Minors with ear aplasia and initiating a reconstructive plastic surgery procedure

Discussions with the psychologist PhD student before and after every surgery times : 3 discussions.

• Before the first surgery (about 1 month before) Clinical interview Rorschach and TAT (Thematic Apperception Test) Drawing a person test Self Questionnaires : KIDSCREEN-27 and CDI Children's Depression Inventory- de Kovacs et Beck (1977)
• Before the second surgery (3 months later the first surgery) Clinical interview Drawing a person
• After the second surgery (15 months later the first surgery) Clinical interview Rorschach and TAT (Thematic Apperception Test) Drawing a person test Self Questionnaires : KIDSCREEN-27 and CDI Children's Depression Inventory- de Kovacs et Beck (1977)

Hermann Rorschach test (1927) Test or projected test composed of 10 boards. Analysis by the psychogram (following the Chabert method).

Psychic functioning of the child by description of: the mechanisms of defenses, the type of anxiety, the affective tone and the image of the body. The capacity to give adapted responses according to the boards as well as the narrative capacity of the child will make it possible to release tracks as for its psychic functioning.

TAT: Thematic Apperception Test by MURRAY H.A. (1935) Projective test where the boards are different from the sex of the child (boy 13 boards, girls 14 boards).

Quantitative analysis using the 4-dimensional tabulation sheet :

• Series A: Rigidity
• Series B: Lability
• Series C: Conflict Avoidance
• Series E: Emergencies of Primary Processes

Psychic functioning of the child by description of: the mechanisms of defenses, the type of anxiety, the affective tone and the image of the body. The capacity to give adapted responses according to the boards as well as the narrative capacity of the child will make it possible to release tracks as for its psychic functioning.

CDI: Inventory of Childhood Depression by M. Kovcas & A.T. Beck (1977) L.MOOR and C.MACK.

Scale from 7 to 17 years. The score ranges from 0 to 54. The scale of rating goes from 0 to 2 with an alternation in the quotation of the articles so that the subject is not influenced by a same scheme of proposal by item.

A score greater than or equal to 15 would be synonymous with depression but confirmed in clinical interview.

KIDSCREEN-27 from Kidscreen group europe (2006) -42 authors in all- The KIDSCREEN-27 is scored on a 5 point scale (1 = not at all, 2 = a little, 3 = moderately, 4 = a lot, 5 = extremely).

Assessement of quality of life in children.

The score can be calculated for each dimension:

• Physical activities and health - 5 items;
• The mood in general and the feeling - 7 elements;
• Family life and free time - 7 articles;
• Friends (social support and peers) - 4 elements;
• At school (School Environment) - 4 elements.