Evolution Psychiatrique最新文献

{"title":"frédéric dumond, langue-vigne, 2025–2026","authors":"Norbert Godon (Artiste, conférencier)","doi":"10.1016/j.evopsy.2026.01.003","DOIUrl":"10.1016/j.evopsy.2026.01.003","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 198-199"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551071","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’exil volontaire : le destin fabuleux de l’artiste Marina Abramović","authors":"Srđan Đurđević (Docteur en psychologie)","doi":"10.1016/j.evopsy.2025.12.005","DOIUrl":"10.1016/j.evopsy.2025.12.005","url":null,"abstract":"<div><h3>Objectives</h3><div>Using a clinical and psychoanalytic lens, we explored the trajectory of the artist Marina Abramović, focusing on the theme of travel: voluntary exile and the crossing of bodily and psychic limits. Drawing on her biography, performances, and writings, we examined how, over the course of her work, performance art gradually became a singular response to experiences of abandonment, bodily pain, and difficulties in symbolic separation, without strictly viewing her work from the perspective of traumatic causality.</div></div><div><h3>Methods</h3><div>We performed a qualitative analysis of her work (performances, transitional objects, and transmission systems), combined with her interviews and autobiography. We approached her artistic trajectory using a psychoanalytic perspective inspired by Lacan's later teachings, particularly the notion of the sinthome. The latter was understood not as a formation to be interpreted, but rather as a singular means of intertwining the body, enjoyment, and entrance into the social bond.</div></div><div><h3>Results</h3><div>Abramović’s performances engaged a body subjected to pain, endurance, repetition, and the gaze of the Other. The evolution of her practices – from controlled self-mutilation to systems involving the public – reveals a progressive shift: the artist's body first became an operator of subjectivation, then a support for transmission (notably through the Abramović Method). Enjoyment was thereby localized and given form within strict, ritualized, and temporally circumscribed frameworks.</div></div><div><h3>Discussion</h3><div>Our work shows how Abramović elaborated, through her body, a singular sinthomatic solution. This solution made it possible to treat an excess of enjoyment while opening onto an entrance into the social bond. The tension between centripetal purification of the body and the public exposure of performance constituted a central axis of this elaboration.</div></div><div><h3>Conclusion</h3><div>Marina Abramović’s work sheds light on contemporary modalities through which a subject may invent a mode of stabilization and creation in the absence of classical symbolic support. Performance art thus emerges as a site of clinical invention, where the sinthome is not resolved but put to use, becoming a motor of creation and social linkage.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 90-100"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551078","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 rapport à la garde comme objet interne chez les médecins hospitaliers publics, entre toute-puissance et toute-impuissance","authors":"Allisone Condursi (Psychologue clinicienne) ,&nbsp;Héloïse Haliday (Maître de conférences-HDR en psychologie clinique et psychopathologie)","doi":"10.1016/j.evopsy.2025.12.004","DOIUrl":"10.1016/j.evopsy.2025.12.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study adopts a psychoanalytic approach to investigate the conscious and unconscious relationships of French public hospital physicians with on-call duty (&lt;em&gt;garde&lt;/em&gt;), which is conceptualized as an internal object as per Kleinian theory. The aim was to understand how this internal object evolves over the course of a physician's career: from a “good object” supporting medical narcissism to a persecutory “bad object.”&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The data come from a broader qualitative study commissioned by the &lt;em&gt;Fédération Hospitalière de France&lt;/em&gt; and were obtained via 44 semi-structured interviews with public hospital physicians. For our research, we selected a subset of six participants (three women and three men for gender parity, all aged 34–56, with medical specialties requiring on-call duty, such as anesthesiology, critical care, pulmonology, and emergency medicine). We employed three criteria: physicians had (1) regular on-site night duties; (2) status as a senior hospital practitioner in somatic care; and (3) explicit or diffuse anxiety linked to on-call duty. Interviews were transcribed and included information on verbal and non-verbal cues. Their content was analyzed using a clinical-qualitative approach, and we cross-referenced narrative material with psychodynamic theory. The goal was not thematic coding but the identification of the forms taken by internal objects, with a focus on “on-call duty” as an internal object.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Early in their careers, physicians tended to have a positive investment in on-call duty, which may even have been viewed as a coveted professional experience. It was valued as an opportunity for accelerated learning, autonomy, and symbolic recognition, where the undercurrent was a defensive yet functional fantasy of omnipotence. Narcissistic gratification coexisted with anticipatory anxiety (centered on fears of incompetence), which was often contained by recourse to “the Other is supposed to know” (senior colleagues, peer networks), functioning as a psychic and institutional &lt;em&gt;pare-excitation&lt;/em&gt;. Over time, however, the balance shifted. Physical exhaustion, chronic sleep disruption, intrusions into personal life, and the erosion of symbolic rewards transformed on-call duty into a persecutory “bad object.” Fueled by a harsh, overdemanding medical superego, feelings of guilt emerged, which were rooted less in clinical error than in the perceived inability to provide optimal care under degraded conditions. Institutional recognition, both financial and symbolic, was experienced as insufficient, intensifying archaic experiences of helplessness (&lt;em&gt;Hilflosigkeit&lt;/em&gt;). The protective fantasy of omnipotence could collapse into a fantasy of total impotence, with two defensive outcomes: (1) resignation, loss of meaning, and relational withdrawal or (2) rigidified hypercontrol and excessive performance demands, engendering a risk of burno","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 166-176"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147537592","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":"Nouvelle méthode sur l’évaluation du rapport des individus à leur spatialité immédiate en environnement extrême, inhabituel et/ou isolé et confiné (ICE) durant une mission en terres australes et antarctiques françaises","authors":"Charlotte Aufauvre-Poupon ,&nbsp;Marion Trousselard","doi":"10.1016/j.evopsy.2025.06.002","DOIUrl":"10.1016/j.evopsy.2025.06.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The purpose of this study was to employ a dynamic perspective to explore how individuals relate to their immediate spatiality when living in isolated and confined environments.</div></div><div><h3>Methods</h3><div>More specifically, we explored how people's perceptions of their living environment evolved over a polar wintering period based on their psychological resources and wintering sites.</div></div><div><h3>Results</h3><div>The study population is characterized by a high level of psychological resources. We observed a change in people's perceptions and representations of their immediate spatiality over time. This change differed between the bases studied.</div></div><div><h3>Discussion</h3><div>Our exploratory work highlights the role of environmental factors in human adaptations to unique professional situations.</div></div><div><h3>Conclusion</h3><div>The long-term objective is to better understand the relationship between individuals and their immediate spatiality to propose measures that can help improve how individuals adapt to restrictive environments.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 31-47"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551074","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":"Manger le pain de l’exil ou céder à l’angoisse des lotophages : peut-on oublier le chemin vers son Ithaque ?","authors":"Sébastien Talon (Psychologue clinicien)","doi":"10.1016/j.evopsy.2025.07.005","DOIUrl":"10.1016/j.evopsy.2025.07.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study reflects on the concept of the meal and the questions that regularly recur in the psychotherapeutic approach to exile, which we link with the psychoanalytical notion of the originary. The vulnerability associated with the arrival in a new land, an event sometimes devoid of meaning, can be traumatic when the encounter involves child protection services, not because of violence but rather because of the extreme precariousness of families, who are unable to meet the criteria established in article 375 of the French Civil Code. When a child is placed in the care system, the whole family is shaken. The question of food may then emerge as a proposed means of regulating the impulses of mothers who are no longer nurturers on a daily basis and for children who are no longer immersed in their language of origin. However, it continues to hang over those who receive it and is laced with nostalgia. Psychoanalysis draws on the myth described in the Odyssey, the part involving the Lotus Eaters, to interpret the unconscious mechanisms at play. Eating allows a return to primary sensations and is a demonstration of the cuisine of the “untranslatables,” struggling to avoid becoming Lotus Eaters themselves.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The method used was active observation during supervised visits or cross-cultural psychoanalytical groups. The same applied to practice analysis groups, from which only a few fragments of discourse have been reproduced. This study utilized Devereux's “complementarist” approach, with Norbert Elias's political sociology and Laplanche's psychoanalysis serving as complementary approaches. The work was based on a 3.5-year CIFRE project involving 60 families, all living in the administrative department of Seine-Saint-Denis in greater Paris, and supervision groups linked to a non-profit association focused on children. The multidisciplinary analysis was qualitative. The reasoning was abductive.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The results show how the intimate and the political become intertwined around the food eaten by migrant families experiencing an odyssey. Connecting meals and language means naming the dishes associated with one's origins and ingredients using gestures learned in and that make reference to the country of origin. It also means noticing that the sounds of infancy may be silenced or observing a regressive posture based on onomatopoeia. However, this is not without risk, as a feeling can return, that of nostalgia. Respecting the dignity of mothers who have lost a child because of precariousness and being able to hear beyond the words spoken to grasp the issues at stake can facilitate transference. These mothers change physically, and their postures evolve. It is then that the entire political structure of the meal, its relationship with each person's subjectivity, becomes apparent.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;By linking this phenomenon to Homer's myth of the L","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 49-60"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551075","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’effet blouse blanche du psychiatre, des paradoxes de l’hygiène au dispositif thérapeutique d'influence","authors":"Jad Sammouri (psychiatre, psychanalyste, hypnothérapeute TAC, EMDR, master en philosophie contemporaine, chargé de cours en psychiatrie de l’adolescent et du jeune adulte, chercheur en santé publique) ,&nbsp;Yves Sarfati (ancien professeur agrégé de psychiatrie à l’Université de Paris, docteur en neurosciences, psychanalyste, chercheur associé au CRPMS, Paris-Cité) ,&nbsp;Pablo Votadoro (psychiatre, docteur en psychologie clinique, psychanalyste)","doi":"10.1016/j.evopsy.2025.10.008","DOIUrl":"10.1016/j.evopsy.2025.10.008","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study explored the clinical impacts of the white coat given its widespread use in psychiatry departments. We attempted to elucidate the underlying rationale for this phenomenon, which seems paradoxical given that research on hospital sanitation suggests white coats are associated with infection risk.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Our study was multicentric, exploratory, and non-interventional. We invited seven certified psychiatrists, representing different professional domains, to participate in semi-structured interviews focused on their experiences with clothing in psychiatric settings. This exploration included the uses and potential impacts of clothing on the therapeutic relationship and the effectiveness of patient care. The resulting data were analyzed using an inductive thematic approach based on grounded theory.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;We observed a unique interplay between utility and symbolism in the use of clothing in the hospital setting. Professional attire or work clothing (depending on the case) served as a way to embody the role of psychiatrist. The physician's attire was linked to daily hygiene rituals and spatial delineation, separating personal and professional life as well as ordinary and therapeutic spaces and thus marking the boundaries of distinct symbolic spheres. The use of the white coat facilitated physical examinations and created distance during certain appearance-related aspects of encounters. These uses were ultimately connected to the vehicle of care as a whole. The voluntary use of objects, such as clothing, contributed to the theatricalization of care, which imposes itself as the mode of operation in the everyday therapeutic approach.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Despite the contemporary dominance of instrumental reasoning in the organization of care, the return of the white coat in psychiatry—persisting despite available scientific evidence—points to a logic of care that cannot be reduced to scientific rationality. This practice has implications for the type of therapeutic, or transferential, relationship it induces. Beyond non-specific factors underlying care effectiveness, the care context characteristic of the so-called modern medical order can thus be understood as a therapeutic system of influence, comparable to traditional systems previously studied. Within this system, the placebo function designates the mediating role through which a biologically measurable effect may be produced, and may thereby contribute to amplifying the effects of biological therapeutic interventions, as suggested by the identification of the white coat effect.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The perspectives developed in this study expand existing research on the placebo effect in conventional medicine, which is broadly defined as the biological effect of the overall psychosocial context. Our work invites further reflection on the impacts of medical systems f","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 151-165"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551137","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":"Voyages en psychopathologie","authors":"Olivier Douville (Psychanalyste, Membre d’honneur du Collège international psychanalyse et anthropologie, Directeur de publication de Psychologie clinique) ,&nbsp;Yann Auxéméry","doi":"10.1016/j.evopsy.2026.01.001","DOIUrl":"10.1016/j.evopsy.2026.01.001","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 1-3"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551069","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 Voyage automatique. Fugues, vagabondage et psychiatrie","authors":"Jacques Arveiller (Professeur des Universités, Psychiatre des Hôpitaux)","doi":"10.1016/j.evopsy.2025.04.003","DOIUrl":"10.1016/j.evopsy.2025.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>In this text I am going to focus on a subject of importance, especially since new conceptions, new paradigms, as well as new practices are appearing, particularly in France (the publications and clinical experiments of Camille Veit, for example). This work is based on historical, sociological, political and, of course, psychiatric data drawn from the literature.</div></div><div><h3>Method</h3><div>I took up the main texts of the era concerning the homeless population, in order to analyze these texts’ scientific, ideological, political, and sociological underpinnings, starting with Jean-Martin Charcot, who in 1888 created a psychiatric entity called an “epileptic fugue” or “ambulatory automatism”, borrowing the term automatism from Hughlins Jackson.</div></div><div><h3>Results</h3><div>On examination of these studies, four clinical forms were described:</div><div>-Traumatic amnesia;</div><div>-Non-convulsive epilepsy;</div><div>-Sleepwalking;</div><div>-Voyages of the alienated.</div><div>These four conceptions will be discussed, contextualized, and described according to the stakes laid out by the alienists of the time.</div></div><div><h3>Discussion</h3><div>Later, other hypotheses would emerge, such as neurasthenia, psychasthenia, and others. This illustrates how psychiatry is alive with ideas, without neglecting its sub “jacencies”, with terminologies and explanations undergoing viral expansions.</div></div><div><h3>Conclusion</h3><div>This work demonstrates the necessary humility of classifications. It was only after the First World War that psychiatry gave “wandering” a free rein, adopting the non-clinical term “vagabond” and making it a way of being in the world that does not necessarily imply sedentariness.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 5-21"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551072","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 voyage spatial. Comment l’homme a pris conscience qu’il devait prendre soin de l’humanité","authors":"Patrick Clervoy (Psychiatre)","doi":"10.1016/j.evopsy.2025.04.006","DOIUrl":"10.1016/j.evopsy.2025.04.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Humanity is on the verge of leaving its birthplace. The aim of space travelers is to learn to live elsewhere than on Earth. The future of humankind is at stake. It is said that the dinosaurs disappeared because they did not have a space program. Technological advances have already allowed short stays on the Moon. Mars is the next destination. Physiologically, it is a given that the body can adapt to weightlessness. The challenge is mental adaptation.</div></div><div><h3>Methods</h3><div>The conquest of space was born from the ashes of World War II. It accelerated during the Cold War. One after another, the various space programs made humankind aware of its finite nature and the need, in the interests of its survival, to unite financial and technological resources to establish itself on planets other than Earth.</div></div><div><h3>Results</h3><div>Each stage in the conquest of space can be seen as a step forward for humankind. Step by step, humans are becoming aware of their place in the universe. This awareness may inspire both fright and amazement.</div></div><div><h3>Discussion</h3><div>Experience has shown that space travel can be personally transformative. Those who have seen the Earth through the window of a space capsule have realized that the Earth is unique, alive, and fragile.</div></div><div><h3>Conclusion</h3><div>Universal laws predict that Earth will disappear one day. Those who have been able to contemplate the stars say that there are likely other forms of life out there. These individuals invite us to reflect on the idea that there is no such thing as chance and that there is “something” beyond the grasp of our minds that has created and structured the universe. Space travelers bring us to the threshold of a mystical experience.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 23-30"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551073","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’expérience du deuil post-traumatique chez l’enfant haïtien témoin des conséquences du tremblement de terre de janvier 2010 : le cas de jumelles","authors":"Marie Ngo Nkana (Chercheure associée, Psychologue clinicienne) ,&nbsp;Marie-Frédérique Bacqué (Professeure de psychopathologie clinique, Directrice ED 519) ,&nbsp;Hossaïn Bendahman (Psychanalyste, Psychologue clinicien)","doi":"10.1016/j.evopsy.2025.04.008","DOIUrl":"10.1016/j.evopsy.2025.04.008","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;When catastrophic events occur, post-traumatic grief can arise. People exposed to these situations face danger. They are not only personally threatened with death, but they may also witness the death of relatives and/or strangers. Both adults and children are affected by these tragic experiences. The aim of this article was to examine how Haitian children, and specifically a pair of twin girls, were experiencing grief five years after the earthquake of January 12, 2010.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The research took place in the city of Port-au-Prince, the capital of Haiti. Five years after the deadly earthquake of January 2010, we met with 20 Haitian children aged 9 to 13. Based on our inclusion criteria, these children had faced death and had lost at least one loved one during the earthquake. Eight of the 20 children came from one of the Haitian childcare facilities most affected by this earthquake. At this facility, 66 out of 100 children died, more than half of the children present. Twelve children came from a high school and were living with their remaining family members. We met with the children at a childcare facility and a high school. We had them take a series of tests: a revisited version of the test where subjects create three drawings representing before the event, during the event, and the future, the projective Thematic Apperception Test (TAT), and a questionnaire about the loss of a loved one. The interview consisted of the participant describing the drawings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Our results show that, out of the 20 children who participated in the research, 15 were experiencing intense grief 5&lt;!--&gt; &lt;!--&gt;years after the earthquake of January 12, 2010. Most of the children interviewed reported that, since the loss of their loved one, they frequently experienced sadness, intrusive thoughts relating to the future, avoidance of the memory of their lost loved one, and denial about that loss. They were experiencing certain fears since the death of their loved one and were having repeated nightmares about the deceased. These children were also experiencing unexplained anger and told us that they had little hope for the future. Children who were living with their remaining family were more likely to depict the catastrophic event. Those who were living in the childcare facility were more concerned with family issues than with the consequences of the earthquake. More specifically, our results illustrate the case of twin sisters who experienced post-traumatic grief in a subjective way: one seemed to be moving through it and building ties to her adoptive family, while the other tended to be mired in intense grief.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Upon examination, certain stories were found to be taken directly from the child's autobiographical account and were transposed into the discourse with porous boundaries between the narrator and the subject. They dealt with the earthquake a","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 1","pages":"Pages 124-150"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147551136","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}