Evolution Psychiatrique最新文献

{"title":"Éditorial","authors":"Christophe Chaperot (Psychiatre, Psychanalyste, Chef de service)","doi":"10.1016/j.evopsy.2022.10.004","DOIUrl":"https://doi.org/10.1016/j.evopsy.2022.10.004","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870432","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":"Quelques éléments de l’histoire des premiers services ouverts en France","authors":"Michel Caire (Psychiatre hospitalier honoraire, Docteur en histoire à l’E.P.H.E.)","doi":"10.1016/j.evopsy.2023.02.003","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.02.003","url":null,"abstract":"<div><h3>Aims</h3><p>In France, the creation in Paris of Henri-Rousselle Hospital and its “open” psychiatric ward, not subject to the Law of June 30th 1838, one hundred years ago, traditionally marks the end of the asylum period. In the first quarter of the last century, however, several other experiments had been conducted with the same perspective of opening up psychiatry, in general hospitals and in some specialized establishments before and after the First World War. This work aims to clarify the meaning of some specialized terms then in use in the medical field and to compare the objectives and the means implemented by the authors of these various experiments.</p></div><div><h3>Methods</h3><p>The reports, publications, and scientific communications of the period studied are consulted, compared, and analyzed.</p></div><div><h3>Results</h3><p>The primary objective of the services established within general hospitals (variously called wards for delirious patients, wards for psychic patients, isolation rooms, etc.) was to ensure the treatment of people suffering from organic pathologies with psychiatric expression: delirious, overexcited, and noisy persons. Emmanuel Régis in Bordeaux in 1902, or Gilbert Ballet at the Hôtel-Dieu in Paris in 1904 paved the way for other achievements. Some of these wares also have a triage function, from which, after a period of observation, the insane person is directed to an asylum. Public hospital services for nervous diseases offered to the person suffering from disorders called <em>psychoneuroses</em> and then <em>neuroses</em>, free cures for the poorest, while the wealthy classes frequented private establishments. As for the open psychiatric wards created within or as annexes to the asylums, they were also for the most part initially intended to respond to these same unmet needs, rather than to improve upon care of the insanes. At the Clinique d’Esquermes with Georges Raviart and at Fleury-les-Aubrais with James Rayneau, two extraordinary experiments were carried out, a source of inspiration for the reformist alienist current, the first in which all patients were placed under the law of 1838, the second in which some were subject to the common hospital regime. During the First World War, the military neuropsychiatric centers offered to asylum doctors enlisted a new field of practice with psychoneurotics and confused patients who were not usually encountered in asylums.</p></div><div><h3>Discussion</h3><p>The term <em>open psychiatric ward</em> refers to a wide variety of achievements, responding to specific needs, mainly full education for medical students and better care of organic neuropsychiatric pathologies and neurotic pathologies. The achievements aimed at improving the care of “alienated” patients placed in asylum would be a rarity and an afterthought.</p></div><div><h3>Conclusion</h3><p>In the interwar period, the shortcomings of the asylum system finally led to several initiatives, including that of","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870436","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":"Prix de l’Évolution psychiatrique – Jean Garrabé 2023 – Jacques Hochmann « Les Arrangements de la mémoire. Autobiographie d’un psychiatre dérangé »","authors":"","doi":"10.1016/j.evopsy.2023.03.007","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.03.007","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870443","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’ouverture des services en psychiatrie : effets et paradoxes","authors":"Frédérique Lagier (Psychiatre, Cheffe de pôle psychiatrie adulte) ,&nbsp;Victoria Isabel Fernández (Maîtresse de Conférences, Psychologue clinicienne) ,&nbsp;Christian Védie (Psychiatre)","doi":"10.1016/j.evopsy.2023.03.008","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.03.008","url":null,"abstract":"<div><h3>Aims</h3><p>Via a brief history of Open-Door Policy (ODP) in psychiatry, we discuss its implications and consequences in daily practice (in ethical, clinical, and psychopathological terms). We think that open-door policy in psychiatry is a tool of care in its own right.</p></div><div><h3>Method</h3><p>We conducted a literature review to analyze ODP in psychiatry in Europe and also made use of clinical experience in a psychiatric hospital in Marseille, France.</p></div><div><h3>Results</h3><p>ODP in this hospital is not a daily decision; we would otherwise have good reasons to close our doors every day. This is a collective position and we bear the risks of the collective, free coming and going of caregivers and patients. It requires us to get out of the zero-risk policy mindset, which we consider an impossible and paralyzing ideal.</p></div><div><h3>Discussion</h3><p>Several studies comparing open- and closed-door policy in psychiatry suggest that open-door services have less recourse to coercive measures. The ODP produces concrete effects for patients and caregivers, beyond the freedom of movement or its restriction.</p></div><div><h3>Conclusion</h3><p>ODP allows for new clinical and transferential modalities due not only to the openness but also the renewal of patients’ fundamental rights to freedom. ODP maintains a better long-term therapeutic collaboration between patients and caregivers.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870440","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":"De la psychiatrie intégrative à la constellation épistémique","authors":"Benjamin Weil (Psychiatre)","doi":"10.1016/j.evopsy.2023.03.009","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.03.009","url":null,"abstract":"<div><h3>Objective</h3><p>For three years, my colleagues and I have been leading a seminar on the epistemology of psychiatry. Based on this shared experience, in addition to our own personal experiences (as clinicians, philosophers, etc.), we tackle the question of openness in psychiatry. What does psychiatry open up to ? What idea of progress are we pursuing ?</p></div><div><h3>Method</h3><p>We have, during these years of work, been lucky enough to be able to grasp a common thread that links the very diverse contributions that have been presented in our seminar, both in terms of the history of our discipline, as well as psychoanalysis, the philosophy of science, anthropology, experiential knowledge.</p></div><div><h3>Result</h3><p>We note that psychiatry exists in its complete and satisfactory definition only in the debate that we have facilitated with those who have something to say about it from a place that could be judged external: historian, psychoanalyst, anthropologist, philosopher..</p></div><div><h3>Discussion</h3><p>If a theoretical corpus believes itself sufficient to speak about the psychic thing, it is wrong; however, if we veer into integrative psychiatry we move away differently, but irremediably, from the scientific truth of our object.</p></div><div><h3>Conclusion</h3><p>We therefore explain a new way of describing the practice of psychiatry: inspired by institutional psychotherapy, which proposes to bring together the transferences of each of the participants in care while respecting subjective integrity, we posit that it is possible to bring together an epistemic constellation for each of our caregiving efforts, bringing together the knowledges necessary for this without distorting them or causing them to lose their radicality.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870435","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":"Psychanalyse et thérapies cognitives-comportementales en France : l’improbable rencontre (1971–2011)","authors":"Florent Serina (maître assistant) ,&nbsp;Elsa Forner (chercheuse FNS senior) ,&nbsp;Milana Aronov (doctorante FNS) ,&nbsp;Rémy Amouroux (professeur associé)","doi":"10.1016/j.evopsy.2023.01.002","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.01.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The opposition between psychoanalysis and cognitive-behavioral therapies seems to have become irreducibly entrenched in people's minds, to the point of appearing and functioning today as a commonplace. The present article shows that French practitioners from both sides have, in the past, tried to overcome their antagonisms by working together within the very first French association dedicated to the study of behavioral therapies. While shedding light on a little-known chapter in the history of French psychiatry and of eclecticism in psychotherapy, this investigation encourages us to think afresh about the issues at stake in the contemporary divergences between psychoanalysts and practitioners of behavioral and cognitive therapies.</p></div><div><h3>Method</h3><p>The method used is that of the social and cultural history of science. Our study was based on the publications of the main actors in this dialogue, the archives of the Association Française de Thérapie Comportementale et Cognitive, and a series of interviews with several major figures in the history of French behaviorism.</p></div><div><h3>Results</h3><p>The psychiatrist and psychoanalyst Daniel Widlöcher was the main architect of this “unlikely encounter.” As a founding member and later president of the Association Française de Thérapie Comportementale (AFTC), Professor Widlöcher worked to compare the methods, indications, and opportunities of these two therapeutic approaches; published about his findings; and contributed to the creation of a training institute within the AFTC.</p></div><div><h3>Discussion</h3><p>By appropriating cognitive methods at the turn of the 1990s, the second generation of therapists evolving within the AFTC made a greater effort to distance themselves from the psychoanalytical paradigm than their predecessors. The publication of the INSERM report on the effectiveness of psychotherapy (2004), followed by the <em>Livre noir de la psychanalyse</em> (2005), definitively undermined the efforts made in the past to combine the two approaches.</p></div><div><h3>Conclusion</h3><p>Long before the extreme polarization of the mid-2000s, practitioners of psychoanalysis and behavioral therapies worked to overcome their differences in order to find common ground for the implementation of cotherapies. The crux of the discord between psychoanalysts and behavioral therapy practitioners goes beyond mere theoretical and practical issues and debates. The article concludes that this controversy is undeniably linked to questions of power within academic bodies, recognition or social visibility, as well as to economic issues.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870437","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":"Autisme et psychanalyse : construction d’un dialogue entre les thèses de M.C. Laznik et E. Laurent","authors":"Leandro Jofré Dr. en psychopathologie psychanalytique, enseignant à l’Université de Paris Cité, Psychologue clinicien au PEREN/ANTEA","doi":"10.1016/j.evopsy.2022.11.005","DOIUrl":"https://doi.org/10.1016/j.evopsy.2022.11.005","url":null,"abstract":"<div><h3>Objective</h3><p>In the context of the place and the contributions of psychoanalysis to the treatment of autism, I attempt to unpack the concepts of two of the leading thinkers in the French Lacanian psychoanalytical field, namely E. Laurent and M.C. Laznik, in order to locate convergences and divergences between their approaches.</p></div><div><h3>Method</h3><p>Critical literature review. Reading of works with a Lacanian orientation. Establishment of a dialogue between the works of Laurent and Laznik through the reading of the concept of foreclosure of the hole by F. Schejtman.</p></div><div><h3>Results</h3><p>The theoretical models proposed by Laurent and Laznik present more convergences than the distances between the schools of psychoanalysis suggest. Among them, the authors seem to locate, like other psychoanalysts, difficulties for autistic subjects regarding the drive circuit, as well as a freedom of the Imaginary in the knot. The divergences are found above all in the type of clinical practice that results from the proposed models, as well as in the relationship between Symbolic and Real.</p></div><div><h3>Discussion</h3><p>The discussions relate to important points of Laurent's texts, in order to specify the concept of foreclosure of the hole, and to Laznik's texts, in order to unpack the concept of failure of the third time of the drive and her proposal of a specific knot for autism.</p></div><div><h3>Conclusion</h3><p>The Lacanian reading of Schejtman makes it possible to establish divergences and convergences in the approaches of the cited authors. From this emerges the need for a dialogue within psychoanalysis if we wish to improve our clinical practice.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870438","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":"Jacques Hochmann : Une vie à transmettre. À propos de… « Les arrangements de la mémoire. Autobiographie d’un psychiatre dérangé » de Jacques Hochmann","authors":"Xavier Bonnemaison (Directeur général, chef de service)","doi":"10.1016/j.evopsy.2023.01.005","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.01.005","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870441","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":"Résilience et croissance post-traumatique : enjeux théoriques et cliniques","authors":"Baptiste Alleaume ,&nbsp;Nelly Goutaudier ,&nbsp;Damien Fouques","doi":"10.1016/j.evopsy.2023.01.006","DOIUrl":"https://doi.org/10.1016/j.evopsy.2023.01.006","url":null,"abstract":"<div><h3>Objective</h3><p>This article discusses the theoretical and clinical links between the concepts of resilience and post-traumatic growth (PTC). These two concepts are so closely related that they are often, but wrongly, confused. Yet, they both offer interesting perspectives when distinguished epistemologically. The main objective of this article is to define these two entities and to discuss their complementarity and differences at the theoretical and clinical levels.</p></div><div><h3>Method</h3><p>A review of the international literature on these concepts was conducted to identify similarities and differences.</p></div><div><h3>Results</h3><p>It appears that resilience is a well-known and useful concept in psychology, but its definitional variability has consequences at the theoretical, clinical, and psychometric levels. It sometimes refers to the construct of post-traumatic growth that is, nevertheless, complementary and different: post-traumatic growth is described as “positive psychological changes [...] following exposure to a major trauma” and resilience, in its strict definition, refers to a return to pre-traumatic status (i.e. prior to the adverse event). Resilience and growth are two distinct and complementary entities, as they share a number of common processes but have different expressions and purposes.</p></div><div><h3>Discussion</h3><p>The notions of resilience and post-traumatic growth do not reflect the same phenomena and trajectories in subjects who have experienced adverse events. Resilience refers to a return to a pre-event level of functioning, whereas post-traumatic growth refers to the benefits and positive changes following a trauma with no opposition to suffering, as it would be the root cause of post-traumatic growth.</p></div><div><h3>Conclusion</h3><p>From a theoretical and clinical point of view, it is important to integrate post-traumatic growth into clinical psychology and psychiatry, in order to better understand the life paths of subjects struggling with psychotraumatic consequences. It would lead to a larger vision of “resistance and overcoming trauma processes” that would not oppose suffering and recovery, but that would study both constructs.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870037","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 ouverture favorable : l’Hôpital Henri-Rousselle dans les années soixante-dix. Entretien avec Jean-Michel Gentizon","authors":"Jean-Michel Gentizon (Psychanalyste) ,&nbsp;Nicolas Dissez (Psychiatre, Psychanalyste) ,&nbsp;Clément Fromentin (Psychiatre) ,&nbsp;Thomas Lepoutre (Psychologue clinicien, Directeur du département Études psychanalytiques)","doi":"10.1016/j.evopsy.2022.12.011","DOIUrl":"https://doi.org/10.1016/j.evopsy.2022.12.011","url":null,"abstract":"<div><h3>Objectives</h3><p>This interview aims to identify the specific advances of Henri-Rousselle Hospital at the time of its direction by Doctor Georges Daumézon, during the 1970s.</p></div><div><h3>Method</h3><p>The testimony of Jean-Michel Gentizon, Assistant at Henri-Rousselle Hospital between 1972 and 1976, which situates the historical context through the influential works of this period, allows us to progressively identify the stakes and the consequences of Georges Daumézon's action on French psychiatry.</p></div><div><h3>Results</h3><p>The policy of opening up to the different fields of psychiatry advocated by Georges Daumézon at Henri-Rousselle Hospital allows us to identify its essential function for French psychiatry in the 1970s. This institution proved to be a particularly innovative hub, soliciting the interventions of the great figures of psychiatry of this period. Its influence concerns the policy of the sector, the institutional psychotherapy movement, the field of clinical research, and the general political consequences of this action.</p></div><div><h3>Discussion</h3><p>The interview in its conclusion questions the current evolution of psychiatry, the less favorable opening modalities in the following decades, a lesser dialogue between the different currents, and the risks of a more recent narrowing of the current fields of research to the neurosciences alone.</p></div><div><h3>Conclusions</h3><p>The experience of Henri-Rousselle Hospital, as developed by Dr. Georges Daumézon, proves to be a particularly favorable illustration of a policy of opening up psychiatry to the different currents of its time as well as to the different registers of the human sciences.</p></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49870434","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}