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102 IACAPAP 2012 – 20th World congress / Neuropsychia

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mpact of soft markers at fetal scan on early mother infantnteractions and mother’s representations: Link betweennxiety and depress level at third trimester andnteractions perturbations. Viaux-Savelon a,∗, M. Dommergues b, O. Rosenblum a, E. Aidane a,. Bodeau a, R. Feldman c, D. Cohen d

Service de psychiatrie de l’enfant et de l’adolescent, hôpitalitié-Salpêtrière, Paris, FranceService de gynécologie obstétrique, GHU Pitié-Salpêtrière, Paris, FranceGonda Brain Research and Psychology Department, Bar Ilan University, Telviv, IsraelService de psychiatrie de l’enfant et de l’adolescent, laboratoire CNRS UMR222 « institut des systèmes intelligents et robotiques », GH Pitié-Salpêtrière,P–HP, université Pierre-et-Marie-Curie, Paris, FranceCorresponding author.

ackground.– In up to 5% of pregnancies, ultrasound screening detects a foetaleature or “soft marker” (SM) that places the foetus at risk for a severe abnor-ality. In most cases, prenatal diagnostic work-up rules out a severe defect and,

hus SM constitutes, retrospectively, a false positive of ultrasound screening.bjective.– To study the effects of false positive ultrasound screenings on mater-al emotional status, maternal representations of the infant, and mother–infantnteraction.esign.– Prospective case control study. Participants: Utilizing an extreme-caseesign, we selected from a group of 244 women undergoing ultrasound: thetudy group consisted of 19 pregnant women whose foetus had a positive SMltrasound screening and a reassuring diagnostic work up. The controls were9 women with negative ultrasound screening, matched for age and educa-ion. Exclusion criteria included history of a medical or psychiatric disease orbstetrical complications, poor socio economic status, and single parenthood.utcomes measures.– In the third trimester of pregnancy, within 1 week

fter delivery, and 2 months postpartum, anxiety and depression were scored,nd maternal representations were categorised using semi structured inter-iews. Maternal representations were scored as good (integrated/equilibrate),ntermediate (reduced/loss involvement) and poor (non-integrated/ambivalent).

other–infant interactions were videotaped during feeding within 1 week afterelivery and again at 2 months postpartum, then coded blindly using the Codingnteractive Behavior (CIB) scales.esults.– Maternal anxiety and depression symptoms were significantly highert all assessment points in the SM group. Maternal representations were alsoignificantly different between SM and control groups at all study time (94%o 100% vs 5% to 11% of intermediate/poor representations, respectively). Per-urbations to early mother–infant interactions were observed in the SM groupnd these dyads showed greater dysregulation, lower maternal sensitivity, andigher maternal intrusive behaviour. During interactions, SM infants displayedigher avoidance of their mothers. Multivariate analysis showed that mater-al representation and depression at third trimester predicted mother–infantnteraction.onclusion.– False positive ultrasound screenings for SM are not benign andegatively affect the developing maternal–infant attachment. Medical effortshould be directed to minimize as much as possible such false diagnoses.

ttp://dx.doi.org/10.1016/j.neurenf.2012.05.425

igh intellectual potential: strengths and weaknesses

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igh intellectual potential and autism spectrum disorders:ransnosographical and metapsychological approaches. Weismann-Arcache

Laboratoire Psy-NCA, université de Rouen, Rouen, France

es aspects dysharmoniques, voire anachroniques du développement desnfants à haut potentiel intellectuel, questionnent les différentes conceptions

e l’enfance et de l’adolescence 60S (2012) S64–S126

u fonctionnement mental et de ses troubles: faut-il parler en termes de défi-it/suppléance, de symptôme/défense, de handicap ou de trouble psychique? ouncore de processus autre? À partir de là, deux hypothèses peuvent s’articuler :il s’agit d’une population hétérogène qui couvre toute la gamme des clas-

ifications psychopathologiques, depuis les variations de la normale jusqu’auroubles les plus sévères. Cette dimension transnosographique et transfrontalièreu haut potentiel est retrouvée dans des fratries comportant des sujets dits sur-oués présentant des troubles divers, répertoriés aujourd’hui comme dyspraxie,yperactivité ou autisme de haut niveau ;mon hypothèse actuelle est la suivante: à la faveur d’une défaillance des auto-

rotismes, ces sujets ont développé un haut potentiel intellectuel pare-excitantui fonctionne comme une défense autistique plus ou moins sévère qui évolueans les bons cas vers des aménagements narcissiques et phobo-obsessionnels.n tant que défense initiale autistique, l’intelligence surdéveloppée empêche laécompensation psychotique en maintenant un secteur clivé d’adaptation à laéalité, adaptation partielle liée au surinvestissement cognitif.

ttp://dx.doi.org/10.1016/j.neurenf.2012.05.426

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he identification of children of high potential and theirxceptional needs.J. Tebbs

Castleton State College, Castleton, USA

fter many years helping young clients realize their developmental potential,r. Tebbs stresses identification of need not simply psychometric detail. Score-ased identification offers convenience and may seem straightforward, but Dr.ebbs considers it too simplistic. While children and adolescents identified asighly able typically possess a cognitive ability level of more than 130, resultsre subject to multiple influences. Also a numerical “cut-off” may perpetuatexclusionary, psychologically-unhealthy, myopic and mythic notions, e.g., theyeed little help. Dr. Tebbs believes the Dabrowskian concept of developmentalotential (DP) may offer powerful insights into the realization of potential. Heas devised a holistic strength-based process which allows synthesized data tohed light on the dynamic and complex interaction between the psychometric,ersonalogical, behavioral and other additive or deductive modifying factorsmpacting DP. By this means, the nature and degree of need most pertinent toighly able youth is more easily determined and facilitated.

ttp://dx.doi.org/10.1016/j.neurenf.2012.05.427

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reative giftedness: Its nature and measurement withPoC

. LubartLaboratoire Lati (EA 4469), Université Paris Descartes, Institut de

sychologie, Paris, France

reativity refers to the capacity to generate new ideas that meet contextualonstraints. This original, adaptive thinking contrasts with traditional intel-ectual ability (measured by IQ and academic success). Creative giftedness isncreasingly recognized as a distinct form of giftedness. The key psychologicalnd environmental factors favoring creative giftedness will be examined. Thesenclude specific cognitive abilities (such as divergent-exploratory thinking,onceptual synthesis), personality traits (such as risk taking, openness), emo-ional characteristics (traits and states), and environmental conditions (family,chool, regional levels). Creative potential develops in children and continues tovolve in adulthood. A method for measuring creative potential and its’ use fordentifying and developing high creative potential (EPoC: Evaluation of Creativeotential Battery, Lubart et al., 2011) will be presented.

ttp://dx.doi.org/10.1016/j.neurenf.2012.05.428