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Glossary entry

French term or phrase:

enfermement/repli sur soi

English translation:

self-withdrawal/withdrawn behaviour

Added to glossary by abe(L)solano
Mar 10, 2022 09:39
2 yrs ago
32 viewers *
French term

problème psychiatrique d'enfermement

French to English Medical Medical (general)
This term is used in relation to a child with behavioural and other problems. I don't have any other information. There is some explanation of this notion here: http://pedopsychiatrie-angers.fr/Publications3/L enfermement...

many thanks!
Proposed translations (English)
5 +4 self withdrawal/withdrawn behaviour (leading to psychiatric issues) or psychiatric withdrawal
4 psychiatric problem/s of confinement
4 -1 psychiatric aftermath of internment
Change log

Mar 24, 2022 07:09: abe(L)solano Created KOG entry

Mar 24, 2022 07:10: abe(L)solano changed "Edited KOG entry" from "<a href="/profile/1339205">abe(L)solano's</a> old entry - "enfermement/repli sur soi"" to ""self withdrawal/withdrawn behaviour""

Discussion

Nikki Scott-Despaigne Mar 14, 2022:
@ Barbara
No problem. ;-) As to "alexityhmia", it could only ever be part of the picture in "enfermement" which is much wider. It was commonly considered to be related to something psychosomatic, addiction(s) and PTSD. It is used more widely now but remains related to the ability to use words, whereas the "enfermement" is about cutting oneself off (involuntarily and as opposed to "isolement", with ref. to the article in Jane's post).

@ abe(L)solano
"Repli sur soi" is the expression that sprung to my mind too. People without any psychiatric or neurodevelopmental problems can also demonstrate this type of behaviour, typically (moody) teenagers. Clearly, this type of terminology is used in the case of people on the autism spectrum and also in a host of other neurodevelopmental and other conditions, typically anxiety and depression.



Barbara Cochran, MFA Mar 14, 2022:
Autistic Behvior VS Behavior As Reaction To Trauma While autism is a condition one is born with and persists throughout an individual's life, one caused by some trauma that has been inflicted on someone by another individual or individuals, or by some catastrophic event in nature, is indeed different. I would be interested in finding out if the asker can shed some light, i.e., give some very specific details, about the child in question (while at the same time respecting confidentiality) so we can have a better idea of what is really going on with this patient.
Cécile A.-C. Mar 14, 2022:
@abe(L)solano retrait/repli sur soi You're absolutely right for the above terms but sometimes people use them interchangeably with isolement ou enfermement.
abe(L)solano Mar 14, 2022:
retrait et repli sur soi (attitude) Hi, just following (superficially) here, 'cause I got work, but wanted to say that in my opinion, there's no autistic spectrum involved here. From the reference given by the asker, which I did saw and read before answering, it was pretty clear to me that this was withdrawn behaviour. Maybe because in Spanish we have the very-well known expression encerrarse sobre sí mismo/sobre uno mismo, which is typical when describing some teens and apathetic people. I think 'enfermement' doesn't help at all and maybe that generated confusion, since 'repli sur soi' is clearly the conduct being presented (by the asker and her ref.) and the most common idiomatic expression in French (France) to describe it. See:
https://www.penser-et-agir.fr/repli-sur-soi/
'Dans la majorité des cas, le repli sur soi se manifeste suite à un traumatisme du passé.'
https://solidarites-sante.gouv.fr/IMG/pdf/Guide_Souffrance_p...
'Le changement d’attitude avec retrait, repli sur soi, ou au contraire, chez le garçon surtout, proposdésabusés, voire provocateurs'
The academic references in English for "withdrawn/self-withdrawal" behaviour and effects speak for themselves. Cheers
Barbara Cochran, MFA Mar 14, 2022:
Not At All No, no, you didn't offend me at all, not in this case, anyway. I'm sorry you got that impression. Yes, I also thought about how "alexithymia", even though it might actually refer to the condition of the patient in question, if only to a certain degree (because most psy conditions are assessed as such, anyway), should not be the translation in this case, because it would have to be a direct translation of the French version of the term. I was instead thinking about it in terms of the patient's inability to express her/his feelings, a feature that is often present in autistic people. Autistic behavior is sometimes considered to be a behavioral feature that is found with "alexithymia". Features of autism: https://www.medicalnewstoday.com/articles/323758#features
Nikki Scott-Despaigne Mar 14, 2022:
@Barbara I seem to have offended you. I was not talking about me as such, but about my experience. Two different things. I presented my background for transparency and context. I aimed to underline some of the specificities of the psychoanalytical tradition in France, some of which are quite distinct. Leads such as this can help direct searches and therefore be totally relevant and useful. I don't doubt for an instant that zillions of people are aware of the PA/CB debate and have been for quite some time. I am less certain of the extent to which the Asker is familiar with some of the specificities of French psychology and of how it might be relevant with reference to the text she cited in her post. I agree that the main difficulty is how little the Asker has to go on in terms of context.

“Alexithymia”, a difficulty in describing or expressing one’s emotions (absence of words for emotions/feelings), may be present as a feature of the “enfermement” here. The Asker has very little to work with but the author has not used “alexithymia” which they would have done, had that been the extent of their intention. There is nothing in "enfermement" to suggest it is limited to words.
Barbara Cochran, MFA Mar 14, 2022:
William Tuke, Ahead Of His Time In This Field https://pubmed.ncbi.nlm.nih.gov/24944052/
Barbara Cochran, MFA Mar 13, 2022:
So you have certainly said a lot about yourself and about the debate that has been going on between psychoanalysts and the cognitive behaviorists (some of us, including myself, have known about it for 20 years or more). But what about "alexithymia" in this case? After all, we are trying to answer the asker's question. The quandary in this case resides in the fact that the asker cannot determine the actual context herself. And then there is the fact that a psychiatrist would say that certain patients can only improve as a result of a hospitalization, without, in the moment, worrying about the possibility of relapse. So that might be used as a rationale to not say in this case that, in the aftermath of a hospitalization, a patient might have issues as a result. Although, based on what I've read about the kind of cruel things/treatments that went on in psychiatric hospitals in the old days, I can certainly see why those patients could have had flashback issues after their release! A 19th-century English gentleman named Tuke, who opened his home to these kinds of patients and treated them like guests, certainly seemed to be someone who had the right idea about how to help such people.
Nikki Scott-Despaigne Mar 13, 2022:
Comments 3 of 3 The problem I have here is with the lack of context. It is possible for two of the many meanings to co-exist. From a developmental point of view, there is nothing in the stand-alone phrase that confirms which meaning is intended. Without the source in Jane RM’s post, this would remain ambiguous. If there is certainty that this is related to the psyche, then this describes a “psychiatric problem of psychological confinement”. I’m not happy with that though without more specific context: in a sentence, a paragraph, a title, something more as on its own, I certainly wouldn’t want to post an answer.
Nikki Scott-Despaigne Mar 13, 2022:
Comments 2 of 3 The source cited is couched in terms describing notions from a classic French psychoanalytical approach. So, it would be good if the terms used reflected that field where possible. Check the dates of most of the bibliographic references. What I’d be wary of using:
- "locked" as it conjures up images of "locked-in syndrome" which is not what this is
- "withdrawal" can of course lead to connotations of physical withdrawal in a context of addiction
- "psychic" which immediately conjures up images of the supernatural

"Confinement" is an interesting term here and one worth exploring. It is polysemic, as is “enfermement”. It scores a point there as it requires qualification and explanation. I'd probably qualify that with "psychologically" or "mentally". Alternatively, it could be worded with the noun "psyche". I’d not venture any suggestion without further context though, even supposing that “psyche” is the correct reading.
Nikki Scott-Despaigne Mar 13, 2022:
Comments 1 of 3 Context : is there certainty that the “enfermement” here is mental and not institutional? (I have read the source reference in the Asker’s post). Is the phrase from a sentence, an title or is it in a list? Grammatically speaking, “psychiatric” describes “problème”, yet quite how to interpret that with reference to “enfermement” is not certain. Note again, that I have read the source where “isolation” and “enfermement” is described with reference to the psyche and not to the physical.

I qualified as a clinical psychologist in France in 2019. I am a native speaker of English (UK). I did clinical internships, including one in adult psychiatry in Tours and in child and adolescent psychiatry in a Parisian hospital (APHP Pitié Salpêtrière). My training is in an "integrative" approach, meaning that I am trained in a range of approaches and not in one set of theories to be adopted and applied with a one-size-fits-all approach. French psychiatry and psychology are rather split, although things are changing. In the background however, an academic debate has been raging for years between those who use a particular French type of psychoanalysis, the cognitivists/behaviouralists.
Barbara Cochran, MFA Mar 10, 2022:
Alexithymia? The inability to express one's feelings:

https://www.psychiatrictimes.com/view/when-patient-has-no-st...

https://dictionary.cambridge.org/us/dictionary/french-englis...

Proposed translations

+4
2 hrs
Selected

self withdrawal/withdrawn behaviour (leading to psychiatric issues) or psychiatric withdrawal

I think this is suited in the context of behavioral problems in childhood and the reference given by asker (http://pedopsychiatrie-angers.fr/Publications3/L enfermement...
Nothing to do with a (physical) confinement.

https://www.researchgate.net/profile/Mohit-Kumar-206/publica...
Children exhibiting symptoms of self withdrawal, self talking inappropriate for age, undue suspiciousness or fearfulness, anxiety or depressive symptoms, sleep disturbance

https://strugglingteens.com/artman/publish/article_5111.shtm...
Self withdrawal becomes a concern only when the parent feels the teen is too uncomfortable.
Shy or Withdrawn Behavior as Destructive or Maladaptive

https://ir.canterbury.ac.nz/handle/10092/100885
Shame regulation strategies used by children and adolescents : a systematic scoping and narrative review. (2020)
The framework includes compass of shame regulation strategies attack self, withdrawal,
attack other, avoidance

"psychiatric withdrawal" is more intended to describe problems in patients after treated with drugs:
https://pure.roehampton.ac.uk/ws/portalfiles/portal/2347110/...
https://books.google.fr/books?id=bSJz2m-Y0mAC&pg=PA405&lpg=P...


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Note added at 2 horas (2022-03-10 12:19:00 GMT)
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@JANE:
Tout á la fin de votre réference, vous avez les 'keywords' !:
Key words : Psychological locking up, Withdrawal, Isolation, Desolation, Fetishistic relation
Alors, c'est bien "self-withdrawal"/"withdrawn behavior"
Peer comment(s):
neutral liz askew : isn't "psychological locking up" the translation for "l'enfermement? in the article
7 hrs
I haven't found reliable material in English using "Locking-up" as synonym / variant of psychic withdrawal, but I think this is much adequate than issues derived from confinement ;-) Probably "locking-up" is an 'invention' of the authors
agree Daryo
1 day 15 hrs
Thanks!
agree Corinne Jeannet
2 days 5 hrs
Thanks!
agree Nikki Scott-Despaigne : "Withdrawn behaviour" rather than "self-withdrawal", the latter potentially suggesting choice, which appears to be one of the elements setting "enfermement" apart from "isolation".//Nice ref. Used Rubin's work in a project on friendship.
3 days 21 hrs
Thank you, Nikki. Yes, definitively is a behaviour. Why did they use "enfermement" instead of the more common "plié sur lui-même" is something I ignore. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800115/ Cheers
agree Dragon Fly (X)
8 days
Thank you, Dragon!
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
53 mins

psychiatric problem/s of confinement

https://www.levif.be/actualite/sante/coronavirus-ce-que-le-c...

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Note added at 53 mins (2022-03-10 10:33:17 GMT)
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enfermer | translate French to English: Cambridge Dictionary
https://dictionary.cambridge.org › dictionary › enfermer
2 Mar 2022 — enfermer translate: to confine, confine, encase, lock in, lock up, shut. Learn more in the Cambridge French-English Dictionary.

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Note added at 54 mins (2022-03-10 10:34:18 GMT)
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Restraint, confinement still an everyday practice in mental ...
https://www.sciencedaily.com › releases › 2015/07
6 Jul 2015 — ... services still rely on intervention techniques such as physical restraint and confinement to control some psychiatric hospital patients, ...

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Note added at 57 mins (2022-03-10 10:36:54 GMT)
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l'enfermement en psychiatrie ? - Cairn
https://www.cairn.info › load_pdf
by L Velpry · 2016 · Cited by 7 — mement dans ses relations avec l'intervention psychiatrique. “Modernizing” psychiatric confinement? The case of units for difficult patients.

Formes et régulations de l'enfermement psychiatrique
https://journals.openedition.org › con...
· Translate this page
by B Eyraud · 2013 · Cited by 8 — En restituant l'évolution des pratiques psychiatriques d'enfermement à partir de leur ... Through the analysis of the evolution of psychiatric confinement ...

Formes et régulations de l'enfermement psychiatrique: de la création ...
https://www.researchgate.net › publication › 276302586_...
Through the analysis of the evolution of psychiatric confinement practices and their legal and organizational control, it highlights the persistence of coercion ...

Confinement : "Dès la deuxième semaine, il y a une altération ...
https://www.francetvinfo.fr › maladie
· Translate this page
8 Apr 2020 — Confinement : "Dès la deuxième semaine, il y a une altération du bien-être mental", explique un psychiatre. C'est l'une des constations ...

Cultures & Conflits
https://ciaotest.cc.columbia.edu › journals
PDF
by B EYRAUD · 2013 · Cited by 8 — Formes et régulations de l'enfermement psychiatrique: de la création ... the use of psychiatric confinement over a century in a particular ...

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Note added at 10 hrs (2022-03-10 20:01:37 GMT)
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The Metamorphosis by Franz Kafka - Goodreads
https://www.goodreads.com › book › show › 485894.T...
His imprisonment, or rather, his confinement from the company of others, had a devastating affect upon his mental well-being and in turn, affected his physical ...

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Note added at 10 hrs (2022-03-10 20:04:41 GMT)
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see here your article in relation to Kafka:

Il est probable que Kafka, quand il écrit
La Métamorphose, se réfère à ce
passage, écrit cinq ans plus tôt. A la différence de
Préparatifs de noce, dans
lequel le narrateur se débarrasse de son corps, cherche un refuge en épousant la
forme d'un scarabée dispensé de réaliser ses projets,
La Métamorphose illustre
un personnage, Grégor Samsa, prisonnier de son corps que soudain il ne
reconnaît plus, mais qui constitue l'unique réalité. Toute évasion lui est
désormais interdite. Enfermement agi d'un côté, enfermement subi de l'autre...
mais enfermement dans les deux cas, et, dans les deux cas, relation au corps
distordue, à la fois cause et effet de l'enfermement.

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Note added at 10 hrs (2022-03-10 20:07:47 GMT)
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Consequences of COVID-19 Confinement on Anxiety, Sleep ...
https://www.frontiersin.org › fpsyg.2021.565516 › full
by R Lavigne-Cerván · 2021 · Cited by 32 — In order to test for differences in the mental health consequences of the COVID-19 confinement for children and adolescents based on sex, ...


Mental Health of Adolescents during the Pandemic - Frontiers
https://www.frontiersin.org › research-topics › mental-h...

... home confinement and isolation, and their psychiatric influence on mental ... Mental Health of Adolescents during the Pandemic: Consequences of Social ...

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Note added at 10 hrs (2022-03-10 20:09:01 GMT)
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to me

retrait, repli sur soi = withdrawal

see


Repli sur soi, retrait, Isolement : Test Cop-U, Thème 5 - Psyway
https://www.psyway.fr › repli-sur-soi...
· Translate this page
28 May 2021 — Un certain repli sur soi accompagne tous les troubles psychiques. · par exemple une anxiété chronique, des TOCs, des préoccupation ...

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Note added at 1 day 3 hrs (2022-03-11 12:59:50 GMT)
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Dictionnaire des synonymes : enfermer - Larousse
https://www.larousse.fr › dictionnaires
· Translate this page
enfermer. verbe. 1. Mettre dans un lieu fermé. Synonyme : claquemurer, cloîtrer, confiner, détenir, écrouer, emprisonner, interner, isoler, parquer, ...

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Note added at 1 day 3 hrs (2022-03-11 13:16:04 GMT)
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"seclusion" would also work.
Peer comment(s):
neutral Barbara Cochran, MFA : Doesn't seem to reflect the idea put forth in the asker's link.
14 mins
have you read the whole article though and the comments about Kafka?
neutral abe(L)solano : Agree with Barbara. Not related to self-withdraw behaviour in children/adolescents
1 hr
Have you read the entire article though and the comments about Kafka?
neutral Daryo : whatever Kafka had to say, if you read the explanatory pdf given as context, it's NOT about outside imposed "physical" confinement but about self-generated "enfermement psychique"
1 day 16 hrs
Something went wrong...
-1
1 day 8 hrs

psychiatric aftermath of internment

http://www.stobscamp.org/the-mental-health-impact-of-first-w...

or mental health problem of internment

--------------------------------------------------
Note added at 2 days 5 hrs (2022-03-12 15:13:20 GMT)
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If as enfermement is self-imposed instead use isolation mental health problem due self isolation

--------------------------------------------------
Note added at 2 days 5 hrs (2022-03-12 15:19:19 GMT)
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due to self isolation
Peer comment(s):
neutral Tony M : I'm not sure that 'aftermath' is really appropriate in this register; and I'm pretty sure that 'internment' is not applicable in Asker's context.
14 mins
aftermath is the consequence ou contre-coup de l'enfermement psychiatrique that triggers psychiatric problems. Internment is applicable in psychiatric isolation
disagree Daryo : if you read the explanatory pdf given as context, it's NOT about outside imposed "physical" confinement but about self-generated "enfermement psychique"// What's the point of Asker providing the relevant context if you're going to just ignore it?
8 hrs
If that is the case the source text should have stated 'isolement' rather than 'enfermement' // I don't know about you, but I work don't have time to go through all details, there is no need to scold anyone here, we are only making suggestions!
neutral abe(L)solano : Once again, context given by asker is completely baffled. Self-withdrawn has NOTHING to do with physical isolation. It's a child/teen conduct/strategy to deal with shame and affection.
17 hrs
More context provided would have helped although the asker indicated what you have said, 'enfermement' is generally used for internment.
Something went wrong...
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