Expériences bouleversantes dans la vie de jeunes neurodivergents : une analyse qualitative des récits d'adolescents diagnostiqués avec un trouble du déficit de l'attention avec hyperactivité et/ou un autisme
Titre original en anglais : Upsetting experiences in the lives of neurodivergent young people: A qualitative analysis of accounts of adolescents diagnosed with attention‐deficit/hyperactivity disorder and/or autism
Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.
À propos de la mention auteur·ice autistePavlopoulou, G., Chandler, S., Lukito, S., Kakoulidou, M., Jackson, I., Ly, E., Matejko, M., Balwani, B., Boyens, T., Poulton, D., Harvey-Nguyen, L., Baker, S., Sonuga-Barke, E. J., & team, t. R. (2025). Upsetting experiences in the lives of neurodivergent young people: A qualitative analysis of accounts of adolescents diagnosed with attention‐deficit/hyperactivity disorder and/or autism. JCPP Advances, 6(2), Article e70038. https://doi.org/10.1002/jcv2.70038
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Auteurs
Résumé
Résumé Contexte Les récits de dysrégulation émotionnelle dans l'autisme et le trouble du déficit de l'attention avec hyperactivité (ADHD) reposent généralement sur des observations externes d'adultes ancrées dans des conceptions neurotypiques des réponses émotionnelles. Ces récits ne parviennent souvent pas à situer les réponses émotionnelles des personnes neurodivergentes dans le contexte des expériences bouleversantes auxquelles elles sont confrontées ; des informations que les jeunes eux-mêmes sont les mieux à même de fournir. Méthodes Nous avons interrogé 57 adolescents (11-15 ans ; 19 filles) diagnostiqués avec un ADHD (n = 24), un autisme (n = 21) ou les deux (n = 12), au sujet de leur expérience d'événements bouleversants, à l'aide d'un guide d'entretien semi-structuré co-conçu. Une analyse thématique réflexive a généré des thèmes communs avec des nuances spécifiques au diagnostic. Résultats Quatre thèmes ont été dégagés : désaffiliation sociale, aliénation et conflit ; besoin de masquage ; doute de soi, dégoût de soi, embarras ; et surstimulation/inadéquation sensorielle. Les expériences bouleversantes, pour les participants avec ADHD, étaient généralement perçues comme étant déclenchées par des agents externes cherchant à imposer un contrôle, et/ou par un sentiment d'injustice ; pour les participants autistes, elles étaient souvent liées à des sentiments de « ne pas appartenir » et d'aliénation. Le masquage, chez les participants autistes, incluait le fait de « cacher » les émotions négatives afin de protéger les autres de leur intensité ; tandis que dans l'ADHD, le masquage impliquait habituellement de réprimer le bouleversement émotionnel afin de se protéger des conflits ou des conséquences. Les personnes ayant un diagnostic conjoint ont rapporté une combinaison de ces expériences, souvent ressenties plus intensément. Conclusions Les récits à la première personne des réponses émotionnelles pourraient apporter de nouvelles perspectives susceptibles d'affiner les récits actuels fondés sur la dysrégulation concernant l'ADHD ou l'autisme.
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