Une clinique de l’opposition à l’adolescence : du symptôme à la nosographie

Abstract: From a case report of a pervasive refusal of an adolescent based on a persistent mutism mainly aiming his parents and doctors, were described various syndromes organized around its clinical expression according to the clue of opposition as symptom. Without pretension to exhaustiveness, a descriptive approach of opposition nosography context sought to throw light on its different facets: the one of a voluntary and lasting rejection to talk in specific social situations being reminiscent of selective mutism; the one of a renunciation and an active resistance to acts of help and encouragement in a moment of abandon close to PRS; the one accounting for a hostile and angry position towards his circle as in the oppositional defiant disorder. Next to the common contextual characteristic of opposition and its many modalities of expression, stands the singular question of its sense for a given subject, which cannot be reduced to its only symptomatic expressions, suggesting to grasp this phenomenon in accordance with a dimensional approach nearer to its clinical reality. [ABSTRACT FROM AUTHOR]