Une approche sensible à l'expérience des soins avec et pour les enfants et les jeunes autistes dans les services cliniques

Titre original en anglais : An Experience Sensitive Approach to Care With and for Autistic Children and Young People in Clinical Services

McGreevy, E., Quinn, A., Law, R., Botha, M., Evans, M., Rose, K., Moyse, R., Boyens, T., Matejko, M., & Pavlopoulou, G. (2024). An Experience Sensitive Approach to Care With and for Autistic Children and Young People in Clinical Services. Journal of Humanistic Psychology, 66(1), 107-133. https://doi.org/10.1177/00221678241232442

Date de publication: 15/03/2024 Ajout dans AutiHub: 05/07/2026 Type: Article Langue de l’article: Anglais

Cette publication est intégrée dans AutiHub via :

Auteurs

Auteur·ices des publications
10
Auteur·ices de la publication identifié·es comme autistes
3 / 10 (30,0 %)

Résumé

De nombreux dispositifs de soutien dans les services cliniques actuels de l'autisme destinés aux enfants et aux jeunes reposent sur des notions de neuro-normalité mettant l'accent sur le comportement. De telles approches du neuro-trouble minent progressivement la personne, restreignent l'expression authentique de soi et ne parviennent pas à prendre en compte l'impact d'un monde hostile sur le bien-être autiste. En outre, ces approches détournent l'attention d'un défi fondamental : conceptualiser un cadre alternatif de soins, éclairé par l'humanisme, pour le personnel travaillant avec des enfants et des jeunes autistes diagnostiqués ou non diagnostiqués. Dans cet article, nous proposons une appréciation du modèle de soins guidé par le monde vécu de Todres et al. Nous examinons comment les praticiens de la santé mentale peuvent adopter un cadre de soins de santé sensible à l'expérience en intégrant les huit dimensions des soins dans la pratique. Cette approche neuroinclusive crée une culture du respect, honore la souveraineté de la personne, donne la priorité à la personnalisation des soins fondée sur la prise de décision collaborative et permet aux praticiens de soutenir le bien-être selon une perspective existentielle et humaniste, ancrée dans l'acceptation de la diversité autiste des manières d'être. Sans un changement fondamental vers un tel soutien affirmant la neurodivergence, les praticiens devant être disposés à transformer leur compréhension, aucun véritable progrès ne peut être accompli pour prévenir de mauvais résultats en matière de santé mentale chez les personnes autistes tout au long de la vie. Ce changement est nécessaire pour modifier les pratiques dans les contextes de recherche, cliniques et éducatifs.

Many support schemes in current autism clinical services for children and young people are based on notions of neuro-normativity with a behavioral emphasis. Such neuro-disorder approaches gradually undermine a person, restrain authentic self-expression, and fail to address the impact of a hostile world on autistic well-being. Furthermore, such approaches obscure attention from a fundamental challenge to conceptualize an alternative humanistic informed framework of care for staff working with diagnosed or undiagnosed autistic children and young people. In this article, we offer an appreciation of the lifeworld-led model of care by Todres et al. We discuss how mental health practitioners can adopt an experience-sensitive framework of health care by incorporating the eight dimensions of care into practice. This neuroinclusive approach creates a culture of respect, honors the sovereignty of the person, prioritizes personalization of care based on collaborative decision-making, and enables practitioners to support well-being from an existential, humanistic view, grounded in acceptance of autistic diversity of being. Without a fundamental shift toward such neurodivergence-affirming support with practitioners being willing to transform their understanding, real progress cannot happen to prevent poor mental health outcomes for autistic people across the lifespan. This shift is needed to change practice across research, clinical, and educational contexts.

Bibliographie citée par cette référence

Les références citées sont importées depuis des sources externes de métadonnées lorsqu’elles sont disponibles. La liste peut être partielle.

Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:30.

Références citées
60
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
11 / 60 (18,3 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
49 / 176 (27,8 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 49 / 100 (49,0 %). Auteurices cité·es distinct·es identifié·es comme autistes : 40 / 163 (24,5 %).
Occurrences citées rattachées à la base AutiHub
100 / 176 (56,8 %)
Auteurices cité·es distinct·es rattaché·es : 87 / 163 (53,4 %)
Occurrences rattachées, non identifiées comme autistes
51 / 100 (51,0 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 51 / 176 (29,0 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 47 / 87 (54,0 %).
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