[Supporting access to fatherhood]. / Accompagner l'accès à la paternité.

The social prescription of fatherhood for the modern father, with its array of new rights and the absence of ritual, often overlooks the profound identity crisis that accompanies fatherhood. Access to fatherhood for men is based on the early stages of child sexuality and psychological bisexuality, which are at the origin of a vulnerability that can be at psychopathological risk. The necessary reconciliation with parental imagos and narcissistic rearrangements may require specialised support, beyond the support role currently reserved for it in the context of motherhood.

[Characteristics and challenges of the antenatal diagnosis]. / Caractéristiques et enjeux du diagnostic anténatal.

The period of antenatal diagnostic testing is fraught with emotions for the parents. Screening ultrasound scans often constitute the indication of an antenatal diagnostic consultation in a multidisciplinary centre. There then follows a period of diagnosis, prognosis and decisions. Parents must be given specific support throughout this time.

[Learning to separate together, the separation-individuation group]. / Ensemble pour se séparer, le groupe séparation-individuation.

The 'separation-individuation' group is offered to children aged between three and five, in outpatient consultations with a paediatric psychiatrist. It was created following the testimonies of early childhood professionals describing the feeling on the part of parents of being torn from their child, during the first year of school. Open and held on a weekly basis, it is combined with a parents' meeting organised simultaneously. The individualised group tool supports the separation-individuation process when this is particularly painful, for the child and the parents.

[Support for teenage pregnancies and early emotional deprivation]. / Grossesses adolescentes et carences affectives précoces, quel accompagnement ?

The perinatal psychology and psychiatry unit of Caen university hospital has put in place two systematic intervention protocols relating to pregnancy: teenage pregnancy and denial of pregnancy. Professionals are particularly concerned with teenagers with a history of early emotional deprivation and mistreatment, with the spectre of repetition. A partnership with a motherhood centre helps all concerned to work together to build resilience.

[Parenting problems, observation at home and support in a network]. / Troubles de la parentalité, observation à domicile et accompagnement en réseau.

Supporting parenthood in a family with multiple problems requires a strong network. In the case of difficulties in establishing the initial bonds between a couple and their baby, the perinatal psychiatric team, working with the mother and infant welfare protection service and the adult psychiatry service, can also put in place measures to support this family.

[Parenthood and the birth of the family]. / Parentalité et transmission, accompagner la naissance de la famille.

A project to start a family can be knocked off course by a couple's infertility. While medical intervention frequently leads to the birth of a baby, it is not always enough to ensure that the child is "born" psychologically. This article presents a clinical situation which highlights issues surrounding unattainable parenthood then the birth of the family, the impossible weaning from the mother's body and family transmission.

[The treatment of drug-addicted parents and their children]. / La prise en charge des parents toxicomanes et de leurs enfants.

The specificities of the parent-child relationship in cases of addiction, as well as the role of opiate substitution treatments in the support of parenthood, can be analysed by studying the place of drugs within the psychological processes. The objective is to enable drug-addicted parents to situate themselves in transfer and affiliation approaches.