Barbara Smaniotto, Marion Mauran-Mignorat, Tamara Guénoun
{"title":"Désirs et représentations des désirs des personnes avec déficience intellectuelle","authors":"Barbara Smaniotto, Marion Mauran-Mignorat, Tamara Guénoun","doi":"10.1016/j.amp.2024.01.001","DOIUrl":"10.1016/j.amp.2024.01.001","url":null,"abstract":"<div><h3>Background</h3><div>This article is the result of an innovative research project in France: DEFIParent – Intellectual Disability and Parenthood; alternative support services for adults. It is a qualitative study in psychology and the social sciences. This research focuses on the parenting desires of adults with intellectual disabilities living in care homes in France. While every individual, no matter their intellectual disability, should be able to choose for themselves, the desire to become a parent seems to be marginalized within this population. The objectives of the research project were: 1. To understand the desires of people with intellectual disabilities living in medical-social establishments concerning their emotional and sexual life and their desire for children, as well as their need for support in this area; 2. To identify the representations of those working with these individuals regarding their emotional and sexual lives, and their desire for parenthood; 3. To develop specific training courses for professionals and alternative approaches to supporting users’ affective and sexual lives and plans for parenthood.</div></div><div><h3>Objective</h3><div>This article concerns the second research focus: it explores the representations of families and professionals concerning the amorous, sexual, conjugal and parental desires of people with intellectual disabilities residing in medico-social care homes. The principle objective of this study is to evaluate the support offered by the support network available to residents of care establishments. How do they adapt their accompaniment to the diversity of the situations they encounter? Do they accept and respect the possibility of a reasoned choice on the part of the residents?</div></div><div><h3>Method</h3><div>Two distinct approaches were used: interviews to determine life history were carried out with seven family caregivers (a parent or sister). Then, two focus groups using an analysis of photo-expressions was conducted with professionals working in care homes. Both were analyzed with a narrative analysis method.</div></div><div><h3>Result</h3><div>The main observations from the interviews with the families were that they were quite surprised to be asked to talk about their child's or brother's emotional life and desires, especially sexual desires. In their view, their now-adult child or brother has no such desires, especially when it comes to the desire to have a child. For example, the families we met had never discussed the desire for a child with their now-adult children. Similarly, the desire to live as a couple or get married is sometimes acknowledged, but quickly brushed aside. The families reported that they have sometimes had to explain to their child that he or she could not marry, notably because of his or her lack of autonomy. On the whole, they perceived their now-adult child as asexual. They were more concerned about the possibility of some sort of sexual aggression","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 473-480"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872547","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":"Profil global de la femme tunisienne victime de violence conjugale et de son agresseur","authors":"Rabeb Jbir, Lobna Aribi, Mariem Turki, Neila Messeddi, Imen Chaari, Fadwa Charfeddine, Jihen Aloulou","doi":"10.1016/j.amp.2024.08.019","DOIUrl":"10.1016/j.amp.2024.08.019","url":null,"abstract":"<div><h3>Objectives</h3><div>Our study aimed to describe profiles of female victims of domestic violence and their aggressors.</div></div><div><h3>Methods</h3><div>Our study was a descriptive cross-sectional study, carried out during the period from April 2021 to January 2022, among women victims of domestic violence who consulted the psychiatric emergency room of the Hedi Chaker university hospital in Sfax (Tunisia) in the context of a medical expertise following domestic violence.</div></div><div><h3>Results</h3><div>Our study included 122 women with an average age of 35.66 years. The majority of them had a secondary (44.3%) or university (31.1%) educational level. They suffered from a psychiatric illness in 25.4% of cases, and 4.9% had a history of suicide attempts. The average age of the aggressors was 41.68 years. Alcohol consumption was found in 54.1% of them. Cannabis use was found in 20.5% of spouses. Cocaine use was noted in 0.8%, as well as for ecstasy. Among them, 28.7% had forensic history. The majority of the children of the women surveyed (89.4%, <em>n</em> <!-->=<!--> <!-->93) had witnessed violence; 39.4% (<em>n</em> <!-->=<!--> <!-->41) of whom had been beaten with their mothers.</div></div><div><h3>Conclusion</h3><div>There is no a typical profile of woman who may be victim of domestic violence, nor a typical portrait of husband who may behave violently towards their partner, notably because of the great diversity of the phenomenon of domestic violence and the underlying factors.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 502-508"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115651","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}
Jack René Foucher , Benoît Schorr , Clément de Billy , Ludovic C. Dormegny-Jeanjean , Olivier Mainberger , Ilia Humbert , Julie M.E. Clauss-Kobayashi , Julien Elowe , Sébastien Weibel , Amaury Mengin , Arnaud Ledoux , Nelly Doligez , Efflam Bregeon , Nicolas Meyer , Fabrice Berna
{"title":"La catatonie progressive par accès périodiques ou « catatonie périodique » de Karl Leonhard 2e partie. Diagnostic probabiliste par Bayes-CPAP, opérationnalisation et preuve de concept","authors":"Jack René Foucher , Benoît Schorr , Clément de Billy , Ludovic C. Dormegny-Jeanjean , Olivier Mainberger , Ilia Humbert , Julie M.E. Clauss-Kobayashi , Julien Elowe , Sébastien Weibel , Amaury Mengin , Arnaud Ledoux , Nelly Doligez , Efflam Bregeon , Nicolas Meyer , Fabrice Berna","doi":"10.1016/j.amp.2023.03.017","DOIUrl":"10.1016/j.amp.2023.03.017","url":null,"abstract":"<div><div>In this second part of the study, we propose an implementation of Karl Leonhard's phenotype of periodic catatonia for ICD-10/11-trained psychiatrists. If the goal is to identify the same subgroup of patients within the schizophrenia spectrum disorders (SSD), we will refer to it as “progressive periodic catatonia” or PPC to emphasize the difference with the classical diagnostic procedure which only makes sense in the context of systems neuropsychiatry. This attempt differs from the previous ones in that we use criteria accessible to practitioners trained in ICD-10/11 and by the replacement of the Boolean polythetic logic by a more integrative Bayesian logic. The principle is simple and consists of using the characteristics whose probability of occurrence is conditioned by the PPC <em>vs</em> non-PPC diagnosis (nPPC). If neither of them is discriminating in isolation, the combination of their likelihood ratios allows us, from a determined prevalence of PPC, to estimate an <em>a posteriori</em> probability of diagnosis. The procedure, named “<em>Bayes-PPC</em>”, requires the evaluation of nine criteria: two concern the evolutionary course, six the residual syndrome (two psychomotor distortions, two negative symptoms, and the absence of two positive symptoms), and the family aggregation. A feasibility study was conducted on 38 PPC and 21 nPPC individuals. Starting from the SSD populations or restricting to SSD with deficit schizophrenia (80% of the population), <em>Bayes-PPC</em> allows for a correct classification of 69 and 67% of the patients respectively. For <em>a posteriori</em> probability higher than 95%, the sensitivity for PPC is 82 and 77% respectively, and the specificity is 100% in all cases. For <em>a posteriori</em> probability less than 5%, the sensitivity for nPPC is 48 and 47% respectively and the specificity is 100% in both cases. These results are encouraging and must now be confirmed in a study involving a larger population and by researchers not trained in the neuropsychiatric diagnostic procedure. They nevertheless suggest the possibility of allowing these same untrained psychiatrists to study the PPC phenotype.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 552-562"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117015","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":"Vincent Van Gogh, son génie, pourquoi tant d’idées reçues à son propos ?","authors":"Joëlle Skriabine","doi":"10.1016/j.amp.2024.10.008","DOIUrl":"10.1016/j.amp.2024.10.008","url":null,"abstract":"<div><div>Van Gogh's letters to his brother Theo written in august 1872, he was 19 years old, until his death, testify to the detours he took before devoting to painting. Not to give up, to enter posterity, to offer to the eyes his paintings, to transmit, this is what arms, barricades his morale. Hence, the idea of bringing another look on Vincent Van Gogh described cursed, crazy, suicidal.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 452-459"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825729","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}
Stéphanie Laconi , Argyroula Kalaitzaki , Daniel Tornaim Spritzer , Simone Hauck , Augusto Gnisci , Ida Sergi , Zahir Vally , Otilia Tudorel , Mona Vintila , Sadia Malik , Jano Ramos-Diaz , Niko Männikkö , Ozkan Cikrikci , Gonzalo Salas , Ruben Ardila , Danilo Zambrano , Claudio Lopez-Calle , Reza Nahid Sahlan
{"title":"A Cross-cultural exploration of problematic Internet use, pathological personality traits, defense mechanisms, coping strategies, and self-esteem in 14 countries","authors":"Stéphanie Laconi , Argyroula Kalaitzaki , Daniel Tornaim Spritzer , Simone Hauck , Augusto Gnisci , Ida Sergi , Zahir Vally , Otilia Tudorel , Mona Vintila , Sadia Malik , Jano Ramos-Diaz , Niko Männikkö , Ozkan Cikrikci , Gonzalo Salas , Ruben Ardila , Danilo Zambrano , Claudio Lopez-Calle , Reza Nahid Sahlan","doi":"10.1016/j.amp.2022.09.008","DOIUrl":"10.1016/j.amp.2022.09.008","url":null,"abstract":"<div><h3>Objectives</h3><div>The primary objective of this study was to compare the estimates of Problematic Internet Use (PIU) from 14 countries around the world, considering gender. The second objective was to explore the relationships between PIU and personality-related variables (pathological personality traits, defense mechanisms, coping strategies, and self-esteem).</div></div><div><h3>Materials and methods</h3><div>Our total sample consisted of 7726 participants (30.8% male, <em>n</em> <!-->=<!--> <!-->2378), aged between 18 and 86 years old (M<!--> <!-->=<!--> <!-->25.55; SD<!--> <!-->=<!--> <span>9.8). Recruited online, they completed several scales about their Internet use, defense mechanisms and coping strategies, self-esteem, and pathological personality traits.</span></div></div><div><h3>Results</h3><div><span>The PIU accounted for between 20.5% and 75% of participants using the PIUQ-9, while “self-perception” of PIU with a single item revealed estimates from 2% to 60.1%, with gender differences. Systematically, PIU significantly correlated with two variables: borderline personality traits (from .09 at </span><em>P</em> <!--><<!--> <!-->.05 to .42 at <em>P</em> <!--><<!--> <!-->.01) and immature defense mechanisms (from .13 to .42 at <em>P</em> <!--><<!--> <!-->.01). Dependent, avoidant, narcissistic, histrionic, and antisocial personality traits were positive predictors of PIU and self-esteem, paranoid and schizoid personalities were negative predictors.</div></div><div><h3>Conclusions</h3><div>This research highlights the many cross-cultural differences. Its design also allows for a better understanding of gender differences.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 400-406"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87985532","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}
Léa Dalkilic , Lise Flevaud , Romain Perot , Louise Todorov , Raphaël Gourevitch , Fabrice Jollant , Alexandra Pham
{"title":"L’évaluation du risque suicidaire : enquête sur les pratiques des services d’urgences psychiatriques en Île-de-France","authors":"Léa Dalkilic , Lise Flevaud , Romain Perot , Louise Todorov , Raphaël Gourevitch , Fabrice Jollant , Alexandra Pham","doi":"10.1016/j.amp.2025.02.004","DOIUrl":"10.1016/j.amp.2025.02.004","url":null,"abstract":"<div><h3>Background</h3><div>Suicide remains a significant public health issue, with the World Health Organization (WHO) estimating that 700,000 deaths worldwide occur each year. This issue is particularly concerning in France, where the suicide rate is 13.2 per 100,000 people, accounting for approximately 200,000 suicide attempts annually. Suicide risk assessment in psychiatry, especially in emergency services, is crucial, but complex, varying between clinical approaches and standardized tools. The clinical approach has the advantage of adapting to the patient's discourse, but lacks objectivity and induces considerable inter-assessor variability. Standardized tools have been in development for many years. For example, in France, the <em>Risque-Urgence-Dangerosité</em> (RUD) have been developed to provide a structured framework and reduce the inter-evaluator variability. Although these tools’ aim is to improve risk prediction, they lack validation in the scientific literature, and their frequency of use is unknown. Furthermore, the integration of standardized SRA tools into daily clinical practice in French psychiatric emergency departments is unknown. This study aims to gain a better understanding of suicide risk assessment practices in psychiatric emergency services in the Île-de-France region, particularly the frequency of use and the extent to which standardized tools are employed compared to clinical approaches, and to know the perceptions of the psychiatrists about the different assessment methods.</div></div><div><h3>Materials and methods</h3><div>The study was conducted in two phases. The first phase involved a literature review to identify the most commonly used standardized suicide risk assessment tools, focusing on their advantages, limitations, and applicability in the French context. The second phase involved semi-structured telephone interviews with psychiatrists working in psychiatric emergency services in Île-de-France. A structured interview guide was developed to collect both qualitative and quantitative data on suicide risk assessment practices. The interviews aimed to gather information on the psychiatrists’ experience and training, the frequency of tool use, and their perceptions of different assessment methods. Interviews were conducted with 25 psychiatrists representing 25 out of the 43 identified services. Non-responding psychiatrists were contacted again at least once. The average length of the interviews was 21<!--> <!-->minutes. Expert contributions, including insights from Professor Jollant, were integrated to provide additional perspectives on the challenges related to suicide risk assessment. Datas were collected by telephone between June 1st, 2024 and August 31st, 2024.</div></div><div><h3>Results</h3><div>Among the 25 psychiatrists interviewed, nearly half (48%) reported that they did not use standardized tools for suicide risk assessment, relying instead on clinical evaluations based on their personal experience a","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 380-386"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825722","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":"Physical and mental implications of mobile phone addiction","authors":"Iqra Arooj , Iqra Munir , Humaira Yasmeen","doi":"10.1016/j.amp.2022.09.002","DOIUrl":"10.1016/j.amp.2022.09.002","url":null,"abstract":"<div><div><span>Cell phones have transitioned quickly from being a luxury to a necessity and today, it is hard to find someone who is not enjoying the amazing power of cell phones. However, with great powers come great responsibilities; most of the users are unaware of the harmful effects of mobile overuse. Today, we are on the brink of being a victim of technology-addiction and in this regard, psychiatrists, educationists, and psychologists have emphasized upon the physical, social, and mental health problems caused by cell phone overuse leading towards addiction. Addiction to </span>mobile phone usage reportedly results in physical as well as mental impairment and has emerged as the subject of extensive discussion and debate among sociologists and psychologists. This technology-addiction needs to be addressed and managed thoughtfully or it may become the second most serious pandemic of this century.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 394-399"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76131500","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 patients âgés et « très âgés » aux urgences psychiatriques : une revue systématique de la littérature","authors":"Hugo Tiercelin , Alexandra Pham-Scottez","doi":"10.1016/j.amp.2025.02.012","DOIUrl":"10.1016/j.amp.2025.02.012","url":null,"abstract":"<div><div>The subject of elderly and “oldest old” patients in psychiatric emergency services, especially when compared with the literature on child and adolescent psychiatry and young adults, is still largely unexplored. Yet, with socio-demographic changes in our country and around the world, psychiatric care increasingly involves elderly and “oldest old” patients. Psychiatric emergency services, as a real “portail of entry” to psychiatric care, are and will continue to be on the front line. We therefore decided to carry out a systematic review of the French and international literature on elderly and “oldest old” patients attending psychiatric emergency services. We conducted a systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standard until August 2023. We chose to include all articles reporting cohorts of patients considered “elderly” and/or “oldest old” (without defining an age threshold) attending psychiatric emergency services (whether or not integrated into an Emergency Department), and to exclude other psychiatric emergency facilities (such as outreach services) and studies focusing on a specific reason for consultation or on theoretical aspects of the management of elderly patients in psychiatric emergency services. We selected 14 articles on patients aged 60 and/or 65 and over in psychiatric emergency services published in the international literature and 1 article specifically on patients aged 80 and over in psychiatric emergency services published in French. These articles are mainly North American, and half of them date from before 1990. The number of patients generally ranged from a few dozen to a few hundred and they were generally recruited monocentrically from psychiatric emergency services with very different operating procedures. The results were highly varied and disparate, covering, among other things: the context and modes of consultation, triggering factors, personal and family psychiatric history, distribution of diagnoses, substance use disorders behavioural disorders, suicidal behaviour, whether the consultation is urgent and/or relevant, and hospitalization rates. Some articles also performed bivariate and multivariate analyses, and identified predictive factors of hospitalization. The small number of articles and their great diversity make the generalization of these results to the French population extremely complicated. The problems of age threshold and the term used to designate elderly and “oldest old” patients are probably the greatest limitation to medical research in this population. New studies on this promising subject are needed, particularly outside North America and based on more recent data. Over the coming weeks and months, Centre Psychiatrique d’Orientation et d’Accueil (CPOA, psychiatric emergency services of Sainte-Anne hospital) team plans to publish the results of two cohorts of 300 and 306 patients, the first aged 60 and ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 369-375"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825720","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}