Annales medico-psychologiques最新文献

{"title":"Santé mentale des minorités sexuelles : disparités, modèles et interventions","authors":"Audric Joël Farrié","doi":"10.1016/j.amp.2024.12.011","DOIUrl":"10.1016/j.amp.2024.12.011","url":null,"abstract":"<div><h3>Objectives</h3><div>The term sexual minorities refers to an aggregation of various minority groups defined on the basis of sexual orientation, the main ones being lesbians, gays, bisexuals and asexuals. In the field of psychology, there is little research into sexual minorities. Moreover, they are mainly conducted in Anglo-Saxon countries. The limited amount of research on the subject in France is the result of a principle of equality implicit in the scientific community, according to which minority specificities must be erased in favour of an overall perspective that is intended to be non-stigmatising. However, the erasure of these specificities makes the specific needs of sexual minorities invisible and contributes to a gap in the effectiveness of the care offered compared to the sexual majority. The aim of this article, from a psychopathological perspective, is to examine the link between mental health and sexual minorities and to analyse the various interventions tailored to sexual minorities that can reduce psychopathological difficulties. If psychotherapists were to take these specific characteristics into account, they would be able to provide better care for this population and consequently reduce the risk of mental disorders developing or persisting.</div></div><div><h3>Methods</h3><div>The literature review was carried out on the EBSCOHOST and CAIRN databases using the following keywords “sexual minorities OR LGBT+ OR homosexuality OR bisexuality OR asexual”; “mental health OR mental disorders OR psychiatric disorders OR depression OR anxiety OR PTSD OR well-being OR social well-being”.</div></div><div><h3>Results</h3><div>The proportion of sexual minorities in the general population depends on the age of respondents. People born after 1997 identify more as a sexual minority than those born before 1948, with an increase in bisexual identity. Sexual orientation conceptualization could include sexual fluidity and gender expression along with sexual identity, sexual behaviour, romantic attraction and sexual attraction. Sexual minorities are more likely to present depressive and anxiety symptoms and disorders, eating disorders such as anorexia, bulimia and binge eating, and post-traumatic stress disorders. Bisexuals and asexuals are particularly affected. Other minority statuses are also factors to be taken into account. The minority stressors model explains these differences by the pressure of the stigmatising environment and the individual resources available. The closet model approaches them from a developmental point of view. This model, built around coming out, articulates the effect of a stigmatising environment prior to awareness of sexual orientation, awareness which can lead to concealment, and revelation and affirmation of orientation. The interventions identified to directly reduce the psychopathological difficulties of sexual minorities focus on affirmation in the form of psychotherapy. Such therapy aimed the valorisati","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 509-518"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117010","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":"Facteurs de protection et facteurs de désistance chez les Auteurs d’Infraction à Caractère Sexuel : articulation et clarification","authors":"Caroline Benouamer , Emilie Telle , Luca A. Tiberi , Thierry H. Pham","doi":"10.1016/j.amp.2024.01.021","DOIUrl":"10.1016/j.amp.2024.01.021","url":null,"abstract":"<div><div>Forensic literature has witnessed a plethora of risk assessment tools, emphasizing on factors increasing recidivism risk. Thus, assessment and care practices of individuals who have offended have gradually evolved when professionals no longer ask what doesn’t work (<em>Nothing works</em>) but what does work (<em>What works</em>) with them. From this positivist forensic psychology perspective, the inclusion of so-called <em>positive</em> factors such as protective or desistance factors is an important issue. A strengths-based approach to risk assessment encourages a more balanced assessment by involving factors mediating, moderating, or even canceling out this risk, specifically protective factors. Despite a strong interest in them, there are many conceptual shortcomings that hinder their use. The existence of these factors is still assumed. While the importance of their integration in assessment is established, their lack of validity hinders it. Hence, the <em>Structured Assessment of PROtective Factors</em> (SAPROF) has been developed to measure exclusively protective factors. The SAPROF assesses internal factors (e.g., intelligence, secure attachment, etc.), motivational factors (e.g., work, leisure activities, etc.), and external factors (e.g., social network, intimate relationship, etc.). An additional version for Individual who have Committed Sexual Offenses (ICSO) has also been developed. The first study consists of a systematized literature review comprising six studies focusing on protective factors identified among ICSOs and the validity of their operational assessment using SAPROF. Main results suggest a poor prediction of the SAPROF. A section of narrative literature focuses on desistance. Desistance paradigm suggests that professionals would be better equipped to deal with individuals who have committed offenses if they were also allowed to guide them and listen to what they think is best for them, rather than insisting that our solutions are best. The principle of <em>What works</em> is therefore complemented by the <em>Why works</em> and <em>How works</em> approaches to rehabilitation by putting offenders back at the heart of the process. As a universal and complex process, desistance involves changes in identity related to exiting the criminal pathway. Therefore, it is a highly individualised and subjective process, whom definitional and operational modalities are still unclear. As with protective factors, narrative literature identifies external and internal factors that might influence the reintegration process. While some desistance factors seem to be common to protective factors such as employment, quality of relationships, or treatment, some non-operational factors are highlighted as narrative discourses or <em>knifing off</em> concept. The second study investigates desistance factors identified through discourses of six male ICSOs on probation or conditional release based on iterative thematic content analysis. Main","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 492-501"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117006","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":"Quelles représentations de l’amour et de la sexualité chez des sujets en EHPAD malgré le veuvage ? Étude clinique exploratoire","authors":"Anne-Valérie Mazoyer , Pauline Thulliez , Christine-Vanessa Cuervo-Lombard","doi":"10.1016/j.amp.2025.02.013","DOIUrl":"10.1016/j.amp.2025.02.013","url":null,"abstract":"<div><h3>Context</h3><div>The sexuality of elderly people is often surrounded by negative perceptions and prejudices, even among professionals. For children and friends, it can be associated with lechery and an adolescent crisis. When it involves two adults in a home for the dependent elderly, sexual behavior may be controlled or even restricted. However, sexual desire persists despite aging and associated bodily changes. Based on sociological and psychodynamic literature on love and sexuality, this study explores the subjective experiences of widowed elderly people living in nursing homes. Sociologists stress the high expectations towards the couple and the partner as a means of personal fulfillment for all adults. Sexuality is an essential component of the couple, and disturbances in one's love life can manifest themselves in various ways, reflecting individual approaches to love and sexuality. The renunciation of sexuality often leads to the breakup of the couple, and the romantic bond can weaken if the sexual relationship becomes cold and distant. Psychodynamic readings also focus on the experience of mourning. When a deeply invested partner dies, a balance is broken, requiring a painful adjustment process known as mourning. Many elderly people experience social relegation and severe isolation, which is exacerbated when the spouse dies. Some bereaved individuals may engage in new libidinal bonds, while others avoid such romantic interactions, with the deceased spouse occupying all their psychological sphere. Re-engagement in life and the world through projects and activities can accelerate the mourning process.</div></div><div><h3>Objective</h3><div>This qualitative study aims to understand the subjective experiences of love and sexuality in widowed elderly people and to identify possible connections between these two modalities. This understanding can lead to reflections on the specific support for the elderly, the complex psychology of the aging subject, and potential training needs for caregivers.</div></div><div><h3>Method</h3><div>This clinical study is based on a qualitative approach. Two interviews, the first non-directive and the second semi-directive, were conducted with nursing home residents. All participants were volunteers selected after a pre-selection based on known data from a residential establishment for dependent elderly people (widowhood, absence of neurodegenerative pathology). They scored above the 5th percentile on the Mini-Mental State Examination (MMSE) of the reference sample (age and sociocultural level), allowing them to understand the various questions of the two interviews. We analyzed both the subjective experiences of the subjects and the way they narrated their stories. Indeed, discourse and discursive strategies bear the trace of psychological functions (such as repression, denial and avoidance).</div></div><div><h3>Results/Discussion</h3><div>During our interviews, we observed a slight reluctance on the part","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 526-531"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117011","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 sentiment de solitude dans le couple et l’impact de la crise sanitaire : une revue de la littérature","authors":"Emmanuelle Dufait , Nadine Demogeot","doi":"10.1016/j.amp.2023.03.015","DOIUrl":"10.1016/j.amp.2023.03.015","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this review is to define the feeling of loneliness within a couple while taking into consideration the factors that lead a person to feel lonely in a couple or in a romantic relationship. Our goal is to understand the effects of the feeling of loneliness on these individuals during the global health crisis brought on by COVID-19 and to take these factors into account in designing effective therapeutic care. The different manifestations of loneliness in a couple should also be highlighted.</div></div><div><h3>Methods</h3><div>We used the PRISMA methodology to select the relevant studies. The keywords (“Solitude” or “Loneliness”) and (“Couple” or “Married” or “Partnership”) allowed us to select 19 references dealing with the theme. We conducted searches of the following databases: “Cairn”, “PsychInfo and Psycarticle”, “PubMed and Medline”, “ScienceDirect” and finally, “Web of Science” in order to find articles covering a ten-year period.</div></div><div><h3>Results</h3><div>There are different definitions for the subjective experience of loneliness. The review of the literature highlights the fact that loneliness can lead to positive or negative psychological consequences (it can lead to the development of creative capacity or, on the contrary, result in depression in some cases). Attachment patterns have been shown to be the basis for the tolerance of feelings of loneliness. Indeed, an anxious attachment would encourage the couple to avoid the feeling of loneliness. According to the literature, this defensive mechanism of seeking presence in the couple would make it possible to limit the impact of loneliness. This solitude depends on the level of relational quality within the couple. A poor relational quality would lead to greater loneliness and would impact intimate relationships. Loneliness is supposedly not experienced in the same way by men and women: Men seem to be more protected by marriage while women's level of loneliness may be higher because of the household chores they have to do. Men and women would nevertheless remain subject to the phenomena of contamination, i.e., when one of the partners feels lonely, the other will also be lonely. However, it seems that marriage protects against feelings of loneliness and its negative consequences. Loneliness does not have only negative effects. It can be beneficial for developing creativity and finding oneself. The periods of confinement during the COVID-19 crisis provided people with an increase in the amount of time they didn’t normally have on a daily basis. This may have been beneficial for some people and can be associated with positive emotions. Individuals who spent the lockdowns with others felt less alone and experienced less psychological distress. However, confinements did produce some negative effects on couples. The increased stress of the pandemic and the constant proximity led to an increase in spousal abuse. The consequences of confinemen","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 481-486"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91079940","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":"Vœu de la Société Médico-Psychologique","authors":"","doi":"10.1016/j.amp.2025.03.014","DOIUrl":"10.1016/j.amp.2025.03.014","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 471-472"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117008","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":"Effet du genre des victimes parmi les consommateurs de pédopornographie et les auteurs de viol : étude exploratoire et résultats préliminaires","authors":"Caroline Benouamer ,&nbsp;Bastien Libert ,&nbsp;Michèle Janssens ,&nbsp;Thierry H. Pham","doi":"10.1016/j.amp.2024.01.019","DOIUrl":"10.1016/j.amp.2024.01.019","url":null,"abstract":"<div><div>This exploratory study compares the distinctive characteristics of individuals who have consumed child pornography and those who have committed rape. The sample consists of 212 men who have reached the age of majority and have been convicted of a sexual offence. All were followed up in 2022 for therapeutic guidance by the Centre d’Appui Bruxellois. Of these 212 men, 48 had been convicted of child pornography consuming and 100 of rape. Socio-demographic, criminological, victimological and psycho-diagnostic data for all participants were extracted from the court files. This comparison offers crucial perspectives for the development of prevention strategies and therapeutic guidance specific to these sub-groups of sexual offenders.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 487-491"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117009","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":"Dispositif de soutien psychologique aux jurés d’assises","authors":"Josué Masson ,&nbsp;Karine Mintoff ,&nbsp;Émilie Philippe ,&nbsp;Mélanie Hermand ,&nbsp;Jean-Pierre Bouchard","doi":"10.1016/j.amp.2025.03.013","DOIUrl":"10.1016/j.amp.2025.03.013","url":null,"abstract":"<div><div>Assize court jurors, as lay citizens in the judicial system, are exposed to intense stress due to their participation in criminal trials. Given this specific context, the Emergency Medical-Psychological Unit of the Marne (CUMP 51) has implemented an innovative support system aimed at preventing and addressing potential psychopathological reactions. This article describes the foundations, structure, and clinical evaluation of this three-component system: a preventive and psychoeducational intervention, immediate psychological support in the form of debriefing, and post-immediate follow-up for jurors presenting with persistent symptoms. Clinical observations confirm the psychological impact of the juror's role and highlight the relevance of such a support system, while also identifying areas for improvement.</div><div>In this interview with Jean-Pierre Bouchard, Josué Masson, Karine Mintoff, Émilie Philippe, and Mélanie Hermand discuss the development and implementation of the support psychological system for assize court jurors, its perception by jurors, and its future perspectives. They present the system, its benefits, limitations, and the challenges they have encountered throughout their experience.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 563-568"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117012","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":"Les effets inattendus des psychothérapies : de notions en concepts et applications. Une approche exploratoire par l’hypnothérapie","authors":"Arthur Becquignon ,&nbsp;Zeev Maoz ,&nbsp;Jean-Luc Sudres","doi":"10.1016/j.amp.2025.03.001","DOIUrl":"10.1016/j.amp.2025.03.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The literature and clinical practice in the field demonstrate that conventional evaluations of psychotherapy fluctuate between restricting psychotherapeutic efficacy to changes in symptomatology/quality of life and pointing out the absence of major differences between the various approaches. Clinical practice indicates that it is patients’ expectations that define the effectiveness of psychotherapies. All this raises yet another question about the effectiveness of psychotherapy, which needs to be explored in a new way: an examination of the unexpected effects (i.e. therapeutic experiences that surprise patients’ expectations). 2. &lt;em&gt;An attempt to define the “psychotherapeutically unexpected”.–&lt;/em&gt;Current international scientific terminology has not yet reached a consensus, and terms such as adverse effects or events, negative effects, risks, or side effects can be found in the literature. This results in confusion, pejorative representations of therapeutic effects, and serves as an impediment in research. The unexpected effects (UEs) of psychotherapy are those effects that exceed or differ from patients’ expectations and desires regarding their psychotherapeutic care. They can be beneficial or harmful and are rarely considered or explored in the field or in research. Exploring the unexpected effects of psychotherapeutic care enables us to study the full scope, consequences and impact of psychotherapy on the individual in their ecological context. 3. &lt;em&gt;An original and prototypical study of unexpected effects in hypnotherapy.&lt;/em&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aims&lt;/h3&gt;&lt;div&gt;To identify the frequency and scope of UEs, develop a typology of UEs, identify UE recurrences, and assess the prevalence of beneficial UEs. The study population: 164 subjects (92 women, 72 men, mean age 40) who had received hypnotherapy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tool and procedure&lt;/h3&gt;&lt;div&gt;A Dimensional Exploration of Hypnotherapeutic Unexpected Effects Questionnaire (DEHUEQ) that evaluates patients’ experiences of treatment and the UEs experienced (naming, categorization, dimensionalities). The questionnaires were collected via social networks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Sixty-four people reported UEs (39% of the population), and they identified an average of two each, occurring in the hours following their last hypnotherapy session, and that exerted a strong impact on daily life and lasted for from several months to years. Hypnotherapy UEs fall into three main categories: emotional (calmness, emotional sensitivity), self-image (self-confidence, letting go) and outlook on life (hope, ability to put things into perspective). The UEs reported were interpreted as beneficial (75.4%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;It would seem necessary to inform subjects and therapists, families and institutions about the place for and impact of UEs in hypnotherapy. Going beyond the initial therapeutic objectives represents a paradigm shift.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 532-537"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117013","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 catatonie progressive par accès périodiques ou « catatonie périodique » de Karl Leonhard. 1er partie. Description du phénotype et diagnostic neuropsychiatrique","authors":"Jack René Foucher ,&nbsp;Clément de Crespin de Billy ,&nbsp;Benoît Schorr ,&nbsp;Ludovic C. Dormegny-Jeanjean ,&nbsp;Olivier Mainberger ,&nbsp;Ilia Humbert ,&nbsp;Julie M.E. Clauss-Kobayashi ,&nbsp;Julien Elowe ,&nbsp;Sébastien Weibel ,&nbsp;Amaury Mengin ,&nbsp;Arnaud Ledoux ,&nbsp;Nelly Doligez ,&nbsp;Efflam Bregeon ,&nbsp;Fabrice Berna","doi":"10.1016/j.amp.2023.04.018","DOIUrl":"10.1016/j.amp.2023.04.018","url":null,"abstract":"<div><div>While the correlation between the phenotype of periodic catatonia and two biomarkers, one genetic and the other brain imaging, has attracted the attention of international psychiatry, there has been little clinical or etiopathological research on this phenotype. The main reason is probably that this phenotype described by the Wernicke-Kleist-Leonhard (WKL) school has been defined in a paradigmatic framework so far removed from that of the ICD or DSM, and that even its name is problematic. Here, ‘periodic catatonia’ has nothing to do with a simple recurrence of relapsing-remitting ICD-catatonia. Hence, we will refer to it as ‘periodic catatonia by progressive access’ (PCPA) to distinguish it from remitting forms. In PCPA, catatonic manifestations are often inconspicuous, and more than half of the patients advance in a step-like progression towards a kind of disabling ‘deficit schizophrenia’. Preliminary results indicate that this symptomatology, which is usually resistant to psychopharmacological treatments, could respond to a personalized neuromodulation treatment specific to PCPA. This is what a national study seeks to confirm in France. In this context, this two-part article aims to make those psychiatrists who have been trained in ICD/DSM psychopathology aware of PCPA and to enable them to diagnose it correctly. The objective of this article is therefore twofold. In the first part, it seems essential to present the problem. PCPA is a product of systems neuropsychiatry, whose diagnostic approach is at odds with the atheoretical and polythetic approach of the international classifications. This first part is intended to present an idea of the diagnostic procedure and to stress the impossibility of diagnosing ‘periodic catatonia’ without reference to its conceptual framework. This is emphasized by changing the name: PCPA is not periodic catatonia, but an operationalization of the original concept. PCPA is intended to be sharable without recourse to a theoretical corpus which is not universally accepted. Therefore, we will describe PCPA using ICD-11 terminology to present an overall picture of the symptomatology and to introduce the elements on which it will be possible to rely when performing the probabilistic diagnosis that will be presented in part II.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 538-551"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117014","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":"Marian apparitions: A multidisciplinary approach. The case of Ile Bouchard","authors":"Emmanuel Drouin ,&nbsp;Gilles Fenelon ,&nbsp;Marion Hendrickx","doi":"10.1016/j.amp.2025.02.014","DOIUrl":"10.1016/j.amp.2025.02.014","url":null,"abstract":"<div><h3>Purpose</h3><div>Discussing Marian apparitions in the light of current knowledge in neuroscience is a challenge: the testimonies are often old and indirect, and the “visionaries” could not be questioned or even examined according to current neurological or psychiatric standards.</div></div><div><h3>Methods</h3><div>In doing so, we are not unaware of the heterogeneity of seers and the facts they reported: there is not necessarily a single hypothesis. In 1947, four young children reported that they had seen the Virgin in the St Gilles Church in the Loire Valley in France, on Ile Bouchard. These appearances will be discussed here in the light of current knowledge in both neuropsychiatry and sociology.</div></div><div><h3>Findings</h3><div>Our interpretation calls on two non-exclusive “mechanisms”: on the one hand, mental imagery, which we know can be unconscious and is modulated or generated by frontal “top-down” mechanisms; on the other hand, the sociological consideration of events, using the concept of enchantment.</div></div><div><h3>Conclusion</h3><div>It is quite possible that Jacqueline, the leader of the group, impregnated by the dogma of the Immaculate Conception and the apparitions in Lourdes, was duped and a victim: she was not aware of the work of her mind, nor of the particular framework in which this experience took place. Her mind was both active because it produced the phenomenon but also passive because she was not aware of her cooperation in its production.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 569-576"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115610","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}