Après l’événement traumatique, quelle autre vie ? Réflexions sur la clinique du trauma au Liban = After the traumatic event, what other life? Thinking the clinic of trauma in Lebanon

Author: Gannagé, M.

Source:
Neuropsychiatrie de l'Enfance et de l'Adolescence, Vol 60(5), Jul 2012, 372-376
Objectives War constitutes a daily reality for millions of persons. Our clinical experience shows that the traumatic events, without necessarily leading to a trauma, confront the child and his family with the unbearable. After the bombardment of Cana (South of Lebanon) in 1996, medical and psychological consultation centers for children victims of war and their families were created in the South of Lebanon. This article examines the characteristics of the treatment of the children of war. It also stresses the future of these children in adulthood. Method Through a clinical example and based on the therapeutic follow-up of 1500 children exposed to stress, we tried to reach our objectives. Results The destiny of the children of war depends on the nature of stress they have experienced, on the characteristics of the “psychic apparatus” of their parents and on the possibilities that they had to symbolize the violence. The therapeutic bond favors the development of the capacity of thinking and consequently the elaboration of violence through the work of history. The work of history is a work of reconstruction that requires that a game is made possible with memories, that recollection of memories can be shared and communicated by the patient with his therapist. When violence cannot be symbolized, children become adults with troubles. The intergenerational transmission of trauma presents some particular features. Conclusion We postulate the existence of an antitraumatic system with resilient children. In this system, not only individual factors as the constitution of the subject play a role but also all the factors linked to the social and family environment. The satisfactory early development constitutes the cornerstone of this system. The society, as it assumes the necessity of a memory duty contributes strongly to the strengthening of this system.