Evolution Psychiatrique最新文献

{"title":"L’hyperespace du Psi : À propos de… « Codex Anomalia. De l’énigme du psy à la relation psyché-matière » de Thomas Rabeyron","authors":"Émile Jalley (Professeur émérite d’épistémologie)","doi":"10.1016/j.evopsy.2025.03.008","DOIUrl":"10.1016/j.evopsy.2025.03.008","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 397-399"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les Troubles neurologiques fonctionnels (TNF), une brève histoire d’un glissement sémantique","authors":"Yann Hermitte PhD (Psychologue, Docteur en Psychologie, Chercheur Associé) , Sarah Garvin (Neuropsychologue)","doi":"10.1016/j.evopsy.2026.01.008","DOIUrl":"10.1016/j.evopsy.2026.01.008","url":null,"abstract":"<div><h3>Objectives</h3><div>We studied the effects on clinical practices of the semantic shift from the term “hysterical” to the term “functional neurological disorder” (FND). Over the past 15 years, “FND” has been increasingly used in different conventional medical contexts. However, we are not witnessing a “natural” shift since hysteria continues to be widely employed by proponents of psychodynamic and psychoanalytic approaches, who have not adopted the usage of “FND.” The two terms thus continue to be utilized in tandem, often by groups of users who ignore each other, exhibiting a type of radical hermeticism maintained by adherence to theoretical allegiances.</div></div><div><h3>Methods</h3><div>We reviewed the literature to explore the shift in terms used to describe somatization. We outlined the concrete associated clinical manifestations and identified the different etiological interpretations. This triad of terms/clinical manifestations/etiologies served as the framework for examining the different forms of care provided to patients with the condition. Although the underlying conflict initially appeared to be epistemological and theoretical in nature, it is obviously clinical. Given that the usage of “FND” is gradually reintroducing these clinical concerns into neurology departments, we also described the tools used to establish the diagnosis.</div></div><div><h3>Results</h3><div>The study of this semantic shift inevitably led us to recognize the impasse resulting from monolithic recommendations for caring for these patients. While current healthcare policies, or even the radical positions of certain healthcare professionals, may completely obstruct therapeutic possibilities, it was clear that therapeutic efficacy for these patients has depended on the plural nature of and connections between proposed types of care. These findings led us to reflect on the form that somatic symptoms can take, with the clear presence of systemic features.</div></div><div><h3>Discussion</h3><div>From the perspective of somatic etiology, the term “FND” does not exclude the existence of psychological elements. It does, however, introduce a certain ambiguity around the terms “psychogenic” and “conversion”, and it cannot deal with the multiple ramifications resulting from somatic symptoms without quantifiable physical causes. We thus invite reflection on how to care for patients whose condition (clinical symptoms) suggests the existence of issues that have been partially to entirely hidden. Starting from what are often marked symptoms (e.g., numbness, severe motor disorders, stuttering), we must advance with a systemic view.</div></div><div><h3>Conclusion</h3><div>Despite the lack of support from the literature reviews, we have legitimate concerns that this “semantic shift” is erasing the psychogenic dimension that has persisted until now. With “FND,” the way of understanding and caring for the condition is changing, and, one day, the result may be the impositio","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 225-238"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’hyperémèse gravidique : l’hypothèse d’un symptôme hystérique est-elle toujours d’actualité ? Réflexions à partir d’un cas clinique","authors":"Mathilde Dublineau (Docteure en Psychopathologie et Psychologie Clinique, Chercheure associée au CRPPC, Psychologue Clinicienne) , Nathalie Dumet (Professeure de Psychopathologie clinique du somatique, Psychologue Clinicienne) , François-David Camps (Professeur en Psychopathologie et Psychologie Clinique) , Barbara Smaniotto (Professeure en Psychologie Clinique et Psychopathologie Psychanalytique, Psychologue Clinicienne)","doi":"10.1016/j.evopsy.2026.02.004","DOIUrl":"10.1016/j.evopsy.2026.02.004","url":null,"abstract":"<div><h3>Objective</h3><div>Hyperemesis gravidarum, characterized by uncontrollable vomiting, appears to have always existed, as a description of the condition was found in a papyrus dating back to 2000 BC. While motherhood represents a profound psychological crisis, it also represents, more rudimentarily, a significant somatic crisis during which the body transforms and functions according to a unique logic. Normally, nausea and vomiting are common but benign during the first trimester of pregnancy. However, in the case of hyperemesis gravidarum, vomiting is massive, severe, and uncontrollable, leading to fasting, dehydration, and significant weight loss; it often necessitates hospitalization because it is potentially lethal for both mother and fetus. Early psychoanalytic texts, from the nineteenth century, placed this condition within the category of hysterical neuroses; the treatment administered during that period involved isolation in darkness, devoid of any external contact. At present, there is little consensus around how to best treat women with hyperemesis gravidarum, and no truly effective treatment methods have been identified. The etiology of this condition remains largely unknown, and none of the existing hypotheses (medical, genetic, or psychological) have managed to resolve the resulting confusion. Researchers examining this pathology and mothers enduring these symptoms have criticized the excesses of psychoanalysis and its diagnosis of hysterical neurosis, yet they have been unable to propose an alternative framework of understanding. At the same time, in maternity wards, healthcare providers are left feeling helpless, and the notion of hysteria is often expressed, perhaps more as a criticism of the patient. After childbirth, vomiting disappears instantly, with no observed repercussions on the mother–child bond.</div></div><div><h3>Methods</h3><div>We conducted a literature review focused on the history and current knowledge of hyperemesis gravidarum, and we explored the clinical case of Ayem, whom we encountered and supported during her two pregnancies, during which she was hospitalized for hyperemesis gravidarum. Using information from regular clinical interviews carried out during the patient's hospitalization in the maternity ward, we examined the effects of this pathology on the entire healthcare team as well as the healthcare modalities that were developed with and for the patient. Furthermore, drawing on the results of the Rorschach Test and Thematic Apperception Test (TAT) conducted during Ayem's second pregnancy, we particularly explored the space occupied by the condition in her psychological functioning and budget. These projective tests were administered for diagnostic purposes because of a disagreement among the healthcare providers in the maternity ward team. An additional objective of the assessment was to support the patient and help her to describe her ailments in words, in a moment of great distress where there w","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 239-249"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Démarche processuelle appliquée à la recherche sur les groupes : vers la création d’une grille de lecture des processus","authors":"Geoffrey Dufayet (Psychologue clinicien, Docteur en Psychologie clinique et Psychopathologie) ,&nbsp;Marcela Gargiulo (Professeure de psychologie à l’université de Paris-Cité, Psychologue clinicienne à l’Institut de myologie) ,&nbsp;Manuella De Luca (Psychiatre, Professeure de psychologie clinique et de psychopathologie)","doi":"10.1016/j.evopsy.2026.02.003","DOIUrl":"10.1016/j.evopsy.2026.02.003","url":null,"abstract":"<div><h3>Objective</h3><div>Observation plays a central role in group therapy involving psychoanalysis and is both clinically and methodologically demanding. Given that evaluating psychoanalytic practices is a major challenge, it is essential to develop original methodologies tailored to the task.</div></div><div><h3>Methods</h3><div>Drawing on a case of institutional group therapy for individuals suffering from addiction, we developed a research methodology aimed at clarifying the psychological processes unfolding within this context. By exploring the major thematic axes that emerged during group sessions, we were gradually able to identify the specific psychological dynamics of group settings, which were then extracted from the dense material we had collected.</div></div><div><h3>Results</h3><div>Iterative analysis of the clinical material led to the development of a conceptual framework for understanding group processes. This framework revealed four main dimensions of group therapy: investment in the group, the process of working through aggression, the process of working through loss and separation, and investment in the external world.</div></div><div><h3>Discussion</h3><div>The framework helped us extract meaning from the dense material gathered during the group therapy sessions, making it possible to identify and conceptualize the underlying psychological work taking place. The framework is both a key methodological tool and an outcome of the research process itself. Its construction was a part of the research process and contributed to a lasting transformation of the clinical setting.</div></div><div><h3>Conclusion</h3><div>This article presents a process-oriented approach that led to the creation of an original methodological tool: a framework for interpreting group processes. Methodological rigor remains a key requirement in all group-based research grounded in psychoanalytic epistemology.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 309-319"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"État des lieux et perspectives autour de la problématique des consommations de substances et des enjeux de la prise en charge psychologique chez les mineurs non accompagnés (MNA)","authors":"Antoine Frigaux ,&nbsp;Corentin Boulay ,&nbsp;Maha Najdini ,&nbsp;Nadine Demogeot ,&nbsp;Catherine Filpa ,&nbsp;Marion Robin ,&nbsp;Aziz Essadek","doi":"10.1016/j.evopsy.2026.03.001","DOIUrl":"10.1016/j.evopsy.2026.03.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study examined mental health issues and psychoactive substance use (alcohol, tobacco, drugs) in the population of unaccompanied minors (UMs) found in France and internationally. It sought to understand how various factors intersect, paying particular attention to the factors shaping access to mental health care. Beyond reviewing the current state of knowledge, the study explored social, cultural, and institutional influences on the trajectories of these young people, shedding light on structural barriers, representations of care, and the challenges of adapting existing systems.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The study utilized a narrative literature review, drawing on contributions from psychology, public health, and social work, as well as examining reports from national and European organizations. This approach identified the main available data on the mental health of UMs, their substance use patterns, and existing or emerging care, prevention, and support frameworks. Particular attention was paid to transcultural and multidisciplinary interventions, which offer innovative responses to adapting care to the complex needs of this population.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The findings revealed that UMs have a high prevalence of anxiety, depression, and post-traumatic stress disorders, shaped by hardships experienced before, during, and after migration, as well as by administrative instability and precarious living conditions in host countries. Despite these significant vulnerabilities, available data indicated that UMs generally have lower rates of substance use than do native-born minors. However, certain subgroups appeared to be at higher risk depending on the environment in which they arrive, their personal and family histories, and the gradual erosion of protective factors. From a qualitative clinical perspective, when substance use emerged, it acted as a coping strategy and fulfilled various psychological or social functions in contexts of significant post-migration adversity and severe precarity. When substance use persisted, it brought about profound reorganizations that could durably structure the “psychic economy”, a process marked by dependence, alienation, withdrawal into the relationship with the substance, and disruptive effects on ties to others and on one's own relationship with time. Often misunderstood by professionals, substance use is embedded within complex trajectories shaped by adversity, ruptures, and structural, linguistic, cultural, and administrative barriers that hinder access to mental health care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;The analysis highlighted the importance of developing care models that account for the specificities of this population, particularly cultural factors. The transcultural consultation approaches explored in France, alongside multidisciplinary initiatives, have demonstrated the potential to create safe spaces for expression that respect youn","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 343-364"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une histoire de l’acide nucléique en psychiatrie. À propos de…« ADN et globule blanc au secours de l’aliéné. Une filiation des thérapies de choc en psychiatrie » de Philippe Cialdella","authors":"Michel Caire","doi":"10.1016/j.evopsy.2025.07.003","DOIUrl":"10.1016/j.evopsy.2025.07.003","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 400-407"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’addiction au chemsex : une perspective lacanienne sur la sexuation masculine","authors":"Pierre Bonny (Maître de conférences en psychopathologie clinique)","doi":"10.1016/j.evopsy.2025.09.005","DOIUrl":"10.1016/j.evopsy.2025.09.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This article examined the hypothesis that chemsex addiction engenders a paradoxical form of phallic <em>jouissance</em> because the latter is unlimited. Chemsex thus teaches us about an atypical form of male sexuation, which can also be found in other issues relating to male sexuality.</div></div><div><h3>Methods</h3><div>I mainly focused on literature concerned with Freudian and Lacanian psychoanalytic work on sexuality and addiction, which helped to clarify the relationship between (homo)sexual <em>jouissance</em>, addictive <em>jouissance</em>, and masturbatory <em>jouissance</em> in relation to chemsex. These elements were then placed within a context of civilizational malaise and, more specifically, within the epidemiological history of AIDS among homosexual men.</div></div><div><h3>Results</h3><div>Chemsex combines drug-induced <em>jouissance</em> and homosexual <em>jouissance</em> centered on the phallus, which is used in a masturbatory manner around a defined trait. However, above all, it is an atypical form of <em>jouissance</em>: phallic in nature and therefore limited — since it is rooted in a fetishistic trait — but simultaneously tending towards the unlimited.</div></div><div><h3>Discussion</h3><div>The unlimited dimension of male <em>jouissance</em> is highlighted by the connection between the phallus and maternal female <em>jouissance</em> (from the subject's point of view). In some men, the phallus thus remains linked to female <em>jouissance</em>, reflecting the shift of the maternal <em>toxikon</em> (the mother's suffering as a woman) to the son, establishing a symbolic debt that the subject strives to repay through the use of the product.</div></div><div><h3>Conclusion</h3><div>Generationally, we therefore observe a double displacement among homosexual men: epidemiologically and culturally — from the risk of AIDS to the risk of chemsex as well as psychologically — from the limitlessness of female <em>jouissance</em> to the limitlessness of phallic <em>jouissance</em>. At an unconscious psychological level, the risk-taking associated with chemsex can thus be understood as the toxicological actualization of the connection between these forms of <em>jouissance</em>.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 267-276"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le chemsex, un type particulier d’addiction chez l’homme","authors":"Pierre Bonny (Maître de conférence en psychopathologie clinique)","doi":"10.1016/j.evopsy.2025.09.004","DOIUrl":"10.1016/j.evopsy.2025.09.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This article examined the unconscious psychological mechanisms of chemsex addiction to identify clinical perspectives for those affected and, more broadly, to highlight what this phenomenon teaches us about the current state of cultural malaise.</div></div><div><h3>Methods</h3><div>My approach was based on an analysis of the scientific literature and a clinical case. The literature review focused on the main international studies on chemsex (in epidemiology, anthropology, sociology, psychology, psychoanalysis). First, the circumstances and trajectories likely to lead to chemsex addiction were identified. Second, the clinical case was used to illustrate a possible specificity of the <em>jouissance</em> related to this practice.</div></div><div><h3>Results</h3><div>Chemsex appears to be an area of cumulative vulnerability, where there is an intersection among epidemiological risk, socioeconomic factors, and psychological life. The phenomenon functions as an ordeal during which the subject commits his body and his <em>jouissance</em>. However, above all, the study highlights the central role of the Freudian split between tenderness and sensuality, which chemsex addiction exacerbates while also attempting to bridge the gap.</div></div><div><h3>Discussion</h3><div>Chemsex thus appears to be a singular <em>pharmakon</em>, particularly highlighting the links between love and sexuality: even when these links appear to be separate or divided, they remain inextricably tied. It is this paradox that the practice brings to light. Looking beyond the case of homosexual individuals, chemsex reveals a dimension of the human condition, where love and pleasure remain inseparable even in their division.</div></div><div><h3>Conclusion</h3><div>This study took a processual approach to chemsex, without falling into biological or behavioral determinism. Psychoanalysis thus proves particularly relevant in identifying clinical perspectives, while simultaneously accounting for the current state of cultural malaise. Far from espousing any system of therapeutic morality, psychoanalysis shows that chemsex reflects a universal problem and that this problem can find less deadly avenues of expression, depending on the wishes and possibilities of those affected.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 277-286"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nadya Bertaux, La ronde du vent 122.5, 2022","authors":"Norbert Godon (Artiste, conférencier)","doi":"10.1016/j.evopsy.2026.03.008","DOIUrl":"10.1016/j.evopsy.2026.03.008","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 389-390"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le symptôme somatique au féminin, de l’hystérie aux TNF : enjeux sociaux, épistémologiques et cliniques d’un dialogue entre psychanalyse et neurologie","authors":"Jessica Tran The (Psychologue clinicienne, Maîtresse de Conférences) ,&nbsp;Yann Hermitte (Psychologue clinicien, Docteur en psychologie, Chercheur associé)","doi":"10.1016/j.evopsy.2026.02.002","DOIUrl":"10.1016/j.evopsy.2026.02.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This article explores shifts in misogynistic biases that have, for several centuries, informed the interpretation of somatic symptoms without a physical origin; we started with a study of the semantic shift that resulted in hysteria being abandoned in contemporary nosography, to be replaced by the new term functional neurological disorder (FND). We traced the social, ethical, and political issues that have led to a progressive destigmatization of women with functional neurological symptoms. We also examined the epistemological consequences of these shifts, questioning the place left for psychoanalysis by current scientific research on FND. Finally, we tried to clarify the therapeutic principles underlying the psychoanalytic approach applied to FND patients and the position adopted by psychoanalysis with regard to the sexist stigmatization that such patients have long experienced.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We began this study by examining the origins of the sexist biases associated with the symptoms of hysteria over the history of medicine since ancient times. Our exploration of history allowed us to clarify why the removal of hysteria from clinical classification systems was a key demand of American feminist movements in the 1970s. The latter denounced the abusive use of this diagnosis and its misogynist connotations. We reviewed the characteristics of the new nosographic category of FND, notably by looking at how the diagnostic has changed in the DSM-5, and we explored how this new definition cannot be understood independently of certain closely related social shifts. Finally, drawing on a literature review, we presented major scientific discoveries related to FND pathophysiology and current etiological perspectives.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;FND emerged as a nosographic category primarily because there existed a desire to utilize a term that was less stigmatizing than hysteria, which still carries highly sexist connotations. The semantic shift that led to the adoption of this new designation was accompanied by a progressive reduction in the stigmatization of patients with functional neurological symptoms. While more than 75% of people diagnosed with FND are women, the hypothesized explanation is based on the correlation between the development of FND and exposure to a traumatic event: over their lifetimes, women are statistically more at risk of experiencing a traumatic event, notably sexual violence. Most studies thus tend to highlight that exposure to traumatic events, and particularly sexual abuse during childhood, is the main predisposing factor for developing FND.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;The elimination of the misogynistic biases associated with functional neurological symptoms is consistent with the current emphasis on the impact of environmental determinism on FND appearance. If the emergence of this new term has been accompanied by new scientific data and patient destigm","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 201-223"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}