Transition of Care. Группа авторов

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      Philippe Touraine, MD, PhD

      Centre de Référence des Maladies Endocriniennes Rares de la Croissance et du

      Développement des Pathologies Gynécologiques Rares, Institut E3M-ICAN, Hôpitaux

      Universitaires Pitié-Salpêtrière Charles-Foix, Médecine Sorbonne Université

      47–83, boulevard de l’Hôpital, FR–75651 Paris Cedex 13 (France)

      E-Mail [email protected]

      Michel Polak, MD, PhD

      Pediatric Endocrinology, Gynecology and Diabetology, Centre de Référence des Pathologies

      Gynécologiques Rares et des Maladies Endocriniennes Rares de la Croissance et du

      Développement, Hôpital Universitaire Necker Enfants Malades, Université Paris Descartes

      149, rue de Sèvres, FR–75015 Paris (France)

      E-Mail [email protected]

      General Concepts

      Polak M, Touraine P (eds): Transition of Care: From Childhood to Adulthood in Endocrinology, Gynecology, and Diabetes. Endocr Dev. Basel, Karger, 2018, vol 33, pp 10–16 (DOI: 10.1159/000487522)

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“Child-Adult” Transition – Adolescence: When Illness Appears…

      Sabine Malivoir^{a, b, d} · Karinne Gueniche^{c, e}

      ^aReference Centre for Rare Endocrine Growth Disorders, Hôpital Robert-Debré and Hôpital Pitié-Salpêtrière, ^bEcole des Psychologues Praticiens, and ^cReference Centre for Rare Endocrine and Gynaecological Disorders, Hôpital Universitaire Necker Enfants Malades, Paris, ^dHealth Education Laboratory, UFR SMBH, Paris 13 University, Bobigny, and ^eClinical Psychology and Psychopathology Laboratory, EA 4056, Paris Descartes University, Boulogne-Billancourt, France

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      Abstract

      Considering the patient’s transition from child to adolescent to adult and its psychological aspects in endocrinology and diabetology, it is necessary to recall the child’s psycho-affective development when he enters adolescence. Indeed, adolescence appears paradigmatic of the “child-adult” transition; it is a specific and decisive psychic process which allows the child to become an adult, that is to say autonomous and subject to his desire. In our paper, we study the resonance of a chronic disease in young people; type 1 diabetes is chosen.

      © 2018 S. Karger AG, Basel

      Perhaps talking about the psychological aspects of patients monitored using endocrinology and diabetology who are embarking on the “child-adolescent-adult” transition principally means remembering that it is a matter of the psycho-emotional development of the child as they enter adolescence. We actually see adolescence as a paradigm of the child’s transition to adulthood, in so far as it is a required and necessary passage that the child has to go through to become an adult, i.e. independent and with their own free will. It also involves assessing what “being pubescent” means psychologically in order to consider