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Repetitive constructions and figures of erasure in the therapy of autistic children

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2018. Sujet(s) : Ressources en ligne : Abrégé : The forms of autism that are considered as major intersubjective disorders demand constant adjustment from care providers, owing to the repetitive behaviors of the children affected by them. Using sequences from the clinical therapy of a child, this article argues that repetition and its effects on transference and counter-transference constitute an essential mechanism in the negotiation of the therapist’s modes of presence in the session, through a resolutely intersubjective reading of the autistic child’s repetitious actions. The therapeutic process often begins with the establishing of an initial type of game, “rhythmic games of sensorimotor construction,” which use action as a way of narrating – or “narracting” – alterations in the object relation. The construction of a sensorimotor language between child and therapist proves to be crucial to the movement of investment in the present object – a detour via the other that is indispensable to the subjectivation of corporeal experiences. These games of sensorimotor construction are an essential stage in the therapeutic process, since they reestablish an intersensorial and intersubjective bond. This article aims to construct a model of the therapeutic process that brings together the figures of erasure, at the center of the transference-counter-transference dynamic, with the emergence of the various forms of sensorimotor constructions: autarkic sensorimotor constructions, inclusive sensorimotor constructions, and shared sensorimotor constructions. In conclusion, we present an overview table as an aid to evaluating the development of these sensorimotor constructions in the course of therapeutic work.
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The forms of autism that are considered as major intersubjective disorders demand constant adjustment from care providers, owing to the repetitive behaviors of the children affected by them. Using sequences from the clinical therapy of a child, this article argues that repetition and its effects on transference and counter-transference constitute an essential mechanism in the negotiation of the therapist’s modes of presence in the session, through a resolutely intersubjective reading of the autistic child’s repetitious actions. The therapeutic process often begins with the establishing of an initial type of game, “rhythmic games of sensorimotor construction,” which use action as a way of narrating – or “narracting” – alterations in the object relation. The construction of a sensorimotor language between child and therapist proves to be crucial to the movement of investment in the present object – a detour via the other that is indispensable to the subjectivation of corporeal experiences. These games of sensorimotor construction are an essential stage in the therapeutic process, since they reestablish an intersensorial and intersubjective bond. This article aims to construct a model of the therapeutic process that brings together the figures of erasure, at the center of the transference-counter-transference dynamic, with the emergence of the various forms of sensorimotor constructions: autarkic sensorimotor constructions, inclusive sensorimotor constructions, and shared sensorimotor constructions. In conclusion, we present an overview table as an aid to evaluating the development of these sensorimotor constructions in the course of therapeutic work.

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