Les signes psychomoteurs précoces de l'autisme

A Pilot Study on Autism Spectrum Disorders in Mali: Parental Concerns About Child Developmental Milestones and Late Diagnostic Age

“…In addition, early child visits and autism screening are neither mandatory nor systematic in the Malian health system. Even though, ASD has long been known to have early psychomotor signs (Joly 2008), parents and health care professionals were completely unaware of it in Mali. Up to 2017, an abnormal child development such as walking after 18 months old and/or no single word at 24 months old would prompt the parents to visit a pediatrician or a neurologist.…”

The Body of the Autistic Child: An Integrated Approach

“…The qualitative specificities of the global delay of development and the earlier indicators of the tonic and postural side, playful and emotional very early, are in fact only little moderate, even ignored by the specialists of the early childhood, often still badly formed in this extremely fine screening the subtlety of which is confused with the neurological items and the only acquisition of the big driving functions (motive units for example). From this point of view, it seems to me important to proclaim quite a reverse the importance to observe the psychomotor development and tonic-postural at the child generally, and strangely at that at autistic risk [4,9,10,13]; but farther to seize in the early psychomotor development the principal stakes of the later deployments in germs so much socio-communicational side, as cognitive and emotional. It is what to what we would like to become attached, as for us, in this present reflection.…”

“…We have, as for us, to develop -in the C.R.A. of Burgundy 1 [9] -a prospect of psychomotor research on the signs of alert of an early autism; a research eminently developmental and complex articulating a) a positive and negative methodology at the same time (specific signs, presence or absence of indicators of normal development and perceptible and singular abnormalities of these developmental processes), and b) a plural perspective around a developmental early major axis of the child at risk: the psychomotor sphere [tonus, postural, sensori-motricity, development of the playing and the psychomotor interactions, the desire in the interactive driving and physical exploration, the deployment of the executive functions, the perceptive and the praxies, etc.] … With an underlying hypothesis which would be that the defect and the principal abnormality in the very early development of the future autistics (and before even the appearance of the differentials signs that they decline in a way turned out in the cognitive or psycho-affective sphere) this native defect would indeed deceive in the psychomotor register, more exactly in the failure, the failure or the specific abnormality of the crossroads and the early psychomotor knotting.…”

“…I wish to point out here the bipolarity of the native and autistic pre-emotional life (cf. Joly [7][8][9][10][11]) that is the existence of a native immoderation, an excess, a traumatic overflowing in all the forms of autistic emotional life -as well in death-agonies and terrors not event presentables as in ecstatic excitements so little divisable -below a some emotional qualification, that is below a primary shape of psychic representation. -At the level of the disorders of the spatial-temporality and the relationship in objects finally, the exploration of the space and the objects which populate him testifies, in these clinical parts of the country, of the trend to remain in a close (one or twodimensional) space, in adhesive clinging or by swirling around a point, while the time seems as for him always unidirectional, motionless or circular in stabbing one repetition.…”