Evolution Psychiatrique最新文献

{"title":"Récupération des fonctions mnésiques et exécutives après un burnout : suivi à un an de patients en arrêt de travail pour épuisement professionnel","authors":"Charlie Renaud (Maître de conférences) , Agnès Lacroix (Professeure des universités)","doi":"10.1016/j.evopsy.2024.08.003","DOIUrl":"10.1016/j.evopsy.2024.08.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Numerous studies have demonstrated an association between burnout and cognitive difficulties, yet there is a paucity of longitudinal research on the subject. This study aims to conduct a one-year follow-up on patients who have experienced clinical burnout. Additionally, the literature suggests that variables such as depression, anxiety, neuroticism, emotional regulation strategies, and return to employment may influence cognitive recovery and the patient's perception thereof. Therefore, this study also seeks to delineate the potential roles of these variables in patients’ cognitive recovery.</div></div><div><h3>Method</h3><div>We conducted two assessments with 22 patients (19 women and 3 men), with an average time lapse of 386.10<!--> <!-->days (SD<!--> <!-->=<!--> <!-->20.71) between evaluations. Cognitive functions were assessed using neuropsychological tests. Initially, the MEM-III and GREFEX were employed, while the MEM-IV (the only test altered between the initial encounter and follow-up) was used to assess memory in the second evaluation. The BRIEF-A questionnaire was utilized to evaluate executive functions. Additionally, the French Big Five Inventory, HADS, and the emotion regulation scale were employed to delve into the participants’ psychological profiles.</div></div><div><h3>Results</h3><div>Significant improvements were observed in all memory domains evaluated, encompassing auditory, immediate visual, and delayed visual memory. Regarding executive functions assessed through tests, only four out of sixteen analyses demonstrated significant improvement. These analyses pertained to errors in the interference condition of the Stroop test, categories in the MCST, time for TMT B, and the number of words generated in literal fluency tasks. Self-assessments from the BRIEF-A indicated improvement in the overall executive index and metacognition index. Anxiety and depression levels did not significantly differ one year after the initial assessment. Only burnout and neuroticism levels showed a significant decrease. Furthermore, no differences were observed between patients who had resumed employment and those still seeking employment.</div></div><div><h3>Discussion</h3><div>Memory impairments appear to be temporary and reversible, while executive function data reveal a more nuanced outcome, with a substantial difference between test-assessed recovery and patient self-evaluation. Test results indicate some improvements, particularly in tests assessing inhibition and mental flexibility. However, these improvements may be attributed to increased cognitive endurance, as these tests were administered last in the battery. Patient self-evaluations of executive functions may suggest increased confidence in their cognitive abilities. Exploring the role of self-esteem in the self-assessment of cognitive functions after burnout would be an intriguing avenue for further research. Finally, among all tested co-variables, only neur","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 1","pages":"Pages 121-133"},"PeriodicalIF":0.6,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159022","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’alliance thérapeutique : un paradigme trans-théorique pour les psychothérapies","authors":"Madeleine Azubuike (Psychologue clinicienne et doctorante) ,&nbsp;Fanny Marteau-Chasserieau (Maître de conférences en psychologie) ,&nbsp;Nathalie Duriez (Professeur des universités)","doi":"10.1016/j.evopsy.2024.10.002","DOIUrl":"10.1016/j.evopsy.2024.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>Psychotherapy is an immensely diverse field of practice, in which multiple models and protocols coexist. This diversity can be an asset but can sometimes hinder the path toward a common understanding of what works in psychotherapy. The aim of this article is to show that the therapeutic alliance construct can provide an integrative frame of reference when it comes to understanding the psychotherapeutic process.</div></div><div><h3>Method</h3><div>This narrative review of the therapeutic alliance concept embraces the diversity of theories and practices in psychotherapy. We draw on the contextual model (Wampold, 2001) and the therapeutic alliance model (Bordin, 1979).</div></div><div><h3>Results</h3><div>The reviewed studies mainly focus on individual psychotherapy for adult patients and are drawn from the international literature over the past fifty years.</div></div><div><h3>Discussion</h3><div>We explore the epistemological and practical implications of these studies. One part of the research explores the links between alliance and psychotherapy outcomes, while another explores alliance as a therapeutic process.</div></div><div><h3>Conclusions</h3><div>The contextual approach and the alliance model can be used to provide a definition of psychotherapy that is common to different schools of thought. These concepts offer a framework for quality psychological care.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages 793-810"},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721925","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":"Apport de la danse-thérapie dans la prise en charge des victimes d’inceste","authors":"Sophie Gallet (Psychiatre)","doi":"10.1016/j.evopsy.2024.09.002","DOIUrl":"10.1016/j.evopsy.2024.09.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Patients who are victims of incest frequently have body image disorders. My own experience as a dancer led me to formulate a hypothesis: ballroom dance could be useful for this population of patients to allow them to reclaim their bodies, to learn that their bodies are not their enemies, and that the body of others is not perceived as a danger. To do this, I wanted to trace the history of dance therapy and review the literature on dance therapy as a therapeutic intervention for victims of incest.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The confluence of dance and psychoanalysis will allow the emergence of dance therapy with three major figures in particular. First of all, Marian Chace and Dance Movement Therapy. She was a modern dancer who came to realize that her students come to her for much more than dance lessons. So, she began volunteering in a psychiatric hospital, where she ultimately became a paid staff member. She created a working group that was so successful that the patients themselves wanted to put on a show within the hospital. It was in 1940. She will officially become the first dancer-therapist in 1946. Next comes Trudi Schoop, who met Bleuler and worked mainly with schizophrenic patients. She used dance to harmonize body image and develop body awareness. Finally, Rose Gaetner, a French woman, trained as a psychomotor therapist, whose work focused primarily on classical dance with children and adolescents. The structuring side, mirror work, and the quest for beauty are for her a means of narcissistic restoration. It also introduces a very interesting concept: tonic dialogue.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Today, dance therapy remains little known, especially in France, and its indications remain to be precisely defined, although studies have shown its effectiveness with both somatic and psychological pathologies. More specifically regarding dance therapy as a therapy for patients who are victims of incest, a review of the literature unfortunately brought up only eight studies on the subject. The protocols are very diverse and somewhat lacking in solidity. However, all these studies tend to show the effectiveness of dance therapy with this specific population.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;It is very interesting to note that dance has always been part of humanity. From the Paleolithic, we find traces of it with “the dancing sorcerer,” and it is very possible that it was used for therapeutic purposes. These were most likely trance dances, but these dances have persisted until today, whether it is the Neapolitan Tarantella, Breton dances, or even voodoo. We also find the same characteristics in rave parties. These dances often have an aspect of treatment, particularly for psychological disorders. We can then wonder if rave parties do not also respond to a need in the face of societal unhappiness. Dance therapy was born during the first part of the 20th century, during the era of asylum psychi","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages 679-694"},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721923","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":"Unité et diversités des psychothérapies : quel avenir ?","authors":"Yann Auxéméry ,&nbsp;Sarah Troubé (Psychologue clinicienne, maîtresse de Conférences en psychologie clinique et psychopathologie)","doi":"10.1016/j.evopsy.2024.10.003","DOIUrl":"10.1016/j.evopsy.2024.10.003","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages 593-596"},"PeriodicalIF":0.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721999","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 psychothérapie à la lumière des neurosciences","authors":"Jean-Michel Thurin Ph D sciences cognitives (psychiatre, compétent enfant/adolescent, chercheur associé CESP, resp. pédagogique D.U. psychothérapies : des théories aux pratiques) ,&nbsp;Dr en sciences du langage Monique Thurin (psychologue clinicienne) ,&nbsp;François Journet (psychiatre) ,&nbsp;Huguette Le Guillou (psychologue psychothérapeute) ,&nbsp;Marie-Michelle Narzabal (psychologue clinicienne, psychothérapeute) ,&nbsp;Sandrine Bonneton (psychiatre, pédopsychiatre) ,&nbsp;Luc Surjous (psychiatre, pédopsychiatre) ,&nbsp;Michel Botbol (professeur émérite de psychiatrie de l’enfant et de l’adolescent, président de l’Association mondiale de psychiatrie dynamique)","doi":"10.1016/j.evopsy.2024.08.002","DOIUrl":"10.1016/j.evopsy.2024.08.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;What is psychotherapy today? Why evaluate its therapeutic mechanisms? How can these practices be taught? These are the three essential and complementary questions that the journal &lt;em&gt;L’Évolution Psychiatrique&lt;/em&gt; invited us to answer.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;The elucidation of therapeutic mechanisms, “Why and how does psychotherapy produce effects?” has already been a focal point for questioning practices and theories at the beginning of the twentieth century. Pierre Janet and Sigmund Freud both sought a scientific answer to this question. Janet approached it through a historical study of psychotherapy methods and their results, justified by various mechanisms. Based on 250 cases that he himself treated through hypnotic suggestion, he considered that it was not about creating new resources but rather about using those that the mind already possesses. Freud, during the same period, saw psychotherapy as a process that allows the unconscious to become conscious. He noted that although he had abandoned hypnosis, he rediscovered suggestion in the form of transference. He expressed doubts about the reception that evaluation might receive and predicted the upcoming importance of biology. The elucidation of change processes and their mechanisms became the central question in psychotherapy research in the early 2000s (Kazdin, Kraemer et al.). Developmental psychopathology and methodologies applicable to psychotherapies conducted in natural settings are included. Medical and psychological methodologies for evaluative research are quickly distinguished. Two major developments are noteworthy during this period. The first is the broadening of psychotherapy's scope to include childhood disorders, severe personality disorders, as well as psychotic and psychosomatic disorders. These are revealed to be complex multifactorial disorders. The second is the development of research in biology and then on the brain in relation to the context of reality, including early developmental phases, stress, and trauma. What are the consequences of this evolution on current theories and practices?&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;To answer these questions, we approached this evolution by associating the history of psychotherapy methods (P. Janet) with four major actors in the neuroscientific field who have published on: evolution, development, and consciousness (G.M. Edelman); modern biology and psychoanalysis (E. Kandel); clinical and neurobiological psychotherapy of complex disorders (A.R. Schore); and the socialization of sensorimotor contingencies (A. Lübbert). These five authors have engaged in a multidisciplinary approach open to psychotherapy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Their work significantly contributes to understanding the conditions that influence the effects and mechanisms of psychotherapy. They shed light on the changes it produces and help grasp their origin and part of the cause. Biology and psychology wo","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages 713-748"},"PeriodicalIF":0.6,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721922","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’enseignement du débriefing médico-psychologique par la simulation : quand le transfert se loge au cœur des effets de transmission d’un savoir","authors":"Cécile Gorin (Médecin en Chef, Psychiatre),&nbsp;Célia Breton (Psychologue de Classe normale, Psychologue),&nbsp;Carole Milan (Médecin en Chef, Psychiatre),&nbsp;Charles Gheorghiev (Médecin en Chef, Chef du service de Psychiatrie de l’HIA Sainte Anne)","doi":"10.1016/j.evopsy.2024.09.001","DOIUrl":"10.1016/j.evopsy.2024.09.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Early medical and psychological intervention models are currently dominated by debriefing in conditions of exceptional stress such as armed conflict. Intervention must be rapid and coordinated in order to meet the needs of the victims, by encouraging the verbalization of emotions and the restoration of social links. The historical origins and evolution of debriefing, from past wars to its contemporary application, underline a different, preventive, role in a psychiatry.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;The effects of psychological trauma on the individual and the group involve deleterious dissociation phenomena requiring the restoration of a reassuring framework. The role of debriefing in reintegrating the experience through the development of a shared narrative encourages a process of reconnection, which contributes to this reassuring effect. However, the principle of immediately encouraging traumatized individuals to express themselves verbally calls into question debriefing's conformity with usual psychotherapy practices. Teaching it, which is not in itself an act of care, is nevertheless an opportunity to approach its effects, through the same dynamic of identification in the trainees. The development of new teaching methods, such as simulation, is particularly relevant here, as it emphasizes the acquisition of know-how rather than the transmission of theoretical knowledge. The teaching is based on a behavioral approach, the aim being to encourage trainees to perfect their skills by repeating role-playing exercises, thereby facilitating the transmission of interpersonal and communication skills.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The training of military health professionals, particularly in psychiatry, is vital if they are to cope with the specific constraints of military operations. The aim of this training is to prepare healthcare professionals to intervene in isolated situations and to manage crisis scenarios. A specific educational initiative has been set up at the military hospital Sainte-Anne in Toulon, based on simulation to teach medical-psychological debriefing for the benefit of medical staff who are deployed on missions. The teaching team uses role-playing to simulate operational crisis situations involving traumatic exposure, offering trainees a realistic and interactive approach. This simulation-based approach enables trainees to confront unforeseen situations specific to the military context, while developing the practical and emotional skills that are essential in the management of psychological disorders. In addition, this teaching method encourages reflective practice and promotes an empathetic approach to patients, differentiating the teacher's posture in this context from that which is usually adopted in medicine. In this way, simulation serves as a catalyst for initiating authentic exchanges between trainees and trainers, over and above the effects of subjective experiences specific to ea","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 4","pages":"Pages 695-711"},"PeriodicalIF":0.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722000","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 rôle des angoisses de perte dans la récidive suicidaire","authors":"Laura Pralus (étudiante en Master de Psychopathologie Clinique Psychanalytique, Université Lumière Lyon 2) ,&nbsp;François-David Camps (professeur de Psychopathologie et de Psychologie Clinique, Centre de Recherche en Psychopathologie et Psychologie Clinique (CRPPC), Université Lumière Lyon 2)","doi":"10.1016/j.evopsy.2024.08.001","DOIUrl":"10.1016/j.evopsy.2024.08.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Repeated suicide attempts are a particularly difficult clinical problem. Multiple suicide attempts in the same patient often leave caregivers with a feeling of incomprehension and therapeutic powerlessness. Far from being a “raptus,” the act of suicidal recividism is underpinned by complex psychic processes. In particular, we look at the role of the object and the loss of perception of the object in the dynamics of repeated suicidal acts.</div></div><div><h3>Method</h3><div>We conducted research with three women hospitalized in a psychiatric unit. We offered them a semi-directive interview, followed by the Rorschach and the T.A.T., and finally an open interview. Part of the research process was designed to give the participants the opportunity to express themselves freely, leaving room for imaginative reverie based on the rule of free association. Our methodology is based on an individual case study.</div></div><div><h3>Results</h3><div>Frédérique, Nora, and Olga all took the projective tests. However, the T.A.T. showed some difficulty in processing the instructions. The protocols as a whole showed little investment of thought, a form of passivity in the face of the material, with a predominance of avoidant maneuvers. Using our data, we will question the quality and capacity of our subjects to summon a sufficiently solid internal object. We will also analyze our patients’ narratives, which are more invested in an anaclitic mode, where relationships, and particularly specular relationships, are at the forefront. The narratives are thus mainly mobilized around the treatment of loss through the excitement it can arouse in our subjects.</div></div><div><h3>Discussion</h3><div>Object support is particularly invested in a negative function. We thus studied the relational modalities of our subjects with regard to object dependence, the question of loss and the anxiety it can engender, as well as its associated manifestations.</div></div><div><h3>Conclusion</h3><div>By exploring the unconscious dynamics underlying suicidal acts, and in particular recidivism, we are led to believe that this type of act contains an address to the object, an address that remains unknown to the subject itself and that requires a response from the object for which it is intended. The absence of a response from the object would give rise to an unbearable excitation, for which the subject can imagine no other solution than resorting to a suicidal act. The inevitable return of these unworkable situations would explain suicidal recidivism.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 1","pages":"Pages 1-11"},"PeriodicalIF":0.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143158967","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":"Investigation phénoménologique des formes actuelles de la manie : de l’euphorie à la dysphorie","authors":"Fernando Landazuri (Psychiatre, patricien hospitalier)","doi":"10.1016/j.evopsy.2024.05.006","DOIUrl":"10.1016/j.evopsy.2024.05.006","url":null,"abstract":"<div><h3>Objective</h3><div>The author proposes to take up the phenomenological approach to mania, considering that its presently prevalent semiological form is dysphoric, and no longer, as was classically described, euphoric. After having briefly attempted to formulate some hypotheses relating to the occurrence of this semiological modification, it will be a question of seeking the unity of syndromic mania in spite of, or rather through, these modes of semiological presentation that seem a priori to be radically opposed.</div></div><div><h3>Method</h3><div>Relying mainly on the founding works relating to the study of manic phenomenality (mainly by Binswanger and Ey), but without leaving the heuristic horizon of psychoanalysis, we will endeavor to circumscribe the reductive constraint (epochè) specific to mania, as well as the directions of phenomenological meaning that characterize it most closely.</div></div><div><h3>Result</h3><div>Manic depersonalization proceeds, as does melancholy, from a radical form of affective neutralization, whose paradoxical inferences in the registers of spatio-temporality and intersubjectivity will need to be clarified. The manic antinomy (Binswanger), dramatically tightening the chiasmatic knot of life and death, engages the emancipation of extreme tensions mixing expansion and retraction of space and time, which can be represented by the image of a leap (vertiginous or soaring), between flight and fall; while in the domain of inter-subjectivity, the lack of apprehension and a “loud-mouth” form of being determine the characteristic misdirection of the encounter with the other by the manic subject.</div></div><div><h3>Discussion</h3><div>The manic antinomy joins the melancholic agony to a counter-agonic vital leap, which the daseinsanalytical and psychoanalytical approaches help to clarify. The loss of historicization and even the subjective anonymization that characterize mania as well as melancholy, to the point of making them “a-historical psychoses” (Binswanger), nevertheless leave intact the experience of self-belonging of the Ego, in a form of “pure ego distress” (Binswanger), which we will try to specify.</div></div><div><h3>Conclusion</h3><div>The mood component (euphoric or dysphoric) ultimately appears vicarious in the manic process. Manic phenomenality stems from an eminently singular affective epoch‘e, touching on trans-possibility (Maldiney), the semiological outcome of which seems linked to the emergence of this tension of nonexistence that totalizes the manic experience, or rather, experimentation.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 1","pages":"Pages 71-83"},"PeriodicalIF":0.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159019","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":"Myriam à la rencontre des autres enfants : processus psychiques à l’œuvre dans la construction des liens avec les pairs chez une petite fille handicapée","authors":"Clémence Dayan (Maître de conferences en psychopathologie)","doi":"10.1016/j.evopsy.2024.07.005","DOIUrl":"10.1016/j.evopsy.2024.07.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This article reports on a case study from qualitative research into the peer relationships of young children with disabilities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;This qualitative study consisted in observing disabled children's relationships over an 18-month period in three contexts (family, mainstream environment, and special needs environment). Thirty-two children were included, 15 girls and 17 boys, with a mean age of 3&lt;!--&gt; &lt;!--&gt;years and 2&lt;!--&gt; &lt;!--&gt;months, and with various disabilities (motor disability [&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;8], both intellectual and motor disabilities [&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;16], multiple disabilities [&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;8]). Three kinds of tools were used: a logbook retracing the child's development and life events filled in by the referent psychologist; observation booklets filled in twice by parents and inclusion professionals and the referent psychologist, over two separate 18-month periods; semi-directive interviews carried out by the researchers with the parents and the professionals at the end of the research project. A thematic qualitative analysis was carried out on all the data collected for the 32 cases.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The present article focuses on the case of Myriam, who has had an overall developmental delay since birth. At the beginning, when she arrives at school, she overwhelmingly prefers relationships with adults; is disorganized in her relationships with other children; and cannot seem to bear noise, movement, and groups, which she avoids. Interaction with her is possible, but on the condition that she is able to anticipate and remains in control. Eighteen months later, she reacts better to requests, interacts by imitation and has started a special relationship with another little girl. At the CAMSP, she is surer of herself in the group and is able to contradict adults or be aggressive with her classmates. At the end of the research project, at 6&lt;!--&gt; &lt;!--&gt;years old, Myriam is much more self-assured. Even if some interactions remains difficult, they have become possible, without adult mediation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;This case, chosen because of its representativeness, enables us to raise issues concerning the specific processes underlying disabled children's construction of peer relationships. Typically, young children initially relate to the adults in their life, and then gradually learn to cope with the presence of other children, first in the family, and then outside the family circle. For Myriam, this process occurred later; our hypothesis is that this time lag is due to the particularly central role of the process of separation–individuation with the mother, as relationships with peers can only be formed once the child's maternal representations have evolved. Initially, she is deeply insecure with other children; still in a context of symbiosis with her mother, Myriam seems too little differentiated from the","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 1","pages":"Pages 29-43"},"PeriodicalIF":0.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143158969","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(24)00081-1","DOIUrl":"10.1016/S0014-3855(24)00081-1","url":null,"abstract":"","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"89 3","pages":"Page CO2"},"PeriodicalIF":0.6,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0014385524000811/pdfft?md5=27a755972961b7554bba6b6dae607563&pid=1-s2.0-S0014385524000811-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}