Evolution Psychiatrique最新文献

{"title":"Phénoménologie différentielle du syndrome dépressif. À propos de la dépressivité mélancolique et épileptique (I). Introduction","authors":"Fabian Lo Monte ,&nbsp;Caroline Gros","doi":"10.1016/j.evopsy.2026.01.011","DOIUrl":"10.1016/j.evopsy.2026.01.011","url":null,"abstract":"<div><h3>Introduction</h3><div>In clinical phenomenology, the experience of the encounter and the clinician's subjectivity play a central role. Their diagnostic and therapeutic implications are also important topics. In this context, the best-known theoretical formalisation is the <em>Praecox Gefühl</em> (or <em>praecox feeling</em>), a type of experience felt by the clinician, supposedly linked to the encounter with individuals diagnosed with schizophrenia. A 1980 study by Otto Dörr-Zegers and Hubertus Tellenbach identified a type of experience thought to be typical of encounters with individuals experiencing a <em>melancholic</em> crisis; this phenomenon is far less well-known. Until now, this research publication had not been translated into French.</div></div><div><h3>Methods</h3><div>We obtained the research publication from the journal <em>Der Nervenarzt</em>. We then sought to introduce the text to a French-speaking audience (part 1) and translate the text into French (part 2).</div></div><div><h3>Results</h3><div>The translated publication discussing the <em>melancholy feeling</em> gives French-speaking readers insight into the typical feelings experienced by clinicians when encountering melancholic patients. It also provides a description of the phenomenological differential characteristics between melancholic depressivity and epileptic depressivity.</div></div><div><h3>Discussion</h3><div>This work contributes to the ongoing development of new possibilities in research and clinical practice, particulary regarding the phenomenological approach to clinical issues beyond schizophrenic experience. The latter has always been the main focus of the phenomenological tradition in psychiatry. This work also contributes to the progressive development of research on clinician's subjectivity.</div></div><div><h3>Conclusion</h3><div>Clinical phenomenologists must continue their efforts to describe the experiences of clinicians during encounters with patients, moving beyond the realm of encounters with patients considered to have psychotic issues. There should also be more rigorous focus on therapeutic implications.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 374-379"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208502","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":"À l’écoute du patient : la dimension psychique du soin hospitalier. À propos de… « Vie psychique à l’hôpital : Modèles de recherche et pratiques cliniques » sous la direction de Karl-Leo Schwering et François Villa","authors":"Voskan Kirakosyan (Maître de conférences en psychopathologie clinique)","doi":"10.1016/j.evopsy.2025.11.001","DOIUrl":"10.1016/j.evopsy.2025.11.001","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 391-396"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208504","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":"La condition borderline à la lumière de la condition baudelairienne : contribution de la philosophie sartrienne à la compréhension du trouble de personnalité borderline","authors":"Pauline Aprile (Psychologue clinicienne) ,&nbsp;Jérôme Englebert (Professeur)","doi":"10.1016/j.evopsy.2026.01.010","DOIUrl":"10.1016/j.evopsy.2026.01.010","url":null,"abstract":"<div><h3>Objectives</h3><div>This article seeks to provide a novel perspective on borderline personality disorder by viewing the condition through the lens of the lived experiences of Charles Baudelaire as explored by Jean-Paul Sartre.</div></div><div><h3>Methods</h3><div>We approached borderline personality disorder from a phenomenological standpoint, utilizing Baudelaire's experiences as interpreted by Sartre. We identified four key conceptual points of reference: (1) the triad of universality, singularity, and alterity, (2) reflexivity, (3) the intuition of uselessness, and (4) the topological limit. These points, drawn from Sartre's reflections, offer insights into how Baudelaire—and indeed all humans—navigate existence via the choices they make in response to contingencies. We posit that these points of reference can improve understanding of individuals with borderline personality disorder within psychotherapeutic contexts.</div></div><div><h3>Results</h3><div>Examining Baudelaire's life, the key issue of original choice emerges as we consider how individuals experience universality, alterity, and singularity. The reflexive stance adopted by Baudelaire as he sought to define his distinctiveness is also indicative of borderline functioning, evident in the problematic behaviors that define the subject's identity. Sartre identifies the sense of futility felt by individuals confronting the inability to recognize their existential specificity; this futility is another hallmark of borderline personality disorder and is at the core of Baudelaire's inner landscape. Like Baudelaire with his hurried temporality, individuals with borderline personality disorder seek to escape feelings of inner emptiness by immersing themselves in chaotic temporal dynamics, characterized by risky or even destructive behaviors. For Baudelaire, guilt as a form of psychological safety and the search for constrained and limited freedom both help ensure a distinct place in the world and among others, although this place is not necessarily desired or desirable; such mirrors the experience of individuals with borderline personality disorder.</div></div><div><h3>Discussion</h3><div>Studying the human condition through the lens of existentialism offers valuable insights into psychopathological conditions. This approach could play a key role in shaping research and informing our understanding of the borderline experience.</div></div><div><h3>Conclusion</h3><div>This work uses existential analysis to improve understanding of borderline personality disorder within psychotherapeutic contexts informed by phenomenological psychopathology. Sartre's conceptual points of reference could be viewed as central elements of the borderline experience and can thus serve as characteristic indicators of this condition.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 251-266"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208438","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":"Phénoménologie différentielle du syndrome dépressif : à propos de la dépressivité mélancolique et épileptique (II). Traduction","authors":"Fabian Lo Monte ,&nbsp;Caroline Gros","doi":"10.1016/j.evopsy.2026.04.002","DOIUrl":"10.1016/j.evopsy.2026.04.002","url":null,"abstract":"<div><h3>Introduction</h3><div>In clinical phenomenology, the experience of the encounter and the clinician's subjectivity play a central role. Their diagnostic and therapeutic implications are also important topics. In this context, the best-known theoretical formalisation is the <em>Praecox Gefühl</em> (or <em>praecox feeling</em>), a type of experience felt by the clinician, supposedly linked to the encounter with individuals diagnosed with schizophrenia. A 1980 study by Otto Dörr-Zegers and Hubertus Tellenbach identified a type of experience thought to be typical of encounters with individuals experiencing a <em>melancholic</em> crisis; this phenomenon is far less well-known. Until now, this research publication had not been translated into French.</div></div><div><h3>Methods</h3><div>We obtained the research publication from the journal <em>Der Nervenarzt</em>. We then sought to introduce the text to a French-speaking audience (part 1) and translate the text into French (part 2).</div></div><div><h3>Results</h3><div>The translated publication discussing the <em>melancholy feeling</em> gives French-speaking readers insight into the typical feelings experienced by clinicians when encountering melancholic patients. It also provides a description of the phenomenological differential characteristics between melancholic depressivity and epileptic depressivity.</div></div><div><h3>Discussion</h3><div>This work contributes to the ongoing development of new possibilities in research and clinical practice, particulary regarding the phenomenological approach to clinical issues beyond schizophrenic experience. The latter has always been the main focus of the phenomenological tradition in psychiatry. This work also contributes to the progressive development of research on clinician's subjectivity.</div></div><div><h3>Conclusion</h3><div>Clinical phenomenologists must continue their efforts to describe the experiences of clinicians during encounters with patients, moving beyond the realm of encounters with patients considered to have psychotic issues. There should also be more rigorous focus on therapeutic implications.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 380-388"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208440","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":"Homosexualité et homoparentalité : historique et débat inachevé : quelques réflexions","authors":"Claude de Tychey (Professeur émérite de Psychologie clinique)","doi":"10.1016/j.evopsy.2025.09.003","DOIUrl":"10.1016/j.evopsy.2025.09.003","url":null,"abstract":"<div><h3>Aim</h3><div>This article provides a short history of how homosexuality was perceived by American and French psychiatrists and clinicians and examined the points of view held by French clinicians regarding the impact of homoparental families on child development.</div></div><div><h3>Methods</h3><div>A review of selected research was conducted to illustrate the currently open debate among French clinicians, examining theoretical and empirical points of view.</div></div><div><h3>Results</h3><div>The results highlighted the differences between: 1) developmental clinicians and some French psychoanalysts who reject the Freudian view on the consequences of anatomical differences between the sexes and the stages of psychosexual development in favor of gender theories and 2) psychoanalysts who have remained faithful to the Freudian view.</div></div><div><h3>Discussion</h3><div>There was a lack of resolution between the different theoretical positions examined in the review because the methodologies used to test them were flawed for the following reasons: sample weakness and heterogeneity; the absence of a comparative approach; the conditions under which the data were collected, or the nature of the investigative tools used.</div></div><div><h3>Conclusion</h3><div>The review underscored the methodological biases that have colored the work of clinicians from both schools of thought in this conflict-ridden field. I recommend new methodological approaches: future research could employ validated projective techniques (Rorschach test, storytelling). These methods are illustrated using two clinical vignettes to show how to overcome biases associated with two dimensions of social desirability (self-deception, heterodeception) and to try to resolve outstanding questions.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 299-307"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208496","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":"CV2 - editorial board","authors":"","doi":"10.1016/S0014-3855(26)00063-0","DOIUrl":"10.1016/S0014-3855(26)00063-0","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Page CO2"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208417","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":"Troubles des conduites alimentaires et musicothérapies : une revue clinique et critique de la question","authors":"Stéphane Scotto Di Rinaldi (doctorant en psychopathologie, psychologue, psychothérapeute, musicothérapeute, musicien) ,&nbsp;Jean-Luc Sudres (professeur de psychopathologie clinique, psychologue, psychothérapeute, art-thérapeute, psychomotricien) ,&nbsp;Amélie Rousseau (professeur de psychologie, psychologue, psychothérapeute)","doi":"10.1016/j.evopsy.2026.01.009","DOIUrl":"10.1016/j.evopsy.2026.01.009","url":null,"abstract":"<div><h3>Objective</h3><div>This work aimed to provide a synthetic and exhaustive review of how music therapy can be used to treat eating disorders, highlighting its potential therapeutic value.</div></div><div><h3>Methods</h3><div>We analyzed all 28 studies published between 1989 and 2025 that directly deal with the topic of music therapy and eating disorders.</div></div><div><h3>Results</h3><div>Publications over the 36-year period provided information on a total of 157 people with eating disorders that were treated with music therapy. All of the studies concluded that music therapy had benefits on many levels (emotional, psychopathological, psychosocial, and psychocorporal) and did not have any negative effects.</div></div><div><h3>Discussion</h3><div>There remains a lack of published international research in this domain. Future clinical studies should utilize quantitative and qualitative research methodologies that are rigorous and standardized.</div></div><div><h3>Conclusions</h3><div>As a non-verbal mediated therapy, music therapy should be able to play a legitimate and complementary role in the more traditional multidisciplinary care landscape.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 320-342"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208498","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 revue narrative des caractéristiques familiales dans les situations de hikikomori dans une approche systémique-relationnelle","authors":"Gaya Gurung (Psychologue clinicienne) ,&nbsp;Hélène Nicolis MD, PhD (Pédopsychiatre, responsable équipe Enfance-Adolescence)","doi":"10.1016/j.evopsy.2026.03.005","DOIUrl":"10.1016/j.evopsy.2026.03.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;Hikikomori is a condition in which young people stay isolated at home for a prolonged period of time (i.e., at least six months), leading to extreme social withdrawal and disrupted relationships. In such situations, parents quickly become the intermediary between their child and the outside world. In most cases, the parents are the ones who seek help. To improve family-based interventions, it is essential to better understand the specific characteristics of families with children experiencing hikikomori. Thus, we carried out a narrative review of the literature.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Using PubMed and ScienceDirect, we analyzed English and French publications that we identified using the following query: “hikikomori AND (family OR families OR parent OR mother OR father OR sibling OR sister OR brother)”. These studies were published between 2008 and March 2025 in psychological, psychiatric, and medical journals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Out of the 507 publications about hikikomori, 163 met our inclusion criteria. Then, we selected 43 publications to use in our narrative literature review. Our analysis highlighted eight issues of relevance among families with children experiencing hikikomori: typical family profile, communication within the family, conflictuality within the family, parental profile, parenting styles, traumatic experiences, altered temporality, and family skills.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;The narrative literature review highlighted that hikikomori typically occurs in households belonging to the upper-middle class, where the father is withdrawn or absent (often following a parental separation) and the mother and child have a symbiotic bond. These families exhibit intense levels of attachment, making separation experiences distressing, and the parenting style is predominantly indulgent/overprotective. Families with children experiencing hikikomori are significantly emotionally affected by the child's prolonged seclusion and tend to be isolated not only from their extended families but also from broader society, partly due to a “double hikikomori” dynamic. The latter, which follows the onset of hikikomori, leads to an altered perception of time. Relationships are disrupted among fathers, mothers, and the children experiencing hikikomori. Communication is poor between the parents and between the parents and their children. Many studies reported high levels of conflict at home and aggressive episodes by the children experiencing hikikomori toward their parents; however, a few studies suggested that these families show no apparent conflicts. Numerous family functions appear to be impaired, particularly in areas such as problem-solving, communication, role distribution, affective responsiveness, emotional involvement, behavior control, organization, cohesion, and active-recreational orientation. Traumatic experiences both at school and at home are common among children experienc","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 365-373"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208500","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":"Télétravail et burn-out parental : protection ou risque ? Une étude qualitative exploratoire","authors":"H. Pourtier-Tillinac,&nbsp;J. Wendland","doi":"10.1016/j.evopsy.2025.04.002","DOIUrl":"10.1016/j.evopsy.2025.04.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The share of employees working remotely has increased significantly since the Covid-19 pandemic and now concerns 18.8% of French workers. As this type of organization is characterized by an entanglement between professional and private times and spaces, it seems relevant to analyze its effect on parental mental health. Although research on parental burn-out has been expanding since the first studies in the 2000s, the role played by remote work has yet never been examined. This study aims to investigate the parental experience of working from home and to explore how and at what level remote work can be seen as a safeguard against or a risk factor for parental burn-out.</div></div><div><h3>Methods</h3><div>Relying on a qualitative methodological approach, we conducted semi-structured interviews with four fathers and five mothers working from home at least one day a week. All participants were living with a partner and were on average 48.1 years old. Their children were aged between 3 and 18. We performed a thematic content analysis following an inductive method.</div></div><div><h3>Results</h3><div>Five themes emerged from the interviews: remote work as a source of decrease of parental stressors (such as transportation and family organization) ; remote work as a utilitarian choice meant to make parenting easier (with the participants’ “presence” at home seen as a main benefit); a paradox between “being at home” but not “being available” for their children; and the experience of a conflict between private and professional life.</div></div><div><h3>Discussion</h3><div>We discuss how remote work implies specificities that may appear as protection factors in parental burn-out while removing parental stresses, such as the elimination of time spent commuting and exhaustion, and an increased flexibility in family organization. Working from home could also be seen as resource factor, as it could potentially strengthen parental self-esteem by allowing parents to be more present for their children. Yet, we discuss how the diminishing of clear boundaries between professional and familial life could add new and specific stresses. Remote work could, in this sense, bring a risk of work overload and a damaging blurring between professional and parental roles.</div></div><div><h3>Conclusion</h3><div>This qualitative research opens the question of the protective and risk factors of remote work in the development of a parental burn-out. Given the growth and the extension to new socio-demographic profiles of this kind of organization since the Covid-19 pandemic, it seems relevant to further investigate its impact both through positive effects, such as relief of stress and parental self-esteem, and through negative effects, such as work overload and role-blurring.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"91 2","pages":"Pages 287-297"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148208495","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":"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}