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
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Auteurs
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.
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