[Interaction between psychological disorders and juvenile diabetes].
This article describes the profound impact that diabetes and its treatment can have on the different aspects of the personality of the child. The succession of stages of development, their force, the nature of internalized conflicts, the kind of defenses and their equilibrium, the structuration of the super ego and object relations are at risk of being distorted as a result of psychological problems related to the treatment of the illness. The restrictions and the suffering resulting from the treatment can become charged with psychic meaning and become the object of fantasy elaboration. Poor management of the treatment can become a metaphor for the actualization of instinctual derivatives or of unacceptable feelings and at the same time serve as a defense against the consciousness of psychic conflict. Inversely, the defenses against drives can be utilized to avoid the awareness of the real dangers inherent in the disease. These defenses interfere with a clear understanding of the illness and can be inferred from the distortions in the distorted body images and the fantasies of these children.
Moran
G S
GS
Anna Freud Center, Hampstead, London.
D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D010554:Personality Disorders
De l'interaction entre troubles psychologiques et diabète infantile.