Pédopsychiatrie de liaison et médiations thérapeutiques : autour d'un cas clinique et la création d'un vidéoclip.

We propose in this paper a reflection about the relevance and the particularities of the use of therapeutic mediations in the context of clinical practice in consultation-liaison child psychiatry. The accompaniment of a young teenager leading to the creation of a multimedia clip is presented to illustrate the use of therapeutic mediations. This case is then the object of a theoretical and clinical analysis in order to highlight and analyze the psychic processes associated with the use of this mediation. The therapeutic mediation has favored the expression of the patient's desires and anxieties according to a multisensorial dimension – words, melodies, pictures – which supports and catalyzes the primary and secondary symbolization processes. The approach based on therapeutic mediations emphasizes the implementation of a "tailor-made" accompaniment which results in the co-construction of the mediation with the patients. The use of therapeutic mediations in the context of the consultation-liaison child psychiatry appears to be a relevant tool that favors the clinical encounter and the deployment of symbolization processes. [ABSTRACT FROM AUTHOR]