RESUMO
We report the case of a boy whose development was normal until the age of three when regression with loss of speech occurred. Other anomalies included eating and sleep disorders, sterotyped behavior disorders, suggesting infantile psychosis. The electroencephalogram evidenced paroxysmal anomalies, particularly during sleep, with no clinical seizures. The diagnosis of epilepsia-acquired aphasia syndrome (Landau-Kleffner syndrome) was made. The psychotic disorders were not considered as a differential diagnosis but rather as intertwined with the elements of the syndrome. The relationship between acquired aphasia and psychosis are discussed.
Assuntos
Afasia/complicações , Transtornos Globais do Desenvolvimento Infantil/induzido quimicamente , Epilepsia/complicações , Afasia/fisiopatologia , Transtornos Globais do Desenvolvimento Infantil/diagnóstico , Transtornos Globais do Desenvolvimento Infantil/psicologia , Pré-Escolar , Diagnóstico Diferencial , Eletroencefalografia , Epilepsia/diagnóstico , Epilepsia/fisiopatologia , Humanos , MasculinoRESUMO
The staff of the department of psychotherapy at the Salpêtrière Hospital (Department of Prof. Duché) includes five psychoanalysts who are in charge of the consultations and treatment of hospitalized children, out-patients and parents. Individual psychoanalytical psychotherapy and psychodrama are the methods used. For adolescents and psychotic children, psychotherapy is carried out in a more flexible way. Special attention is given to the outset of therapy and to the support provided to parents. Two groups for the training of child therapists are ongoing.