Aider les parents lors de l'annonce initiale d'un diagnostic d'autisme : recommandations destinées aux cliniciens, éclairées par les parents
Titre original en anglais : Helping Parents with the Initial Diagnosis of Autism: Parent-Informed Guidance for Clinicians
Smith, I. C., Cox, B. E., & White, S. W. (2019). Helping Parents with the Initial Diagnosis of Autism: Parent-Informed Guidance for Clinicians. Evidence-Based Practice in Child and Adolescent Mental Health, 4(3), 296-306. https://doi.org/10.1080/23794925.2019.1626781
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Résumé
Chaque année, des milliers de parents informent leur enfant d'un diagnostic de trouble du spectre de l'autisme, et la plupart des parents ne se sentent pas préparés à cette tâche. Bien que nous soyons désormais en mesure de diagnostiquer de façon fiable les TSA très tôt dans la vie, il n'existe presque aucune littérature empirique destinée aux cliniciens sur la manière d'aider les parents à informer leur enfant diagnostiqué. Ce processus doit être mené d'une manière sensible aux besoins développementaux de l'enfant tout en favorisant une attitude d'acceptation et non stigmatisante à l'égard du diagnostic. Ce commentaire est proposé afin d'aider les cliniciens à guider les parents tout au long de ce processus. S'appuyant sur une revue antérieure de la littérature ainsi que sur l'expérience clinique relative à ce sujet et sur les contributions d'un parent d'un enfant atteint de TSA, nous décrivons divers facteurs que les parents pourraient souhaiter prendre en compte lorsqu'ils se préparent à révéler des diagnostics de TSA, notamment la répétition ou la mise en pratique de conversations d'annonce, l'adaptation du langage à la présentation de leur enfant, la fourniture d'informations concises et exactes, l'anticipation des réactions des enfants et l'aménagement d'un espace leur permettant de réagir et de traiter l'information, ainsi que la présentation de la discussion comme un point de départ pour une conversation ultérieure.
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