It thus allows us not only to name what we were already doing, but to direct our fight to promote the maintenance of psychoanalysis in institutions work following . However, since health has become a matter of governance, psychoanalysis will only be able to continue to exist if it maintains its dimension as a symptom in the organization of care and treatments work following .
Of the HAS report in 2012 has only serv to accentuate its circumspection. NICE ( National Institute for Health and Care Excellence ), the English equivalent of HAS, has not mention the ABA method since 2013. In 2016, it confirm that it essentially advocates psychosocial interventions carri out by a multidisciplinary team for the management of autism [5] .
In 2014, the AHRQ ( Agency for Healthcare Research and Quality ) publish in the USA a report of more than 500 pages
Almost exhaustive work following on the English
language scientific literature concerning ucational approaches to autism. It was not that the most robust results of these highlight a gain in cognitive abilities and linguistic skills. However, the improvements are less accurate clean numbers list from frist database mark concerning the severity of the core of autistic symptoms, adaptive skills and social functioning [6] .
“Our confidence (bas on the level of evidence), write the experts, in the effectiveness of early and intensive approaches bas on ABA concerning cognition and language remains moderate, because additional research would proctoring software for online exams be necessary to identify which group of children benefits the most from specific high-intensity approaches.
The level of evidence for the ability of these high-intensity interventions to produce an effect on adaptive behavioral skills, social skills, and the severity of core autistic symptoms is low. [7] Moreover, their long-term impact on the acquisition of cognitive and linguistic skills remains uncertain: many studies did not follow children beyond late preschool or the very early years of schooling [8] .
That the results of the ABA
“weak” is confirm by its experimentation in France, between 2010 and 2014, in 28 experimental structures benefiting from particularly favorable supervision and financing conditions. An independent expert report be numbers notes that the school inclusion rate of autistic children after several years of treatment is only 3%. (Expectations were around 50% or more) [9] .
The evaluators conclude that it was a failure: “despite the individual progress observ for a large majority
Their conclusion is therefore clear: “this solution is certainly interesting in terms of individual level of service, but is simply not financially sustainable” .