TRIADD
Teletraining Research and Information around Dual Diagnosis
TRIADD Case Studies
Case 3
CASE STUDIES PRESENTED DURING THE FRENCH TRAINING COURSE
PARIS, JULY 2003Presented by a training course participant
M.Y is 33 years old and single. During his childhood, there were a number of gaps in his education. He met a lot of difficulties in his schooling and had help from the CMPP (Centre Médico-Psycho-Pédagogique). His family environment was conflictual and unstable.
At 15 years old, he was directed towards the (Institut Médico-Professionnel) and since then has had an very unsettled life: various workshops, psychiatric hospitals and therapeutic centres.M.Y has a mild intellectual disability with serious challenging behaviour and acting out (des passages à l’acte) an intolerance of frustrations and a tendency to give up and abandon situations, (une problématique abandonnique).
Towards the beginning of his care, he lost control immediately whenever he met a difficulty (extreme violent crisis). He is the only one in his family to have a job, despite his disability. He had long terms plans with a young woman, who left him quickly. He bought himself an apartment and needs help with administration and financial management.
He doesn’t come to work regularly (he takes sick leave given by his psychiatrist) and no longer lives in his apartment. He alternates between his parents’ home and psychiatric hospital. M.Y has several means of support :ü On the pedagogical level, with the psychologist and trainer from the Workshopü On the psychiatric and psychological level from the CPM and Crisis Centreü On the social level by the Workshop At the request of M.Y, a request for legal guardianship protection (curatelle renforcée ) was set up. A therapeutic apartment project is underway with the CMP. The objective of the different teams is to help M.Y resume his professional activity at the workshop.
Résumé of the issues
The third study concerns a young man of 33 years old who, despite his problem of abandoning situations which are the origin of his acting out violently (une problématique abandonnique à l’origine de passages à l’acte violents) battles with himself to lead a `normal´social life. His excesses mean that he requests the support of medico-social and health services.
Questions discussed during the training
How to support this person in his projects (professional, accommodation…) when his main problems are situated around rupture (breaking off).How to support, reassure, communicate with someone whose life history and experiences are so far removed from an ordinary normal life ?
Should we not make concessions as regards life models which are too normative in order to propose more flexible solutions but which nonetheless have real content ?
How does the partnership around this person operate ? How to remain « mobilised » to encourage this person (notably at the Workshop) ?
How to adapt the support which takes account of both the need for protection and independence ?
Download as word document for printing
 |
 |
 |
 |
