Introduction : la survenue brutale d’un Accident vasculaire cérébral (AVC) chez un parent impose un bouleversement dans sa vie, au sein de sa famille et son entourage. Contexte : l’absence d’interventions médico-sociales et de soutien de professionnels de la santé auprès des parents, oblige les aidants familiaux à leur prodiguer des soins. L’objectif de cette étude est de décrire et comprendre le vécu de l’expérience subjective des aidants familiaux de parents atteints d’AVC dans un tel contexte. Méthode : se basant sur la méthode clinique et l’analyse interprétative phénoménologique, huit entretiens cliniques ont été réalisés à domicile auprès de quatre aidants familiaux issus de deux familles distinctes, tous recrutés à l’unité de neurologie du service de médecine interne de l’hôpital militaire de Yaoundé. Résultats : les aidants familiaux vivent une expérience pénible chargée d’affects douloureux et un épuisement psychologique tout au long du processus d’aide au parent. Ils sont contraints à un assujettissement par des alliances inconscientes à travers la qualité du lien au parent. Le resserrement des liens permet d’éviter le risque d’effondrement psychique et relationnel. Conclusion : il y a nécessité d’envisager une intervention psychosociale axée sur une bonne pratique professionnelle visant à soutenir et renforcer les capacités des aidants familiaux.
Les bouleversements induits par le handicap acquis chez l’adulte nécessitent une reconstruction du sujet. La coprésence des modes de traitement du corps (médical, traditionnel ou culturel) est envisagée. L’article cherche à comprendre le retentissement psychique des mécanismes culturels de traitement du corps. Huit entretiens cliniques réalisés auprès de quatre hommes rencontrés au CNRPH à Yaoundé montrent que la prise en charge par la culture va de l’aspect rituel pour s’étayer aux soins psychiques. La figure, le cadre culturel du soin et l’effet de la coprésence des types de soins sont à reconsidérer afin de rendre possible la restructuration psychique du sujet.
The motor disability leads to a limitation and a restriction of some activities due to an alteration of physical function. Through this study, the author aims to understand the meaning of body confinement experience to the incarcerated adults faced with a motor deficiency. Three adults met at the Mfou principal prison (Cameroon). The semidirective interview and Rorschach's projective test have been used as tools to collect data. The semi-directive interview guide was based on themes link to the history of the incarcerated situation, the experience of body confinement, the nature of body image structuration and the body investment or disinvestment. In the Rorschach test, there is no projection of the body known by the person, and which would be the object of cognitive activity, but the body as it is lived, felt, desired as an object and subject of emotional activity. The thematic content analysis was used for the interview. The qualitative and quantitative analysis were used to analyze Rorschach test. The result of the interview shows that the subject painfully experiences the body confinement, the shame and humiliation feeling makes the body to be perceived as 'body-object'. The psychic fragility is shown and generated a set of symptoms that goes to self fold, body disinvestment, up to suicide attempt. The Rorschach test results show a fragmented and weakened body image, difficult to're-inhabit' psychically. There is a need for a psychological accompaniment strategies in order to facilitate a 'psychic re-appropriation' of the subject's body.
It is known that the specific learning disorder is linked to risk of school failure and emotional disturbance. The aim of this study is to grasp the clinical view of specific learning disorder and the incidence of parental support on the reading disabilities of students. Using the qualitative study approach, four school children (age included between 10 to 12) were selected in Government Bilingual Primary School (GBPS) at Kumba I council (Cameroon) base on eligibility criteria. The students have participated in this study with their parents. The semi-structured interview guide was used to collect data which were analyzed through the thematic content analysis. The result shows that the lack of parental support impacts on student's level of reading disabilities. This situation negatively affects the cognitive development of a student because, the construction of knowledge inevitably involves reading and writing. The significant link between parent-child's quality relationship and student's reading disability shows that peculiar importance should be given to family factors in such a context. In conclusion, this study highlights the importance of parental support of students and show how it can reduces difficulties in their academic performance. It can also reduce their psychological difficulties as anxiety, low self-esteem and other behavioral difficulties. There is a need of parental training session with collaboration of school community in such a context, to help parents identify the learning difficulties of their children and to be more psychologically supportive with their children.
L’objectif de cet article est de saisir le sens de l’expression de la souffrance psychique chez l’adolescent en situation de handicap moteur inscrit dans un établissement secondaire inclusif dans un contexte d’imbroglio dans l’offre prônée par l’environnement scolaire en question. À travers la méthode clinique qualitative, l’utilisation de l’entretien clinique auprès de quatre cas d’adolescents inscrits au lycée de Biyem-Assi (Yaoundé-Cameroun), retrace l’expression de la souffrance psychique dans les discours des sujets (mentalisation par la tristesse, dépréciation de soi, angoisse, anxiété, développement d’un faux self, hyperadaptation). Sur le plan comportemental, on observe le retrait, le repli sur soi, la phobie face aux situations stressantes.
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