilitation and rehabilitation projects based on assured foundations. In these minors, the variability of their behaviors, the liability of the effects, the oscillation of their moods, the poor control of their impulses, particularly aggressive ones, with frequent recourse to violent raptus, call on different levels at the medico-forensic and judicial levels. In some cases, happen self-mutilations [16]. Thus, the relevance of judicial decisions and rehabilitation projects, however, elaborate, even injunctive, do not always carry conviction towards a future amendment of lifestyles and an adequate social commitment. Therapists, caregivers, educators and occupational therapists are then confronted with the consequences of a polymorphism of emotional signs and an asynclitism of behavioral expressions, with the difficulty of a hierarchy of these [9]. Indeed, these minor subjects often express themselves in a contradictory way, according to sometimes hasty or superficial demands and relational disagreements, as much with their peers as with their parents, their relatives or referents or even according to environmental hazards and/or the incidence of addictive behaviors associated, both toxicophilic dependence and resulting from alcohol abuse. Larger conflicts are often difficult to perceive or interpret, and confrontation with danger appears to some to be a usual way of being. Their in-itself is not very available or accessible to the inner language, to the introspection capacities. Conceptual handling and abstractions, the use of verbalization, the fluency of speech sometimes seem insufficiently developed or even atrophied, while the attraction to resources of positive and elaborate creativity appear diminished, more by the fact of Misuse, inhibitory, or even a blocking by the fact of the weighing of deficit aspects, against a backdrop of fragile narcissistic identity, although the status of representation is acquired.
The pedo-psychiatrists are not the only ones to highlight, in their reports of expertise, these identity disorders, often limited, of the personality and the psychic oscillations of these stable subjects in their instability appear to be confronted with a kind double reality or biologic. They appear to them submissive, against a backdrop of floating anguish and depressiveness, with a search for support to an anaclitic object, emotional, affective, and instinctual fluctuations leading to active reactivity. They seem sometimes subject to return to flows in the elational expansion causing actions that are poorly measured in their consequences or sometimes flowing back into attitudes of abandonment withdrawn, experiences of emptiness or loneliness, or even return to a more markedly depressive experience. Dysmorphophobia is also frequent in the context of morbidity. Some race again esthetic chirurgy [17].
The course of their life can be punctuated by self-vulnerability [16]. For instance, an adolescent tells us that he was sometimes pushing in a graph in his thumb. Others use a needle or knife to cut their skin. They seem to research to feel pain, as some parts of their body, too much quiet, would have to be explored, to reveal, to invest them, without measuring the traumatic consequences. That’s also the problem of anorexia or bulimia behavior or suicidal ideation. Reactivity, irritability with hostile depressive feelings may arouse deviant experience. Others, on the contrary, overcome delicate self-esteem and evolve to the omnipotent representation of themselves. Their reactivity may arouse deviant experience. They are able also to elaborate on deviant projects or transgressive antisocial behaviors [18].
h. Five clinical OBSERVATIONS linked to forensic examinations may illustrate the coexistence of omnipotent feelings and act against themselves or commit deviant acting, sometimes commitment with impulsivity and even with violence, after to have emphasized that some acting’s are the result of emotional and affective impacts associated with maturity gaps. Before the presentation, we will relate case of late regressive narcissistic demands, in which was given a behavioral reactivity in a 24-yearold Indian young adult, who was to receive a car as a gift from his well-to-do family. Disappointed to have only one car less luxurious as the one he was expecting, he rushed his vehicle into a river [19].
i. Eva had also reach parents. She and her sister were possessed their horse. During the beginning of summer vacation, as she had got bad scholar results, her mother, who was Ph. D. refused she went with friends spending time on the ocean shore. She took the revolver of his father, who was on a business trip, made exercise and shooting practice in the hall of the house during the afternoon, during the time of which her mother was busy. When this one came back, she shot twice with the gun to her.
ii. Lea was for the second time prosecuted for an infraction to the highway’s code. She was leaving the Court, where she had been summoned about the same first case when passing with their car, in which she was in the company of the daughter’s father -one of her friend before -, her 20- years old and her 18 years old friend, when the police wanted to control her, which she refused by accelerating, burning fires, hitting to cars. So, she had to stop but tried to flee. She had not the driving license, no assurance for the car. She ran her condition. Alone child of the other father after 8 children born after the union of her mother -although her father in law had treated her like his girl, she had a disharmonic maturation, being unable to learn to read and to write and leaving her institution at 16 years to do nothing. Then, older, she stole perfumes, other things and send them to her pals and also diesel oil. The disharmonic identifications and the problematic attachment during her maturative growth seem to have led to this lack of social compatibility.
iii. Alan, 11 years old, was invited by his aunt to spend a free day in his home. He could swim in her piscine. His cousin, 14 years old, will take time with him and they could play together and use eventually video games. However, the older, in the middle of the afternoon, express his problematic curiosity for the aspects of the body and ask for the younger to take off his bathing trunks and to touch the part of his body, showing unbridled sexual conduct. Alan, who changes of mood with a kind of fuzziness in the interactions inner his family in the following days, was able finally to speak about these unusual facts to his teacher in sports practice. It appears the necessity of legal expertise to inventory the course of these facts and to appreciate the aspects of the personality of the victim and the young actor and the possible psychological damage.
iv. This last observation of LEO aims to underline the possible transfer of behavioral expression mode regarding violence suffered on the part of a father on a teenager between his 9-10 to 13 th years. LEO was entrusted to a paternal grandmother after the separation of his parents, when he was 18 months old, living in a foreign country whose native his parents. A maternal aunt took over the affective-educational relay until his father claimed him near him in FRANCE, where he had settled. Given the difference in teaching, this tenant arouses the lively reactivity of a disappointed father, who strikes him violently, when he was confronted with the school reports of his son. Even, the social worker goes in the father’s direction, strengthening his authority. His great investment in football was not taken into account, so he could be geared towards a study sport class. LEO ends up denouncing the physical violence of his father, who sends him back to his country of bird, after being sentenced. LEO finds himself idle, living in precarious conditions, hosted by a grandfather. It attracts the interest of the young girls but, does not have sexual relations, fearing to be infected by the H.I.V. He had had a kind of love at first sight before its dismal, before leaving FRANCE, for a girl of a higher class, without tomorrow. As he reached the age of 17, his mother, also living in FRANCE and having founded a new family, remembers near her He then finds himself for a few months in pleasant living conditions, even after reaching his majority. He was just 18 years old for 6 months that he commits his 1st rape, which leads to an imprisonment of 6 years. We saw him within the framework of legal expertise, for having raped a 17-year-old girl, also causing her injury, after dragging her into the basement of her residence. He had followed her when she had to return from dinner with her friend. He denies the facts, but, surveillance cameras in the street had to allow it to be identified from its exit from the tram. It would seem that he integrated into his fantasy the modes of violent instinctual reactivity, which had been exercised against him even at the body level. We have presented more developed examinations in the frame of a recent book entitled: “Expertises psychiatrist et médico-psychologiques”. (Transgressive acting’s by children, adolescent, adult Jeune -the incidence of disharmonic disorders of the personality) October 2019, 146 p.; ESKA ed. Paris.
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
Therapeutical Approach; The Various Means of Care and Rehabilitation
Transgressive behavior is often about Narcissistic disturbances, denial of the dependence of vulnerability and anaclitic position and even of ashamed feelings. That’s a lot of form with affective instability, often with depressive fluctuation including relational maladjustment, inappropriate conduct, impulsive reactivity, bad emotional regulation, low pulsational control, attentional failure, lack of introspection ability and inner dialogue’s resources.
Individual, dual psychotherapy or in the case of a group of mediation are to plane adequately regarding aspects of morbidity [20]. It may be sometimes necessary to resort to the addition of substances with pharmacological effects to obtain a congruence. It’s important to develop capacities of insight and internal dialogue and to accept of self-critical. All these means and arrangements help to create better conditions of life and (to rock the meaning of sense of the world) R. BARTHES. It is significant to remind, that the mobilization of the capacity to link pulsions and the development of mental elaboration so are lavishly, nobly to take place in the collectivity and to progress for humanity. Family therapy, as well as mediation therapy, is also often required. More, some others overcome their anxious feelings of empty and negative innermost thoughts by the development of an artistic sense of creativity in the fields of writing, sketching, drawing, painting wood sculpt and even of dance [21]. The drawing or the sketching of the person or the tree may be contributory [22]. In the therapeutic project for children, the narration of fairy tales, tales, stories and, for older, of myths (Persee, Herakles, Promethee, Ulysses, Siegfried), legends is positive to develop the capacity of attention, the emotional and affective control and to bring symbolic income. Tales’ narration gives an excellent opportunity to each of the partners involved to get in touch and to assimilate the cognitive schemes and the references of the others. They also allow as therapeutic techniques an assessment of cognitive functioning. The squiggle game is very interesting [23-26]. They permit to treat meta-cognitive disturbances as often met in this disharmonic narcissistic personality’s pathologies.
It is to underline the fact that tales, leading to marvelous or fairy world fables, myths and legends or some stories help to refresh unconscious motifs, thus is providing access to maturity and the springs of the creation. An evaluative work of the differentiation of the images and the identifications can be distinguished. Some main themes are to spot in the fantasmatic fields with nodal aspects in the imaginary, where involved the story, the fabric and the animation of the fairy tales as well as the myths and the legends. The study of the contents of dreams that could be spontaneous reported, is also important to approach the dynamic of the unconsciousness’s process. Sometimes, they could be related to writing a story. About the use of storytelling of myths and legends, the narrator could thus approach the meaning of heroes and their paradigmatic adventures and be attentive to possible critical identification aspects. It’s possible to recall the qualifications and the possible significations about the unconscious of some:
i. OEDIPE: triangulation; NARCISSE: specularity in the relationship-PERSEE: shield and psychotics defense.
ii. ORPHEE and EURIDYCE: Hades ‘recollection and a hell of the momentary – Trauma’s pathology and bereavement;
iii. ER: a dead show soldier on a war area, dropped off the kingdom of shadows coming back on earth after this show: the terrifying end with a message of hope.
iv. SISYPHE: a symbol of anxious repetition of trauma neurosis-ineffective and vainly repeated
v. THESEE and the MINOTAURE: monstrously, surrender
vi. EROS and PSYCHE: the guilt of look
vii. HERCULE-HERAKLES: impulsivity, bad control of aggressivity
viii. -ACHILLE; SIEFRIED: skin and oral vulnerability identity
ix. -PROMETHEE: human knowledge problematic.
Although remembering the fact that this is the mythical story of HOMER, the course of the TROY war can have an unexpected impact on those of young people experiencing intra-psychic conflicts with unstable and often violent behavioral expression difficulties to manage develop and assume their effects. In the context of regular psychotherapy, the knowledge of the historical experiences of the patient permits better discrimination of the situations as well as the non-evident features of the personality. The use of semi-structured interviews is sometimes significant. In all cases of psychotherapy treatments and acts of care, the transfer should be regularly evaluated.
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
Narcissistic Disturbances - Therapeutic and care Project
The young’s may develop disharmony of evolution in the different psychic functions. The new existential, technological and social conditions may quest about their negative incidence, but also negative events of life and bad education without a positive model. The disorders of the personality may also be associated with day-to-day contact with chronically disturbed parents or caretakers. Identity disorders, as well as Narcissistic disturbances and prevalence of founding conflicts associated with superficial object relation and symptomatic expression of archaic, defenses, may have been obvious in the acting’s and the succession of behaviors. It’s necessary to understand the etiopathogenic of the acting’s, the different features of the disharmonic personality, as borderline disorders allied with sociopathic tendency. It’s important to define with empathy the improvement’s prospect of the style of life of the young in the different roles of adverse childhood experiences have to be clarified, to lose their intrinsic toxicity, that their energy and the related fantasies, which could be underlying, can no longer interfere with the youngster’s creativity, which can express itself positively in the sense of creating the most serene conditions. The best way to resilience implicates à strengthening of self-esteem, a study of the effective environment, of the surrounding area and to research a motivational activity. For mistrustful-defiant-opposant young’s or even brazen kid, the commitment in a well-choice sport is important. Therapists have to realize a follow up as well as to manage their regular care during a significant time. The inclusion in the frame of therapeutic groups of mediation, planned by a team, the principal themes, with specific procedures, concern symbolic games, art-therapy, tales, and myths narration and even therapy concerning the body manage by psychometrics. The role of the social worker, scholar nurse, and special teacher brings notably additional help, for instance in an existential accompaniment. They may realize coping efforts with the regulation of violent effects; relax calming, tolerance of open ambiguity between positive and negative in close relationships to reinforce identity functions and process of the young and to internalize goods objects.
Of course, we should not underestimate the blurring in the collective organization, that of the social-educational markers, the weakness of symbolizing mediations capable of reinforcing identifying benchmarks. They work in the direction of rehabilitation and very positive for the development of partnership representation security and relation ability. The specialized teachers allow as therapeutic technics an assessment of cognitive functioning and reinforce the possibilities to assimilate the cognitive schemes and the references of the others. Parents should be protectors and care, if possible, care for lovingly to permit the capacity to make affectional bonds in young adulthood, such as they have been described by BOWLBY (1987), about attachment relationships. Naturally, as a prevention, the time that the kid as to spend regarding or looking for the screen, video or game support should be limited, to avoid becoming dependent on the virtual in a story of real funding and to pay more attention to the affectiveeducational family contributions. As working on the request of a jug of the Courtyard, in the necessity to practice a legal expert, the pieces of information carry precious aid, as well as the relation of confidence established with the young -actor or victim -to realize the examination.
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
Conclusion
The research is based notably on a long practice in the clinical field in hospitals and as a forensic expert. Particularly taken in consideration the works of Philippe Jeammet (1995): “From Psychopathology to the Intermediate Organizations with a comportment Expression”, of Roger MISES: (1990): “Borderline Psychopathology during the Childhood” 176 pp., of Serge Lebovici (1979) Psychoanalytic Experience by children”, D.W. Winnicott (1969) “Antisocial tendency” and “Game and Reality, of A. Zanarini. Also, about the concept of Multiplex Complex Developmental disorder and to our National Report:(1983°: “Les états-limites”: “Borderline States: Comprehensive Approach by adults and children” MASSON edition, 238 pp. Therapeutic strategy of borderline Personality, especially when are linked Entrangled Dissocial behavior, we have to consider a lot of forms with affective instability, attentional failure, bad emotional regulation, possible irritability with impulsivity, which can take it in turns with loneliness’s feeling, mistrustful-opponent behavior, hostile/ uncompromising attitudes, for instance during a clinical or forensic examination. It is to underline a frequent lack of creativity. Tales, myth and stories, legends’ narration for the older give an excellent opportunity to each of the partners to get in touch and to assimilate the cognitive and the affective schemes and the references of the other. They permit to treat metacognitive disturbance so often met in this narcissistic personality pathologies.
- Research Article
- Abstract
- Introduction
- The Mutation of the Society; Distortions of the Familial and Social links; the New Existential Paths
- The Different Factors of Social Evolution; the Tran generational Incidence, the New Shape of Behavioral Disorders:
- Symptomatic Expression of The Borderline States and Aspects of Sociopathic Tendency
- Therapeutical Approach; The Various Means of Care and Rehabilitation
- Narcissistic Disturbances - Therapeutic and care Project
- Conclusion
- References
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