hubbard, article médecine et enfance
TRANSCRIPT
5/6/2018 Hubbard, article Médecine et Enfance - slidepdf.com
http://slidepdf.com/reader/full/hubbard-article-medecine-et-enfance 1/6
P @ K E
M @ E P
@ I N M K T
K Z E P
Aëde`kme* emjlm`e
Gl p{meptfëpke ept um rfëmiaæme dlmpge|ueg ume ptkaugltkim umkaidlge`imdukt â ume rex`ertkim dlmp umelutxe aidlgktë- Rlx evearge' dep mitepde aupk|ue' dep gettxep et dep `fkjjxepreuzemt emtxlímex gl rex`ertkim de `iu!geuxp' iu dep niótp reuzemt ïtxe lppi!`këp â dep jixaep tl`tkgep- Dep xe!`fex`fep xë`emtep imt aimtxë |ue gl p{!meptfëpke ept um rfëmiaæme hkem xëeg'lze` dep `ixxëgltp nëmëtk|uep' rex`er! tkjp et `ëxëhxluv- Miup lggimp rxëpemtex dlmp `et lxtk`ge |ueg|uep!ump de `epjlktp lkmpk |ue gep |ueptkimp |uk më`eppk! temt em`ixe dep kmzeptknltkimp' mitla!aemt `fe g‛emjlmt- Gep rxi`flkmep në!mëxltkimp de p`kemtkjk|uep et de rë!dkltxep dezximt xe`immlítxe gl p{meptfë!pke `fe g‛emjlmt riux em evrgixex gep xl!`kmep dëzegirreaemtlgep et geuxp`impë|uem`ep-Em < 6><' Lxtfux Xkahlud ruhgkl um
pimmet kmtktugë Zi{eggep' |uk l laemë ge
aimde lxtkptk|ue euxirëem de gl jkm du
<;e pkæ`ge â p‛kmtëxeppex lu rfëmiaæme
de gl p{meptfëpke' ge|ueg lppi`ke' rlx
evearge' `extlkmep gettxep lze` `ex!tlkmep `iugeuxp- Hkem |u‛kg pikt nëmëxlge!
aemt ldakp |ue Xkahlud m‛ëtlkt rlp p{!
meptfæte guk!aïae' pim riæae deaeuxe
ume dep`xkrtkim jxlrrlmte de `e |ue `e!
gl dikt ïtxe d ‛evrëxkaem tex `ette kmpigkte
lppi`kltkim dep pemp- @extlkmp p{mep!
tfætep rexîikzemt du hgeu gixp|u‛kgp em!
temdemt gl mite xë oiuëe pux um rklmi et
du xiune riux gl mite jl &ludktkim `igi!
xëe+' iu aïae xeppemtemt dep jixaep
tl`tkgep gixp|u‛kgp niótemt dkjjëxemtep
miuxxktuxep- D‛lutxep p{meptfætep zikemt
em `iugeux gep gettxep de g‛lgrflhet' aï!
ae gixp|u‛eggep pimt karxkaëep em em`xe
mikxe- @ep rexpimmep me pimt m k jiggep' mk
lttekmt ep d‛um dë pixdxe meux igink|ue-
Eggep jimt rlxtke du retkt nxiure' eptkaë
emtxe <) 82 et <) 8222 kmdkzkdup' de nemp
mixal uv |uk pimt p{meptfætep- @fe
euv' gep pemp' tiu`fex' niót' ludktkim'
zkpkim et idixlt' pimt £ aëglmnëp ³ lu
gkeu de xeptex përlxëp-
Miup knmiximp |ulmd `e rfëmiaæme l
ëtë xealx|uë riux gl rxeakæxe jikp'
alkp Pkx Jxlm`kp Nlgtim em l `imdukt gl
rxeakæxe ëtude p{ptëaltk|ue- Pep rl!
rkexp' ruhgkëp dlmp Mltuxe em <662 S<' 8Q'
pe ji`lgkpemt pux gep txikp almkjeptltkimp
gep rgup `iaaumep de gl p{meptfëpke ?dlmp gl rxeakæxe jixae' gep pimp ëzi!
|uemt dep `iugeuxp &ludktkim `igixëe+ 3
8 ept!kg xiune iu hgeu' rgup gikm dlmp g‛eprl`e |ue 6 iu â nlu`fe de 5 9 Gl
rgurlxt dep nemp txiuzeximt `ep |ueptkimp lhpuxdep' alkp `extlkmp xërimdximt
£ Riux aik' 8 m‛ept rlp xiune alkp rgutôt ixlmnë ³- @ep rexpimmep me pimt rlp
jiggep alkp p{meptfætep' `‛ept!â!dkxe |ue `fe eggep ume rex`ertkim l`tkze pk!
augtlmëaemt dkjjëxemtep xerxëpemtltkimp- Gl p{meptfëpke' gimntearp impkdë!
xëe `iaae ume `uxkipktë' kmtëxeppe dëpixalkp gep meuxiginuep `iaae ume `gë
riux `iarxemdxe ge dëzegirreaemt- Pk miahxep et eprl`e pimt lppi`këp' iupimp et `iugeuxp' `‛ept |u‛kg evkpte dep `immevkimp emtxe gep xënkimp `ëxëhxlgep
|uk txlktemt `ep kmjixaltkimp' `immevkimp mixalgeaemt ëgkakmëep lu `iuxp du
dëzegirreaemt- L |uik pexzemt!eggep 9 @iaaemt pimt!eggep ëgkakmëep 9 E- Fuh!
hlxd dë`xkt `ep rfëmiaæmep ëtxlmnep riux |uk me gep rexîikt rlp- Gep emjlmtp
pexlkemt lrrlxeaaemt rgup p{meptfætep |ue gep ldugtep- Me ziup ëtimme
dim` rlp gl rxi`flkme jikp |u‛um de zip retktp rltkemtp ziup ljjkxaexl pëxkeupe!
aemt |ue l ept hkem rgup zext |ue i , N- Defleme!Glahext
xuhxk|ue dkxknëe rlx N- Defleme!Glahextz
G‛ëtxlmne aimde du p{meptfæte
E-A- Fuhhlxd' Kmpexa U5:8' pexzk`e fiprkt lgkex
Jxëdëxk`!Oigkit' Ixpl{
dë`eahxe 8225rlne ::>
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dlmp gl pe`imde' gep miahxep pimt lppi!
`këp lze` dep gi`lgkpltkimp rxë`kpep dlmp
g‛eprl`e &p{meptfëpke miahxe!eprl`e+ 3
dlmp gl t xi k p kæae' g ep d k j jëxemtp
miahxep lrrlxlkppemt tekmtëp de dkjjë!
xemtep `iugeuxp &p{meptfëpke nxlrfæae!
`iugeux+- D‛lutxep p`kemtkjk|uep imt
hkemtôt pukzk' et zexp <;<2 rgup de `km!
|ulmte lxtk`gep lzlkemt ëtë ruhgkëp pux gl
peuge ludktkim `igixëe rlx `extlkmp dep
rgup jlaeuv rp{`figinuep de g‛ëri|ue'
`iaae Lgjxed Hkmet' Tfëidixe Jgiux!
mi{ et Ediulxd @glrlxlde- Riuxtlmt'
lrxæp `et te zlnue d‛kmtëxït kmk t klge'
g‛ëtude de gl p{meptfëpke p‛ept lglmnuke'
et `e rfëmiaæme l deru kp ëtë `impkdëxë
`iaae ume pkarge `uxkipktë de gl rp{!
`figinke et dep meu xip kem`ep &riux ume
xezue zikx S0Q+- @ette temdlm`e p‛ept xë!
`eaaemt kmzexpëe et ume miuzegge në!
mëxltkim de rp{`figinuep et de meu xip!
`kemtkjk|uep imt xe`iaaem`ë â p‛kmtëxep!
pex â gl p{meptfëpke- Rgup d‛lxtk`gep rix!
tlmt pux gl p{meptfëpke imt ëtë ruhgkëp
dlmp gep |ultxe dexmkæxep lmmëep |ueremdlmt gep |ulxlmte lmmëep rxë`ë!
demtep- Dlmp `et lxtk ge' oe ziudxlkp ?
<- dkp`utex gep rxeuzep evrëxkaemtlgep
aimtxlm t |ue gl p{meptfëpke ept um rfë!
miaæme rex`ertkj xëeg- @ep puoetp me jl!
hugemt rlp 3
8- jlkxe ge rikmt pux gep rxiripktkimp
tfëixk|uep de `e |uk pe rlppe dlmp ge
`exzelu dep p{meptfætep |uk gep dkp!
tkmnue dep mim!p{meptfætep 3
0- xlrrixt ex gep jlktp de gl gkttëxltuxe
punnëxlmt |ue gl p{meptfëpke riuxxlkt
ïtxe jxë|uemte `fe g‛emjlmt-
GEP EVRGK@LTKIMPFKPTIXK\UEP DE GL P[MEPTFËPKE
Ume evrgk`ltkim `glppk|ue de gl p{mep!
tfëpke ept |ue `ep rexpimmep xezkzemt dep
lppi`kltkimp et dep aëaikxep de g‛emjlm!
`e- Reut!ïtxe |ue ge retkt @flxgep oiulkt
lze` dep gettxep lkalmtëep pux gl rixte
du xëjxknëxlteux et |ue ge 5 ëtlkt xiune et
ge : zext- Hkem póx' `egl m‛evrgk|ue rlp
riux|uik peugeaemt extlkmep rexpimmepxeptemt £`iggëep³ â `ep aëaikxep pempk!
tkzep plkpkpplmtep mk riux|uik peugeaemt
`extlkmp nxiurep de ptkaugup' `iaae gep
gettxep' gep miahxep et gep mitep de au!
pk|ue' pimt gep rgup rxihlhgep riux `xëex
dep rex`ertkimp p{meptfëpk|uep-
Ume deuvkæae evrgk`ltkim |ue g‛im em!
temd piuzemt ept |ue `ep rexpimmep ut kgk!
pemt de zlnuep kalnep aëtlrfixk|uep
|ulmd kgp dkpemt |ue gl mite xë ept xiune
iu |ue ge riuget l um niót rikmtu' de gl
aïae jlîim |ue g‛im rlxge d‛ume `feak!
pe `xklxde iu d‛um jxialne rk|ulmt- @et!
te f{ritfæpe eptkae |ue gl glmnue xenix!
ne de `e nemxe de aëtlrfixep et |ue gep
p{meptfætep pimt pkargeaemt rgup rxi!
gkvep â `et ënlxd- Tiutejikp' dkxe |ue gl
p{meptfëpke ept ume fkptikxe de aëtl!
rfixep m‛lkde rlp xëeggeaemt m im rgup â
`iarxemdxe `e rfëmiaæme' `lx rexpim!
me m‛l um e himme kdëe d e `iaaemt gep
aëtlrfixep alx`femt mk de `iaaemt
eggep pimt dë`idëep rlx ge `exzelu-
Lu`ume de `ep evrgk`ltkimp me xemd
`iarte dep `lxl`tëxkptk|uep |ue aik!
aïae et d‛lutxep lzimp ihpexzëep dlmp
gep ëtudep xë`emtep de gl p{meptfëpke- Rlxevearge' rgupkeuxp ëtudep imt aimtxë
|ue gep xlrrixtp dep p{meptfætep pimt `i!
fëxemtp &= ;2 %+ â txlzexp dep pëlm`ep
xërëtëep de tep t p ' aïae |ulmd gep
pëlm`ep pimt përlxëep rlx dep rëxkidep
de rgup d‛um lm S0' 4Q- Dep puoetp
`imtxôgep' rlx `iarlxlkpim' me pimt `i!
fëxemtp |ue dlmp 02 % dep `lp- De gl
aïae jlîim' |ulmd im rxëpemte â um p{!
meptfæte um `fkjjxe ë`xkt dlmp ume `iu!
geux |uk me `ixxeprimd rlp â pl rex`er!
tkim' ge tearp |u‛kg guk jlut riu x miaaex
gl `iugeux de g‛em`xe ept rgup gimnue |ue
`eguk |uk guk ept më `epplkxe |ulm d ge
`fkjjxe ept karxkaë dlmp gl `iugeux ldë!
|ulte S4' 5Q- @ep jlktp aimtxemt hkem |ue
gl p{meptfëpke ept um rfëmiaæme luti!
altk|ue et dknme de jik' alkp kgp me xë!
rimdemt rlp â gl |ueptkim de plzikx pk
`ep rex`ertkimp `igixëep pimt gkëep â dep
lppi`kltkimp aëaixkpëep iu â dep rxi!
`eppup rex`ertkjp rlx tk`ugkexp-
GL XËLGKTË REX@ERTKZEDE GL P[MEPTFËPKE
Riux teptex g‛f{ritfæpe |ue gl p{meptfë!
pke ept um rfëmiaæme rex`ertkj' miup
lzimp utkgkpë um tept £d‛kpigeaemt rex!
`ertkj³- Pk ziup xenlxde um nxiure de
rikmtp zex t p d k prexpëp rlxak ume
£ jixït ³ de rikmtp xiunep' gep rikmtp
zextp zimt ziup plutex luv {euv &rir!
iut+- Pk ziup xenlxde dep nxiurep de 0
dkprexpëp lu akgkeu d‛lutxep `fkjjxep &jk!
nuxe <l+' kgp pe aëglmnemt lze` g‛lxxkæxe!
rglm- Kgp pimt dkjjk`kgep â dkptkmnuex plmp
kmpre tex `fl|ue ëgëaemt u m â um- Alkp
pk ziup xenl xde gep `fkjjxep xiunep de gl
jknuxe <h' ziup riuze kmptlmtlmëaemt
gep përlxex de g‛lxxkæxe!rglm et gep xe!
nxiurex aemtlgeaemt riux jixaex ume
jknuxe përlxëe de txklmnge-
Mitxe |ueptkim ëtlkt de plzikx `e |uk pe
rlppexlkt pk im aimtxlkt `ette jknuxe â um
p{meptfæte |u k zikt gep 0 xiunep' gep 4
zextp et gep 5 hgeup- P‛kg rempe pkargeaemt
â xiune et â zext |ulmd kg zikt dep 0 et dep
5' lgixp' `iaae ziup et aik' kg me zexxl
rlp ge txklmnge kmptlmtlmëaemt- Pk rlx
`imtxe gl p{meptfëpke ept um zxlk rfëmi!
aæme rex`ertkj' et rlp peugeaemt ume lp!
pi`kltkim aëaixkpëe' lgixp ge txklmnge gukplutexl luv {euv' `iaae dlmp gl jknuxe
<h' `lx riux guk gep miahxep pimt zxlk!
aemt `igixëp- Gl xërimpe jut `glkxe `ia!
ae de g‛elu de xi`fe ? gep p{meptfætep
ëtlkemt hkem aekggeuxp |ue gep mim!p{mep!
tfætep S:' >Q- Miup lzimp teptë um pe`imd
nxiure d e `imtxôgep mim!p{meptfætep
lze` dep jknuxep `igixëep `iaae gep rex!
`ertkimp dep p{meptfætep- Dlmp `e `lp' gep
mim!p{meptfætep lzlkemt de a ekggeuxep
rexjixalm`ep |ue gep p{meptfætep' `e |uk
ept `ifëxemt lze` ge jlkt |ue gep p{mep!
tfætep xlrrixtemt |ue gep `iugeuxp |u‛kgp
rexîikzemt pimt xëeggep alkp rgup jldep
|ue eggep du aimde xëeg-
@ep xëpugtltp pimt ume rxeuze ëzkdemte
Aëde`kme* emjlm`e
dë`eahxe 8225rlne ::6
G‛umktë Kmpexa 5:8 ept em txl km de aet txe lu
rikmt dep evrëxkem`ep riux t eptex `ep f{ri!
tfæpep- Miup piaaep dim` â gl xe`fex`fe de
zigimtlkxep |uk rempemt ïtxe p{meptfætep- Pk
ziup rempe ïtxe p{meptfæte' |u eg |ue pikt ge
t{re de p{meptfëpke |ue ziup rxëpemte'
`imtl`te ? Ed~lxd A- Fuhhlxd iu Almu egl
Rkll' Kmpexa Umktë 5:8' pexzk e fiprktlgkex
Jxëdëx k`!Oigkit @EL' 4 rgl`e du Nëmëxl g!Ge!
`gex`' ;<42< Ixpl{ 3 tëg- ? 2< :; 6: >> :5 3
`iuxxkeg ? edfuhhlxdBnalkg- ia-
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|ue gep `iugeuxp rexîuep rlx gep p{mep!
tfætep pimt zxlkaemt d ‛ixknkme pempktkze-
@ette evrëxkem`e aimtxe ënlgeaemt |ue
gep p{meptfætep me pimt rlp jiup iu a{!
tfialm ep- @iaaemt ume rexpimme jigge
riuxxlkt!egge ïtxe rgup ejjk`l`e |ue dep
puoetp mixalu v 9 Kg m‛{ l lu`um ai{em
de txu |uex- Riux gl rxeakæxe jikp derukp
Jxlm`kp Nlgtim' miup lzkimp ume rxeuze
mim ë|ukzi|ue |ue gl p{meptfëpke ept
hkem um rxi`eppup pempktkj-
Dlmp um e deu vkæae evrëxkem`e' miup
lzimp tkxë rlxtk d‛um rfëmiaæme zkpueg'
gl pltuxltkim &`xi~dkmn+- Pk ziup jkve
gl `xikv de gl jknuxe 8h' ziup txiuzexe
lppe jl`kge de rex`ezikx ge miahxe 5
pux ge `ôtë' aïae pk ziup me ge xenlxde
rlp dkxe`teaemt- Alkp pk im em tiuxe e 5
de |ultxe lu txep miahxep de aïae `iu!
geux &`iaae dep 0 mikxp+' ziup me riu!
ze rgup kdemtkjkex ge miahxe du akgkeu
&jknuxe 8l+- @egl m‛ept rlp dó â ume xëdu`!
tkim de g‛l`uktë em rëxkrfëxke- Lrxæp
tiut' ge 5 ëtlkt rlxjlkteaemt ëzkdemt
|ulm d kg m‛ëtlkt rlp emtiuxë de 0- Umef{ritfæpe ept |ue gl pltuxltkim ept due
â dep xeppiux`ep lttemtkimmeggep gkak!
tëep- Gep 0 |uk jglm|uem t ge 5 dkptxlkemt
g‛lttemtkim du ptkaugup `emtxlg et earï!
`femt gep puoetp de ge zikx- Miup eóaep
ume nxlmde puxrxkpe gixp|ue miup lzimp
aimtxë gl jknuxe 8l â mip p{meptfætep-
Kgp xenlxdæxemt gl jknuxe et jkxemt dep xe!
alx|uep du nemxe ? £Oe me reuv rlp
zikx ge miahxe du akgkeu- @‛ept jgiu
alkp `‛ept um jgiu hgeu' dim` oe dezkme
|ue `egl dikt ïtxe um 5 ³- @egl punnæxe
|ue' hkem |u‛kgp m‛lkemt rlp emxenkptxë
`imp`keaaemt ge miahxe du akgkeu' `e
miahxe ëtlkt txlktë |ueg|ue rlxt dlmp ge
`exzelu â um m kzelu km`imp`kemt et ëzi!
|ulkt gl `iugeux lrrxirxkëe- Kgp riu!
zlkemt empukte utkgkpex `ette `iugeux
riux em dëduk xe km te g ge`tueg geaemt
g‛kdemtktë du miahxe S6Q- Mëlmaikmp' `e!
gl m‛ëtlkt zxlk |ue riux peugeaemt 0 de
mip : p{meptfætep' lgixp |ue' dlmp gl
tè`fe r xë`ëdemte d‛kpiglt kim du t x k !
lmnge' ge nxiure dep p{meptfætep lzlkemt
de aekg geuxep rexjixalm`ep |ue gep
`imtxôgep S>Q- @egl reut ziugikx dkxe |u ‛kg
evkpte dkjjëxemtp piup!nxiurep de p{mep!tfætep' ume |ueptkim pux gl|uegge miup
xezkemdximp `k!deppiup-
GEP HLPEP MEUXLGEPDE GL P[MEPTFËPKENXLRFÆAE!@IUGEUX
Riux `iarxemdxe riu x|uik `extlkmep
rexpimmep jimt g‛evrëxkem`e d‛um teg rfë!
miaæm e' xezemimp d‛lhixd pux gep hlpep
meuxlgep du txlkteaemt dep iugeuxp' dep
gettxep et dep miahxep- Gep pknmluv meu!
ximluv em rxizemlm`e de gl xëtkme pimt
d‛lhixd emzi{ëp lu `ixtev zkpueg rx kalk!
xe &Z<+' iû g‛kalne ept lmlg{pëe pegim
pep dkjjëxemtp lttxkhutp' `iaae pl `iu!
geux' pim aiuzeaemt' pl jixae et pl
rxijimdeux- Empukte' gep kmjixaltkimp
pux `ep dkjjëxemtp ëgëaemtp pimt dkptxk!
huëep zexp de m iahxeupep lkxep zkpueggep
dlmp gep xënkimp tearixlgep et rlxkë!
tlgep- Gep meuxip`kemtkjk|uep imt alkmte!
mlmt ume `immlkpplm`e lppe rxë`kpe de
gl almkæxe dimt gep `iugeuxp pimt lmlg{!
pëep- Lrxæp lzikx ëtë lmlg{pëe rlx gep
`ômep &gep xë`erteuxp de gl `iugeux+
dlmp g‛Őkg et lzikx ëtë empukte txlktëe
dlmp dep lalp &hgihp+ dlmp Z<' g‛kmjix!
altkim `igixëe de gl p`æme zkpuegge eptemzi{ëe zexp g‛lkxe fZ4 dlmp ge n{xup ju!
pkjixae- De gâ' egge ept xegl{ëe zexp gep
lkxep de `iugeux £ purëxkeuxep ³' |uk pe
txiuzemt rgup flut' rxæp de gl xënkim du
gihe rlxkëtlg lrregë n{xup lmnuglkxe- @ep
lkxep purëxkeuxep pexlkemt kargk|uëep
dlmp gep lpre`tp gep rgup pirfkptk|uëp du
txlkteaemt de gl `iugeux' `iaae gl `iu!
geux t{rk|ue de teg iu teg ihoet iu gl dkp!
`xkakmltkim de `iugeuxp lahknuãp-
Gep xerxëpemtltkimp muaëxk|uep pimt
ënlgeaemt `lg`ugëep em pukzlmt rgu!
pkeuxp ëtlrep- Ume rxeakæxe ëtlre dlmp
ge n{xup jupkjixae xe`immlít gl jixae
dep `fkjjxep &nxlrfæaep+' lgixp |ue gep
ptldep rgup tlxd kjp dlmp ge n{xup lmnuglk!
xe et ge pkggim kmtxlrlxkëtlg kmtexzkemmemt
dlmp gep `im`ertp muaëxk|uep |ue pimt
g‛ixdkmlgktë &g‛ixdxe dep miahxep' 8 ept
lzlmt 0 |u k ept guk!aïae lzlmt 4 dlmp gl
gkpte dep miahxep+ et gl `lxdkmlgktë &gl
|ulmtktë+- \ulmd gl xënkim lmnuglkxe ept
dëtxukte rlx um l``kdemt zlp`uglkxe `ëxë!
hxlg iu ume tuaeux' ge rltkemt reut em!
`ixe kdemtkjkex gep miahxep alkp me reut
rgup mk dkzkpex mk piuptxlkxe &zikx xezue
em S;Q+- Gep augtkrgk`ltkimp pimt nëmëxl!
geaemt aikmp ljje`tëep' `lx gep tlhgep
pimt piuzemt l rrxkpep rlx `Őux dlmpg‛emjlm`e et reuzemt rexaettxe de txiu!
zex ge xëpugtlt rlx xë`ktltkim zexhlge-
Aëde`kme* emjlm`e
dë`eahxe 8225rlne ::;
Jknuxe <
Jknuxe 8
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5/6/2018 Hubbard, article Médecine et Enfance - slidepdf.com
http://slidepdf.com/reader/full/hubbard-article-medecine-et-enfance 4/6
dë`eahxe olume- Gep oiuxp de gl pealk!
me' gep aikp et gep miahxep rlxtlnemt ge
aïae im`ert de pë|uem`e iu d‛ixdkml!
gktë- @fe `ep rexpimmep' `‛ept reut!ïtxe
ge `im`ert lhptxlkt de pë|uem`e muaë!
xk|ue |uk pup`kte gl `iugeux rgutôt |ue
g‛lrrlxem `e zkpuegge du pknme- \uegge ept
gl dkjjëxem`e emt xe `ep deuv nxiurep de
p{meptfætep 9 @iaae miup g‛lzimp dëoâ
xlrrixtë' lrxæp |ue gl jixae du miahxeept xe`immue dlmp ge n{xup jupkjixae' ge
aepplne ept xegl{ë zexp ge n{xup lmnu!
glkxe et ge pkggim kmtxlrlxkëtlg- Ge n{xup
lmnuglkxe ept kargk|uë d lmp ge txl kte!
aemt dep |ulmtktëp et dep pë|uem`ep mu!
aëxk|uep et dlmp ge xlkpimmeaemt lx ktf!
aëtk|ue lhptxlkt - Reut!ïtxe |ue `fe
`extlkmp p{meptfæt ep g‛kmtexjëxem`e pe
rxidukt emtxe gep deuv xënkimp de txl kte!
aemt de flut mkzelu de gl `iugeux et du
miahxe dlmp ge n{xup lmnuglkxe et mim
rlp dlmp ge n{xup jupkjixae- @egl evrgk!
|uexlkt riux|uik' fe ep rexpimmep' gl
xerxëpemtltkim lhptxlkte du miahxe iu
g‛kdëe de miahxe ëzi|uëe rlx gep oiuxp
de gl pealkme iu gep aikp de g‛lmmëe
pup`k te jix teaemt gl `iugeux - Em
d‛lutxep texaep' kg { luxlkt dkjjëxemtep
jixaep de p{meptfëpke pukzlmt gep xë!
nkimp du `exzelu dlmp gep|ueggep p‛ev!
rxkae ge næme xeprimplhge- Gep p{mep!
tfætep de £fl ut mkzelu ³ pexlkemt `euv
dimt g‛evrëxkem`e pexlkt `iaalmdëe rlx
ge `im`ert muaëxk|ue' lgixp |ue gep p{!
meptfætep de £hlp mkzelu ³ pexlkemt `euv
dimt g‛evrëxkem`e pexlkt `iaalm dëe
peugeaemt rlx g‛lrrlxem`e rf{pk|ue-@ette f{ritfæpe mim peugeaemt ev!
rgk|ue gl `immevkim emtxe `iugeuxp et
Jknuxe 0
Fëakprfæxe nlu`fe
@ette `imjknuxlt kim lm ltiak|ue' gl
rxivkaktë dep xënkimp txlktlmt gep `iu!
geuxp et gep miahxep dlmp ge n{xup jupk!
jixae et dlmp ge n{xup lmnuglkxe' punnæ!
xe |ue gl p{meptfëpke miahxe!`iugeux
riux xlkt ïtxe gl `impë|uem`e d‛exxeu xp
de `èhglne emtxe `ep xënkimp prë`klgk!
pëep &jknuxe 0+ S6Q- Gl p{meptfëpke ept piu!
zemt rxëpemte `fe rgupkeuxp aeahxep
d‛ume aïae jlakgge et ge p`fëal de
txlmpakppkim punnæxe jixteaemt u me hl!
pe nëmëtk|ue â e rfëmiaæme- Reut!ïtxe
|u‛ume autltkim nëmëtk|ue emtxl íme um
dëjk`kt d‛ëgkakmltkim d e `immevkimp rxë!
evkptlmtep emtxe `ep xënkimp |uk pimt
mixalgeaemt përlxëep lu `iuxp du dë!
zegirreaemt nxè`e â dep rflpep d‛ëgl!
nlne de `immevkimp evuhëxlmtep- Pk et!
te autltkim p‛evrxkae de jlîim kmfiai!
næme dlmp gep tkppup' `egl evrgk|uexlkt
riux|uik `extlkmp p{meptfætep `imme`!
temt `iugeuxp et miahxep tlmdkp |ue
d‛lutxep zikemt dep `iugeuxp |ulmd kgp
emtemdemt dep p{gglhep iu dep mitep de
aupk|ue- Mite lupp k |u‛l gixp |uerxep|ue tiu tep gep xënkimp `ëxëhxlgep
reuzemt ïtxe `imme`tëep lze` m‛karixte
|uegge lutxe' gep xënkimp |uk rxëpemtemt
`ep exxeuxp de `èhglne pimt rxi`fep gep
umep dep lutxep' evrgk|ulmt riux|uik
`extlkmep jixaep de p{meptfëpke pimt
rgup jxë|uemtep |ue d‛lutxep-
@fe `extlkmp p{meptfætep' miup lzimp
txiuzë |ue gep `fkjjxep piup geux jixae
xialkme &Z riux 5+ m‛ëzi|ulkem t lu`u!
me `iugeux- @e jlkt ept karixtlmt' `lx kg
punnæxe |ue' riux `ep puoetp' `e m‛ept
rlp ge `im`ert mu aëxk|ue 5' alkp gl jix!
ae rf{pk|ue du `fkjjxe |uk ept lppi`këe
â gl `iugeux- @ette ihpexzltkim ept `ifë!
xem te lze` g‛kdëe |u e gep `immevkimp
evuhëxlmtep pe txiuzemt riux `ep puoetp
dlmp ge n{xup jupkjixae' `ette ptxu`tuxe
ëtlmt rxkm`krlgeaemt kargk|uëe dlmp
g‛lml g{pe dep jixaep zkpueggep et mim rlp
dlm p gl pknmkjk`ltkim `im`ertuegge du
`fk jj xe - @ep p{mep tfæ tep de £ hlp
mkzelu ³ ëtlkemt `euv |uk lzlkemt gep
aekggeuxep rexjixalm`ep dlmp mitxe
tè`fe de pltuxltkim &jknuxe 8+-
Mëlmaikmp' riux d‛lut xep p{meptfætep'
aïae gep oiuxp de gl pealkme iu gepaikp de g‛lmmëe ëzi|uemt dep `iugeuxp-
Gumdk reut ïtxe zext' aex`xedk xipe et
gettxep iu miahxep' alkp luppk ge xlr!
rixt d ‛um p{meptfæte |uk dkt xeppemtkx um
niót dlmp gl hiu`fe |ulmd kg emtemd
dep aitp- Lkmpk `ette pempltkim pexlkt
due lu jlkt |ue ge `ixtev ludktkj et ge
`ixtev du niót pimt ldol`emtp xepre`tk!
zeaemt dlm p ge gihe tearixl g purëxkeux
et dl mp g‛kmpugl- De gl aïae jlîim' nió!
tex dep jixaep riuxxlkt ïtxe dó â dep
`immevkimp emtxe ge `ixtev du niót dlmp
g‛kmpugl et gl xerxëpemtltkim ldol`emte
de gl alkm d lmp ge `ixtev pialtipempi!
xkeg- Dlmp ge `lp de gl p{meptfëpke mitep
de aupk|ue et `iugeux' gep xënkimp ka!
rgk|uëep pimt gikm g‛ume de g‛lutxe &ge
`ixtev ludktkj et Z4+' alkp kg evkpte dep
rxeuzep |ue d ep `immevkimp gimnue dkp!
tlm`e emtxe `ep deuv xënkimp pimt rxë!
pemtep â gl mlkpplm`e- Gl rexpkptlm`e de
`ep `immevkimp evrgk|uexlkt gl p{meptfë!
pke mitep de aupk|ue!`iugeux' aïae pk
`ette p{meptfëpke aet em oeu dep xënkimp
ëgiknmëep-
ËTUDEP D‛KALNEXKEJIM@TKIMMEGGEDEP P[MEPTFËPKEPNXLRFÆAE!@IUGEUX
Riux teptex `ette tfëixke' miup lzimp
aemë ume ëtude d‛kalnexke rlx xëpi!
mlm`e alnmëtk|ue jim`tkimmegge `fe
: p{meptfætep et : `imtxôgep- Miup lzimp
aepuxë gep l`tkzltkimp dlmp gep xënkimp
`ëxëhxlgep xërimdlmt â gl `iugeux rem!
dlmt |ue gep puoetp xenlxdlkemt dep
gettxep iu dep miahxep' em hglm` pux um
jimd nxkp' |uk lgtexmlkemt lze` dep p{a!
higep mim gkmnukptk|uep lrrlxkëp |ulmt â
gl `iargevktë zkpuegge de hlp mkzelu-
@iaae ge rx ëdkplkt mitx e f{ritfæpe' gep
p{meptfætep lzlkemt rgup d‛l`tkzktë |ue
gep `imtxôgep dlmp tiutep gep xënkimp zk!
pueggep de txlkteaemt rxë`i`e' et mitla!
aemt dlmp fZ4' gl xënkim xërimd lmt pë!
ge`tkzeaemt â gl `iugeux - De rgup' gep p{!
meptfætep |uk l zlkemt gep aekggeuxep rex!
jixalm`ep dlmp gep deuv tè`fep dë`xktep
`k!deppup lzlkemt ënlgeaemt gl rgup jix!
te l `tkzltkim dlmp f Z4' punnëxlmt |uegep p{meptfætep riuxxlkemt dkjjëxex rlx
g‛kmtempktë de geux `igixltkim p{meptfë!
Aëde`kme* emjlm`e
dë`eahxe 8225rlne :>2
|ulmtktë eprl`e
nxlrfæaep
`iugeux &fZ4+
5/6/2018 Hubbard, article Médecine et Enfance - slidepdf.com
http://slidepdf.com/reader/full/hubbard-article-medecine-et-enfance 5/6
pk|ue S>Q- @ep dkjjëxem`ep riuxxl kemt ënl!
geaemt ïtxe duep â gl dkptkm`tkim £flut
et hlp mkzelu ³ de txlkteaemt |ue miup
lzimp piugknmëe `k!deppup' alkp `egl më!
`eppkte rgup de xe`fex`fe-
Ume ëtude em KXAj lmtëxkeuxe lzlkt ëtu !
dkë gl p{meptfëpke aitp emtemdup!`iu!
geux et lzlkt aimtxë ume lunaemtltkim
de g‛l`tkzktë dlmp fZ4 `fe gep p{mep!
tfætep' pkakglkxe â `egge |ue miup lzimp
dë`xkte dlmp gl p{meptfëpke nxlrfæae!
`iugeux S<2Q- De rgup' dlmp `ette ëtude'
gep luteuxp lzlkemt emtxlímë gep puoetp
`imtxôgep â kalnkmex gep aitp em `iu!
geux et lzlkemt aimtxë |ue' algnxë g‛em!
t xl ímeaemt ' g ep mim!p{mep tfætep
m‛lzlkemt rlp d ‛l`tkzltkim d lmp fZ4- @ep
xëpugtltp mim peugeaemt aimtxemt gl në!
mëxlgktë de g‛kargk`ltkim de Z4 dlmp gl
rex`ertkim p{meptfëpk|ue dep `iugeuxp'
alkp dëaimtxemt |ue `ette l`tkzltkim
me reut rlp ïtxe due pkargeaemt â dep
kmjguem`ep dep`emdlmtep & tir!di~m+
`iaae dlmp g‛kalnexke aemtlge- Rxkp
empeahge' `ep xëpugtltp pimt em jlzeuxdu aidæge nëmëxlg d ‛l`tkzltkim `xikpëe
|ue m iup lzimp rxiripë ` k !deppup -
Mëlmaikmp' pkargeaemt aimtxex |ue
`ep xënkimp pimt l`tkzep m‛evrgk|ue rlp
titlgeaemt geux xôge jim`t kimmeg ' mk
|ueggep pimt gep kmtexl`tkimp emtx e næmep
et emzkximmeaemt riuzlmt `imdu kxe â gl
p{meptfëpke-
GEP ËTUDEPDËZEGIRREAEMTLGEP
DE GL P[MEPTFËPKETiut `e |ue miup lzimp xë`eaaemt lr!
rxkp pux gl p{meptfëpke rxizkemt d‛ëtudep
`fe g‛ldugte- @ep xëpugtltp kmtxknlmtp
`imdukpemt riuxtlmt â tiute ume pëxke
de |ueptkimp pux gl almkæxe dimt gl p{!
meptfëpke pe dëzegirre- Rlx evearge' pk
g‛f{ritfæpe de g‛ëglnlne de `immevkimp
evuhëxlmtep ept oupte' miup d ezxkimp
miup lttemdxe â txiuzex rgup de p{mep!
tfætep `fe gep emjlmtp |ue `fe gep
ldugtep' rukp|ue g‛ëgkakmltkim p{mlr!
tk|ue pe riuxpukt remdlmt g‛emjlm`e oup!
|u‛â g‛ldigep`em`e- De gl aïae jlîim'ëtlmt dimmë |ue gl p{meptfëpke l ume
`iariplmte nëmëtk|ue alkp dëremd de
p{ptæaep lrrxkp `iaae gep gettxep' gep
`fkjjxep et gep mitep de aupk|ue' |ueggep
reuzemt ïtxe gep kmtexl`tkimp emtxe në!
mëtk|ue et evrëxkem`e |uk `imdukpemt â
gl jixae ldugte de p{meptfëpke 9
Gl |ueptkim de plzikx pk gl p{meptfëpke
ept rgup jxë|uemte `fe gep emjlmtp m‛l
rlp ëtë emzkplnëe dlmp gep ëtudep xë!
`emtep- Mëlmaikmp' dep d immëep ihte!
muep dlmp gep rxeakexp tearp de gl xe!
`fex`fe pux gl p{meptfëpke punnæxemt
|ue `egl ept ejje`tkzeaemt ge `lp &riux
ume xezue zikx S<<Q+- Rlx evearge' Nlg!
tim' em <660' l mitë gl temdlm`e riux
gep emjlmtp â ïtxe rgup p{meptfætep |ue
gep ldugtep- @flxgep Ae{exp' em <;<4' l
luppk xealx|uë `ette temdlm`e et l pun!
nëxë |u‛kg p‛lnkpplkt oupte d‛ume dep mia!
hxeupep £rex `ertkimp kmdkjjëxem`këep ³
`iaaumep luv emjlmtp- Fekm ^exmex'
em <;42' l punnëxë |ue gl p{meptfëpke
riuxxlkt `im`exmex um emjlmt pux deuv
et |ue gl rxëzlgem`e de gl p{meptfëpke
dkakmue lze` g‛ène lrxæp dkv lmp- Mëlm!
aikmp' lu`um de `ep luteuxp m‛l utkgkpëgep t e`fmk|uep evrëx kaemtl gep ai!
dexmep riux zëxkjkex gl ptlhkgktë et ge pë!
x keuv de `ep lppi`klt kimp p{meptf ë!
pk|uep- Rlx evearge' kgp me pe pimt rlp
lppuxëp de dkptkmnuex emtxe p{meptfëpke
et rippkhkgktë de aëtlrfixe' iu lutxep
kalnep- Kg p‛lnkt dim` `glkxeaemt d‛ume
|ueptkim |uk dikt ïtxe xëevlakmëe lze`
gep aëtfid iginkep rgup jklhgep |uk pimt â
mitxe dkpripktkim alkmtemlm t-
Ume lutxe |ueptkim dëzegirreaemtlge
kmtëxepplmte ept gl xegltkim emtxe nëmë!
tk|ue et evrëxkem`e dlmp ge dëzegirre!
aemt de `extlkmep lppi`kltkimp p{mep!
tfëpk|uep- Hkem |u‛kg pikt `glkx |u‛kg evkp!
te ume `iariplmte nëmëtk|ue dlmp gl
p{meptfëpke' gl `im`ixdlm`e' aïae rlx!
ak dep ouaeluv aimi{nitep' m‛ept rlp
rlxjlkte' punnëxlmt ënlgeaemt u me `ia!
riplmte emzkximmeaemtlge S<8Q- Dlmp
ume ëtu de xë`emte de gl p{meptfëpke
niót!aitp emtemdup' Olake ^lxd et Ou!
gkl Pkmmex imt aimtxë |ue geux p{meptfæ!
te OK^ xeppemtlkt dep niótp |uk ëtlkemt
gkëp lu `imtemu pëalmtk|ue et rfimë!
tk|ue dep aitp' dëaimtxlmt l kmpk |ue
dep jl`teuxp gkmnukptk|uep et `im`ertuegp oiuemt um xôge dlmp gep lppi`kltkimp p{!
meptfëpk|uep S<0Q- Ume lutxe ëtude xë!
`emte l aim txë |ue' `fe dep lmngi!
rfimep' ge x ept rlx evearge rgup piu!
zemt lppi`kë lu xiune &xed em lmnglkp+
et ge n rgup piuzemt lu zext &nxeem em
lmnglkp+' punnëxlmt um hklkp dlmp gep lp!
pi`kltkimp `igixëep dó â gl dëmiakml!
tkim dep `iugeuxp- Mëlmaikmp' `ette l p!
pi`kltkim m‛ept rlp rlxjlkte' i ëtlmt piu!
zemt rexîu `iaae mikx iu hglm` et mim
`iaae ixlmne S<4Q- @fe d‛lutxep p{mep!
tfætep' emtemdxe ge ait £xiune ³ geux
jlkt zikx du zext ' um ejjet |ue Nxl{ et pep
`iggænuep S<5Q imt puxmiaaë £g‛ejjet de
`iugeux ëtxlmnæxe ³ &lgkem `igix ejje`t ?
L@E+- Miup lzimp miup!aïaep xlrrix!
të ge `lp d‛um p{meptfæte |uk lzlkt um
txiuhge de gl zkpkim dep `iugeuxp &dëjk`kt
em `ômep p+ et lzlkt dep dkjjk ugtëp â dkp!
tkmnuex gep hgeup dep zkigetp- Mëlm!
aikmp' kg xlrrixtlkt |u‛kg rex`ezlkt dep
`iugeuxp p{meptfëpk|uep |u‛kg me riuzlkt
rlp zikx dlmp ge aimde xëeg S:' 6Q- Em xë!
puaë' `ep xëpugtltp `imtxldk`tikxep pun!
næxemt um xôge karixtlmt de g‛emzkxim!
meaemt riux dëtexakmex |ueggep pimtgep lppi`kltkimp p{meptfëpk|uep gep rgup
rxihlhgep' alkp punnæxemt ënlgeaemt
|u‛kg evkpte um `extlkm denxë d‛lgëltikxe
dlmp gep `immevkimp nëmët k|ueaemt
prë`kjkëep |uk dëtexakmeximt |ueggep
pimt gep lppi`kltkimp |ue ge p{meptfæte
ërxiuzexl-
@IM@GUPKIMP
G‛ëtude de gl p{meptfëpke l evrgipë rem!
dlmt `ep dkv dexmkæxep lmmëep- Lu jux et
â aepuxe |ue gep fex`feuxp imt evrgixë
`e rfëmiaæme ëmknaltk|ue' kgp imt ru
aimtxex |ue `ep `iugeuxp p{meptfë!
pk|uep imt dep `impë|uem`ep rex`er!
tkzep' dëaimtxlmt gl xëlgktë de `e rfë!
miaæme- Gep ëtudep de meuxi!kalnexke
imt a imt xë |ue gep p{mep tfætep |uk
zikemt dep ptkaugup kmdukplmt dep rex!
`ertkimp `igixëep imt ejje`tkzeaemt dep
l`tkzltkimp dlmp gep xënkimp `ëxëhxlgep
txlktlmt gl `iugeux' punnëxlmt |ue gl p{!
meptfëpke ept due â dep i!l`tkzltkimp de
xënkimp ldol`emtep du `exzelu kargk!
|uëep dlmp ge txlkteaemt de gl `iugeux
et dlmp ge txlkteaemt du miahxe- Lgixp|u‛kg ept `glppk|ueaemt l``ertë |u‛kg
evkpte ume `iariplmte nëmëtk|ue dlmp
Aëde`kme* emjlm`e
dë`eahxe 8225rlne :>0
5/6/2018 Hubbard, article Médecine et Enfance - slidepdf.com
http://slidepdf.com/reader/full/hubbard-article-medecine-et-enfance 6/6
`e rfëmiaæm e' kg ept më`epplkxe de glm!
`ex dep xe`fex`fep riux dëtexakmex
evl`teaemt gl rlxt de `ette `iariplmte
et gl almkæxe dimt `ette dexmkæxe kmtex!
lnkt lze` dep jl`teuxp emzkximmeaem!
tluv riux `xëex gep lppi`kltkimp rxë`kpep
|ue gep p{meptfætep xeppemtemt- @egl ept
um ihoe`tkj eppemtkeg riux gep jutuxep xe!
`fex`fep de `e dialkme iû rëdkltxep et
rp{`figinuep du d ëzegirreaemt de!
zxlkemt `igglhixex riux akeuv `ia!
rxemdxe `e rfëmiaæme `uxkeuv-
Aëde`kme* emjlm`e
dë`eahxe 8225rlne :>4
Xëjëxem`ep
S<Q NLGTIM J- ? £@igiux lppi`kltkimp³' km HLXIM!@IFEM P-'
FLXXKPIM O-E- ? P{mleptfepkl ? @glppk` lmd `imt earixlx{ xel!
dkmnp' <662' Hgl c~egg' Ivjixd' Emnglmd 3 r- 40!6-
S8Q NLGTIM J- ? £Zkpulgkped muaexlgp³' Mltuxe' <662l3 8< ? 858!
:-
S0Q HLXIM!@IFEM P-' FLXXKPIM O-' NIGDPTEKM G-F-' ^[CEA- ? £@igiuxed pree`f rex`ertki m ? Kp p{mleptfepkl ~flt flr!
remp ~fem aiduglxkt { hxelcp di~m 9³ Rex`ertkim' <;;0 3 88 &4+ ?
4<;!:-
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O-G- ? £Um`imp`kiup rxkakmn egkakmltep lutialtk` hkmdkmn ij `i!
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