Annales medico-psychologiques最新文献

{"title":"Un corps guéri, une âme en sursis : le travail de la guérison chez l’adulte guéri d’un cancer","authors":"Valentine Cochou , Anne-Laure Poujol","doi":"10.1016/j.amp.2025.06.001","DOIUrl":"10.1016/j.amp.2025.06.001","url":null,"abstract":"<div><h3>Context</h3><div>Over the past several years, psychological research has explored the mental life of illness, particularly during the experience of cancer. This approach rejects the duality between a damaged body and an intact psyche in the face of illness (Le Blanc, 2006). Cancer, with its traumatic potential, affects both the body and psychological balance (Reich, 2009). Pedinielli's (1994) hypothesis on the “work of illness” illustrates the inherent psychological processes of the illness experience. This mental work is not limited to the treatment period, as cancer recovery also involves a psychological reorganization, akin to a “work of recovery.” Research shows the persistence of psychological difficulties and a sense of vulnerability years after cancer onset (Esplen et al., 2018). While medicine declares a physical cure, it may clash with patients who struggle to perceive themselves as “cured” (Dhomont, 2004). For some individuals, this medical recovery may not be integrated psychologically, hindering their sense of healing.</div></div><div><h3>Objectives</h3><div>This study aims to describe the transitional process from the “work of illness” to the “work of recovery” in adults who have been cured of cancer. This description will illustrate the psychological dynamics that facilitate or hinder access to a sense of healing.</div></div><div><h3>Methodology</h3><div>Fourteen participants, who were medically declared cancer-free, were divided into two groups based on their sense of healing. The subjects presented with different types of cancer, but all had advanced-stage cancers (Stage 3 or 4) and had undergone at least chemotherapy. Individual interviews were conducted, recorded, and transcribed. The corpus was analyzed using an inductive thematic analysis, identifying themes and subthemes to develop a thematic analysis grid, validated by inter-rater reliability analysis (Paillé and Muchelli, 2012).</div></div><div><h3>Main results</h3><div>The work of illness acts as a protective factor against the traumatic potential of cancer. We have observed that when patients engage in this psychological work during treatment, it promotes the development of a psychic life around the disease. This process makes it possible to attribute meaning to the cancer experience and helps restore a sense of control over the treatment trajectory. These psychological processes facilitate the integration of the cancer experience, helping individuals to overcome its traumatic impact. “Healing work” can then unfold as the losses associated with the disease are gradually integrated, allowing the cancer to be situated in the past and making the experience of healing possible. In people who feel healed, a narrative process becomes accessible, in which cancer is no longer experienced as a radical rupture but as a sequence integrated into the continuity of their life history. Conversely, detachment from the patient's identity may be hampered by unresolved trauma. In t","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 248-254"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147753612","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":"Santé mentale en tension : enjeux épistémologiques, politiques et cliniques d’un espace fragmenté","authors":"Matthias Brunn , Elisa Chelle , Alain Blanchet , Xavier Briffault , Philippe Carrière , Julie Cartailler , Renaud Colson , Bruno Falissard , Coralie Gandré , Raphaël Gourevitch , Jean-Baptiste Hazo , Céline Loubières , Jasmina Mallet , Salma Mesmoudi , Maeva Musso , Zeynep Or , François Petitjean , Pierre Robicquet , Yann Auxéméry","doi":"10.1016/j.amp.2025.12.006","DOIUrl":"10.1016/j.amp.2025.12.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Mental health has emerged as a major policy issue at the crossroads of health, political, and ethical concerns. Declared a “national cause” in 2025 and 2026, it is receiving renewed attention while the associated theoretical paradigms and public programs are the subject of intense debate. In this context, an interdisciplinary workshop entitled “Mental Health Policies: Pluralistic Concepts and Perspectives” was held in June of 2025. The event aimed to foster dialogue between researchers, clinicians, and institutional actors regarding the tensions that structure the mental health landscape.</div></div><div><h3>Materials and methods</h3><div>We report the discussions that took place during this workshop based on an inductive analysis of the exchanges using Braun and Clarke's (2006) method. The corpus, consisting of all interactions, was coded into more than 1700 segments grouped into thematic axes, then manually refined.</div></div><div><h3>Results</h3><div>First, the lack of collective representation of care providers appears to be a persistent consequence of a fragmented health care organization. Care delivery modes and patient populations vary greatly, and the different paths (private practice, community-based care, academic–hospital settings, etc.) often operate in silos. While this diversity reflects initiative and innovation, it does not uphold an unified voice. Second, paradigmatic reframing is considered necessary, integrating prevention, diagnosis, and care. New tools make it possible to articulate biological, clinical, social, or linguistic data without imposing a single overarching model. The objective is to create transparent, interoperable and inclusive methodologies between biomedical, psychodynamic, and social approaches to strengthen user involvement. . Third, in a context of budgetary constraint, it is also crucial to re-allocate funding toward what is most useful for care. This requires identifying financing mechanisms that promote good practices through appropriate incentives and support the many teams engaged in experimentation and evaluation.</div></div><div><h3>Discussion</h3><div>This workshop shed light on the major forces at play: an acknowledged plurality of approaches, constructive disagreements over evidence-based models, and a shared commitment to tying together the complexity of clinical situations and organizational structures. Its main contribution lies in bringing into dialogue worlds that rarely meet : clinical practice, social sciences, and institutions. The exchanges showed how these perspectives can enrich one another when they are articulated together.</div></div><div><h3>Conclusion</h3><div>Our team effort is expected to grow through further meetings , particularly on: (i) research policy issues in mental health (data and commons); (ii) the role of care providers, users, and caregivers in decision-making processes; and (iii) the financing of psychiatry (allocated budgets and psychot","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 237-243"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754067","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":"Quand les psychiatres ne concluent pas à un diagnostic psychiatrique : à propos d’un cas d’encéphalite auto-immune","authors":"Ingrid Pujet ,&nbsp;Axelle Vizet ,&nbsp;Mareva Calteau ,&nbsp;Elodie Py-Leroy ,&nbsp;Anaïs David","doi":"10.1016/j.amp.2025.11.011","DOIUrl":"10.1016/j.amp.2025.11.011","url":null,"abstract":"<div><div>Anti-NMDA receptor encephalitis (also called anti-NMDAr encephalitis) has been described since 2007 and most often manifests itself through psychiatric and cognitive disorders and dysautonomia. This diagnosis is still little known among practitioners. In rare cases, this pathology has a solely psychiatric presentation. We propose here to address the situation of a 26-year-old young woman who presented with a psychotic-like decompensation, with some atypical points, leading to a form of diagnostic wandering for almost a year before the hypothesis of ANTI-NMDAr encephalitis was validated and appropriate therapy was initiated. In this article, we describe the care pathway of this patient, the clinical hypotheses and the multidisciplinary consultations that led to this diagnosis.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 271-274"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754068","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":"Hypothermie iatrogène en psychiatrie","authors":"Antoine Casel,&nbsp;Dounia Amroune,&nbsp;Khalid Benechebli","doi":"10.1016/j.amp.2025.05.004","DOIUrl":"10.1016/j.amp.2025.05.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Hyperthermia, in the context of Neuroleptic Malignant Syndrome, is a well-known adverse effect. However, iatrogenic hypothermia (temperature below 35<!--> <!-->°C) due to antipsychotic drugs is less recognized. Common psychiatric treatments that can cause hypothermia include atypical neuroleptics, benzodiazepines, and certain antidepressants. Hypothermia leads to cardiovascular, respiratory, and neurological disturbances. The risk of sudden death increases with the severity of the condition.</div></div><div><h3>Results and discussion</h3><div>We report two cases of iatrogenic hypothermia occurring in a psychiatric hospital setting. The first patient, a 57-year-old woman, followed for schizophrenia, developed acute respiratory distress with hypothermia at 34.8<!--> <!-->°C, 10<!--> <!-->days after her admission. She had been treated with Clopixol and Clozapine. A pneumonia was treated with empirical antibiotic therapy. The evolution showed respiratory improvement, but hypothermia persisted (33.8<!--> <!-->°C to 35<!--> <!-->°C). Iatrogenic hypothermia was considered, and discontinuing Clopixol led to normalization of her temperature within 5 days. The second patient, a 60-year-old woman with a history of hypothyroidism, was hospitalized for psychotic decompensation following the discontinuation of her medications. Three days after admission, she developed hypothermia at 30<!--> <!-->°C, along with neurological symptoms (Glasgow score 12) and sinus bradycardia with a prolonged QT interval of 470<!--> <!-->ms, while being treated with Quetiapine and Carbamazepine (her baseline treatment prior to admission). The TSH level at 25<!--> <!-->mU/L did not seem to explain the symptoms. She was transferred to the intensive care unit, and the hypothermia improved 24<!--> <!-->hours after stopping the psychotropic medications. No recurrence of hypothermia was noted after Quetiapine was resumed. The cause of her hypothermia appeared to be multifactorial: the effect of psychotropics on thermoregulation, deep nocturnal sedation causing a fall and prolonged grounding, and hypothyroidism.</div></div><div><h3>Conclusion</h3><div>Hypothermia is a serious side effect that can compromise the patient's vital prognosis. Monitoring of body temperature after the introduction or modification of psychotropic treatments must be rigorous, especially in frail, malnourished, or elderly individuals who may have impaired thermoregulation.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 255-257"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754071","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":"Greffe d’identité : l’étude des changements de personnalité chez les transplantés","authors":"Renaud Évrard","doi":"10.1016/j.amp.2025.10.009","DOIUrl":"10.1016/j.amp.2025.10.009","url":null,"abstract":"<div><h3>Context</h3><div>Advances in organ transplantation medicine have coincided with the emergence of a new form of exceptional experience at the frontiers of life: personality changes attributed by transplant recipients to the donor or the organ received. Studies with small sample sizes began to build a database in the 1990s, alongside popular interest in the subject, which was reflected in several works of fiction. A fraction of transplant recipients identify changes in one or more areas of their lives: emotions, diet, sexual orientation, religious or spiritual beliefs, memories, physical activities, etc.</div></div><div><h3>Methods</h3><div>After a summary presentation of a few cases from this literature, we propose a review of the literature on the various changes observed, the factors possibly involved (immunosuppressive drugs, vascular and metabolic factors, psychological and emotional stress factors), and the main explanatory models (cellular memory, psychosocial adaptation phenomenon, and non-ordinary phenomenon).</div></div><div><h3>Discussion</h3><div>We then discuss the associated risks for transplant recipients, donor families, the public, and in the context of medical practice. Next, we analyze the clinical recommendations recently promoted by some researchers: prioritizing the scientific perspective, reframing identity changes within a multifactorial context, and developing a clinical approach to accommodate these narratives without directly invalidating them. Finally, we propose research perspectives to improve our knowledge of this phenomenon.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 258-263"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752265","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":"The traveling alienists","authors":"Emmanuel Drouin ,&nbsp;Marion Hendrickx","doi":"10.1016/j.amp.2025.07.004","DOIUrl":"10.1016/j.amp.2025.07.004","url":null,"abstract":"<div><div>This article retraces the history of the “travelling alienists” – 19th-century psychiatrists such as Esquirol and Guislain – who helped to humanize psychiatry by observing and comparing practices abroad. A student of Pinel, Esquirol prescribed therapeutic journeys for wealthy patients, entrusting them to young doctors tasked with studying the asylums they visited. This approach allowed for the collection of data and led to reform proposals, particularly regarding the inhumane conditions of confinement. The Belgian village of Gheel, where mentally ill individuals lived freely in families, deeply influenced French psychiatrists and inspired the creation of family colonies. The article also discusses “mad travellers,” patients suffering from delusions of persecution or pathological wandering, who fascinated figures like Tissié and Charcot. In conclusion, the authors highlight the relevance of the travelling alienists’ legacy: their humanistic and open approach contrasts with today's more technical and security-driven psychiatry. They call for a reinvention of the French sector-based model while preserving the dignity and individuality of patients.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 281-284"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752266","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":"Prevalence and risk factors of anxiety in patients with chronic diseases attending a tertiary care center","authors":"Soumaya Benmaamar ,&nbsp;Samira El Fakir ,&nbsp;Ibtissam El Harch ,&nbsp;Moncef Maiouak ,&nbsp;Noura Qarmiche ,&nbsp;Nassiba Bahra ,&nbsp;Hind Bourkhime ,&nbsp;Mohamed Omari ,&nbsp;Nada Otmani ,&nbsp;Bouchra Amara ,&nbsp;Nesserine Akesbi ,&nbsp;Rhizlane Berrady ,&nbsp;Hakima Abid ,&nbsp;Nabil Tachfouti","doi":"10.1016/j.amp.2026.02.004","DOIUrl":"10.1016/j.amp.2026.02.004","url":null,"abstract":"<div><h3>Context</h3><div>Anxiety is a common comorbidity in patients with chronic diseases. This study aims to assess the prevalence of anxiety among Moroccan patients with chronic diseases and identify the key factors associated with increased anxiety levels.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted at Hassan II University Hospital of Fez, among patients diagnosed with various chronic diseases. A structured questionnaire was used to collect sociodemographic, clinical, and economic data. Anxiety levels were measured using HADS questionnaire in its version Arabic validated. The socio-economic status (SES) was assessed using a composite index based on key indicators, including income, educational level, employment status, and health insurance coverage. Bivarite and multivariate (logistic regression) statistical analyses were performed to determine associations between anxiety and potential risk factors.</div></div><div><h3>Results</h3><div>1122 subjects were included in the study. The findings revealed a high prevalence of anxiety among patients with chronic diseases (48.9%) CI_95% <!-->=<!--> <!-->(46%–52%). It varies according to the type of disease. Older age, female gender, low socioeconomic status, and duration of disease over or equal 6 years were significantly associated with higher anxiety levels.</div></div><div><h3>Conclusion</h3><div>The study highlights the urgent need for integrated mental health care within chronic disease management.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 275-280"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754069","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 rétablissement dans le contexte des maladies somatiques – co-analyses de parcours de vie traversés par le VIH et le lymphœdème","authors":"Clotilde Potez ,&nbsp;Agnès Certain ,&nbsp;Stéphane Vignes ,&nbsp;Nicole Robert ,&nbsp;Yves Ferrarini ,&nbsp;Arnaud Plagnol","doi":"10.1016/j.amp.2025.04.001","DOIUrl":"10.1016/j.amp.2025.04.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context and issues&lt;/h3&gt;&lt;div&gt;Particularly deployed in the context of persistent psychological disorders, recovery as a personal process of redefining oneself and re-engaging in a positive life dynamic, despite residual symptoms, seems entirely worthy of being introduced into the field of treating somatic illnesses, and especially when they are chronic. Practices focused on the individual's future are being developed in somatic medicine departments, but the concept of recovery has yet to really find its place in psychiatry. In the field of psychiatry, recovery is a hopeful prospect, but could not it also be the case for people living with “visible” chronic somatic illnesses such as lymphedema, or “invisible” ones such as HIV infection?&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methodology&lt;/h3&gt;&lt;div&gt;To illustrate the appropriateness of the concept of recovery in the field of chronic somatic diseases, we questioned two people directly concerned: Mrs. NR, who suffers from lymphedema of the leg, and Mr. YF, who is living with HIV. After recounting their respective backgrounds, drawing on their experiences and experiential knowledge, NR and YF were invited to discuss how the concept of recovery might or might not resonate with them, and what interest they felt it might hold for people living with chronic somatic illnesses. These exchanges were the subject of a collaborative analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;With the onset of the disease, NR and YF spoke of coming face to face with vulnerability, and death for YF, in the eyes of others, as well as a change in the way they viewed their own bodies and themselves more generally. It should be noted that they were both diagnosed with cancer during their lives, NR before the diagnosis of lymphedema (the treatment of the former having caused the latter), and YF after the diagnosis of HIV. Various factors helped them on their respective journeys: family support and a return to study for NR, the positive visualization technique and therapeutic patient education for YF, meeting other people living with the same disease, having associative responsibilities and engaging in peer-help and partnership. YF and NR describe a very gradual period of personal, non-linear self-reconstruction, during which they learned a great deal, they explain, particularly on a human level. Despite the persistence of symptoms, NR no longer feels “ill” today. YF and NR describe feeling they are in a “new equilibrium”.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;In NR's and YF's respective life courses, we can identify the key dimensions of recovery – grouped together under the acronym CHIME, in reference to the work of Leamy et al. in 2011 – in the context of psychological disorders: connection to others, hope and optimism, identity, meaning in life, and empowerment. It would be relevant to account for perhaps more specific dimensions of recovery in the context of somatic illnesses in general, and more specifically in relation to the chronicity ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 244-247"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147753611","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":"Remédiation cognitive de l’attention chez les patients atteints de maladie d’Alzheimer : un essai clinique randomisé","authors":"Hamza Mrini,&nbsp;Maria Sabir","doi":"10.1016/j.amp.2025.11.009","DOIUrl":"10.1016/j.amp.2025.11.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Alzheimer's disease (AD) affects approximately 200,000 individuals in Morocco, with projections indicating a doubling to 400,000 cases by 2050. The Rabat-Salé-Kénitra region accounts for nearly 22,000 patients, representing 11% of the national burden. Attentional deficits constitute one of the earliest and most debilitating cognitive manifestations of AD, progressively compromising patients’ functional autonomy and quality of life. Current pharmacological treatments (cholinesterase inhibitors, memantine) offer only modest symptomatic benefits, rarely exceeding 1.5 MMSE points at six months, while presenting significant side effects and costs exceeding 1100 dirhams monthly. This situation has prompted the development of non-pharmacological alternatives, particularly cognitive remediation therapy (CRT), which targets neuroplasticity mechanisms to restore or compensate for impaired cognitive functions. This study aimed to evaluate the effectiveness of a multimodal CRT program on attentional functions in patients with mild-to-moderate AD in the Rabat-Salé-Kénitra region.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This quasi-experimental study included 94 patients with probable AD diagnosed according to NINCDS-ADRDA criteria, with MMSE scores&lt;!--&gt; &lt;!--&gt;≥&lt;!--&gt; &lt;!--&gt;12, aged&lt;!--&gt; &lt;!--&gt;≥&lt;!--&gt; &lt;!--&gt;55 years. Participants were recruited from the Rabat Alzheimer Day Care Center, the geriatric psychiatry department of the Specialties Hospital, and home-based care settings. They were allocated to either a CRT group (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;47) receiving 24 sessions of multimodal cognitive remediation over 12 weeks, or a control group (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;47) receiving standard care. The CRT program incorporated five categories of attentional exercises: visual part-whole analysis, visuospatial transformations, eye-hand coordination tasks, visual analogies, and consecutive number searches. These tasks employed errorless learning, positive reinforcement, and metacognitive strategies to promote neuroplasticity. The control group continued receiving standard medical care, including regular geriatric or neurological consultations, maintenance of prescribed pharmacological treatments without dosage modifications, usual occupational activities, and informal caregiver support. Pre- and post-intervention assessments utilized the Bells Test (primary outcome), MMSE, and MoCA. Effect sizes were calculated using Cohen's &lt;em&gt;d&lt;/em&gt;, and moderating variables (age, IADL, self-efficacy, motivation) were examined through correlation and stepwise regression analyses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The CRT group demonstrated exceptional improvements across all cognitive measures compared to the control group, which showed slight deterioration. On the Bells Test, the CRT group improved by 4.82&lt;!--&gt; &lt;!--&gt;±&lt;!--&gt; &lt;!--&gt;2.09 bells versus a decline of -0.49&lt;!--&gt; &lt;!--&gt;±&lt;!--&gt; &lt;!--&gt;0.98 in controls (Cohen's &lt;em&gt;d&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;3.26, &lt;em&gt;P&lt;","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 264-270"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754070","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’amnésie traumatique et ses implications judiciaires dans les faits d’inceste","authors":"Julie Francols","doi":"10.1016/j.amp.2025.10.006","DOIUrl":"10.1016/j.amp.2025.10.006","url":null,"abstract":"&lt;div&gt;&lt;div&gt;In continuity with our previous article (Francols et Ravit, 2025), in which we identified the main factors associated with traumatic amnesia in the context of incestuous violence, we propose here to discuss the judicial implications of traumatic amnesia among victims of incest. Today, in France, 7.4 million people are recognized as having been victims of incest (Sondage IPSOS, 2023) and among them, 89% have suffered (and continue to suffer) from traumatic amnesia (Francols et Ravit, 2025), with 50% experiencing it in its complete form. Furthermore, for 28% of individuals who experienced complete traumatic amnesia, the condition lasted for more than 30 years. Traumatic amnesia, also referred to as “dissociative amnesia” in the scientific community, is defined as “an inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting” (American Psychiatric Association, 2015). Beyond this psychiatric definition, traumatic amnesia bears witness to the extreme nature of psychic survival mechanisms in the face of the psychic disintegration and destruction brought on by incestuous acts. Incest is not merely an assault on the body; it is, first and foremost, an assault on the psyche — a kind of death, an erasure of the other as a singular and differentiated subject. By taking possession of the child's body, the incestuous parent also attacks the child's mind, denying their otherness, their desire, and their inherent need for existence. The child is no longer a subject, no longer the bearer of a singular identity differentiated by age and gender; they become an object — an object of other — reduced to a body with forms and orifices, transformed into a toy whose sole function is to entertain, to give pleasure — and, in the worst cases, to provide gratification. To survive, the individual has no choice but to erase the reality of the act, to render it non-existent within the self. Symbolization processes break down, preventing the transformation of “initial perceptual traces” into conscious and meaningful representations of experience. Ego-splitting and repression operate to keep the threatening representations of sexual trauma out of awareness. Due to its complexity and radical nature, traumatic amnesia places significant limitations on victims’ ability to report what happened and on the expected judicial response. Based on a national epidemiological study conducted between November 2022 and March 2023 with 400 participants who experienced incest in childhood or adolescence, we identified the specific temporality associated with the phenomenon of traumatic amnesia and the psychic processes necessary for constructing representations of incestuous traumatic events. However, the French criminal justice system is bound by statutory time limits that fail to account for the extended psychological timeframe needed by incest victims to fully process and integrate these trau","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 201-208"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555636","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}