Annales medico-psychologiques最新文献

{"title":"Impact d’une formation francophone, internationale et en ligne sur le trouble de la personnalité","authors":"Lionel Cailhol , Amaury Durpoix , Simon Poirier , Paco Prada , Juliette Salles , Sophie Slovak , Antoine Yrondi","doi":"10.1016/j.amp.2024.12.003","DOIUrl":"10.1016/j.amp.2024.12.003","url":null,"abstract":"<div><h3>Context</h3><div>While the prevalence of Borderline Personality Disorder (BPD) is high and it is characterized by significant severity, individuals affected often encounter obstacles to accessing effective care due to stigma in healthcare services. Training on the subject plays a crucial role in improving the competence of caregivers and changing their perception of individuals living with BPD. In this context, a team of professors developed an autonomous online training integrating testimonials from patient partners.</div></div><div><h3>Objectives</h3><div>To evaluate the satisfaction of participants in this training, as well as its impact on various domains (perception and understanding of BPD, impact on their practice).</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study was conducted using two surveys among all students enrolled in an online course from January to September 2023. The first survey, conducted after the course, was gradually administered before the allocation of training credits, while the second, anonymous survey was distributed via the student forum, accessible to all enrolled students in September 2023, regardless of their stage of course completion. Sample 1, consisting of 32 respondents predominantly female (F/H ratio<!--> <!-->=<!--> <!-->3.3), mainly comprised physicians (42.8%) working in a hospital setting (39.0%) and frequently exposed to individuals living with BPD. Sample 2, with 44 respondents, mainly included participants who had partially completed the course (61.4%) and had not participated in synchronous sessions (70.4%), with no data on socio-demographic characteristics.</div></div><div><h3>Results</h3><div>Sample 1, mainly composed of physicians working in hospital settings and frequently exposed to patients with BPD, reported an increase in their comfort with these patients after completing the online course, with high satisfaction both for the online format and the course length. Qualitative responses highlighted the integration of new therapeutic approaches, a better understanding of BPD, increased confidence in patient care, concrete changes in clinical practice, as well as improved emotional management and counter transference. Improvement suggestions included more in-depth content on comorbidities and therapies, aspects related to professional practice and external management, as well as particular attention to prevention and pharmacology. As for Sample 2, respondents’ satisfaction was high, emphasizing the expertise of the trainers, the variety of educational materials, the relevance and updating of the content, as well as the flexibility and accessibility of the course. Areas for improvement included lack of diversity of viewpoints, length and density of content, lack of associated resources and the ability to download course materials, as well as issues with audiovisual quality and use of sophisticated terms.</div></div><div><h3>Discussion and conclusion</h3><div>Partic","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 7","pages":"Pages 703-708"},"PeriodicalIF":0.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048029","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":"Contribution des formes de tristesse aux symptômes du trouble de personnalité borderline","authors":"Serge Lecours, Gabrielle Riopel","doi":"10.1016/j.amp.2025.02.010","DOIUrl":"10.1016/j.amp.2025.02.010","url":null,"abstract":"<div><div>Painful dysphoric affects are an important part of the phenomenology of individuals suffering from borderline personality disorder (BPD). Previous research has distinguished this dysphoria from major depression, underlining its relational, hostility-laden, and undifferentiated nature. We have previously noted that the processing of loss was absent from BPD individuals’ discussion of sadness-laden interactions and that lower levels of mentalization of sadness were strongly associated with BPD traits.</div></div><div><h3>Objectives</h3><div>We wish to pursue our exploration of painful depressive affects in BPD by framing the definition of dysphoria in terms of differing qualities of sadness or, in other words, differing levels of mentalization of sadness. We conceptualize BPD as presenting both high levels of poorly mentalized sadness and low levels of well-mentalized sadness. Stated differently, a greater experience of psychic pain at a psychic equivalence level, combined with a lack of mentalized or mentalizing sadness (or a lack of adaptive sadness, or the capacity to mourn).</div></div><div><h3>Method</h3><div>To test this hypothesis, 208 undergraduate students (mean age: 22.4; 87.5% female) completed two online questionnaires: the Forms of Sadness Questionnaire (FSQ) and the McLean Screening Instrument for BPD (MSI-BPD). The FSQ assesses two forms/qualities, or levels of mentalization, of sadness: pathological sadness (here, self-critical sadness) and adaptive sadness (here, tolerated sadness). Correlations and hierarchical regression analysis were conducted.</div></div><div><h3>Results</h3><div>Correlations indicate that the number of self-reported BPD criteria is more strongly associated with self-critical sadness (pathological or less mentalized sadness: <em>r</em> <!-->=<!--> <!-->0.51**, large effect size) and also, but less strongly, with tolerated sadness (adaptive or mentalized sadness: <em>r</em> <!-->=<!--> <!-->–0.35**, medium effect size). A hierarchical regression analysis was computed in order to assess the unique contribution of pathological and adaptive sadness on the prediction of BPD traits, over and above the contribution of the potential confounding variables of sex and age. Results indicate that both forms of sadness, as well as age, predict self-reported BPD traits. The strongest predictor is pathological, or less mentalized, sadness.</div></div><div><h3>Conclusions</h3><div>The findings give an indirect indication that BPD dysphoria is composed of at least two types of subjective “depressive” or dysphoric experiences: mostly a type of suffering or sadness that is subjectively recognized through the perception of difficult to tolerate forms of mental pain; and also, a lack of a form of subjectively tolerable sadness, felt as productive. Since adaptive sadness contributes to BPD traits while the contribution of pathological sadness is statistically removed, the findings indicate that adaptive sadness is not reduc","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 7","pages":"Pages 729-733"},"PeriodicalIF":0.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048141","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":"« Good Psychiatric Management » pour le trouble de la personnalité borderline dans le cadre du soutien à l’emploi : étude de cas multiples sur l’expérience des clients","authors":"Noëllie Dunand , Philippe Golay , Charles Bonsack , Danièle Spagnoli , Valentino Pomini","doi":"10.1016/j.amp.2025.03.007","DOIUrl":"10.1016/j.amp.2025.03.007","url":null,"abstract":"<div><h3>Context</h3><div>People with borderline personality disorder (BPD) often present occupational issues, such as impulsivity, conflicts in the workplace, dismissals and unemployment. Several psychosocial programs have been recently developed to tackle this issue but need more evidence for their value, and require rather a lot of resources for implementation. The Individual Placement and Support (IPS) model of supported employment has shown its international effectiveness in professionally reintegrating people with severe mental illness, and is well established throughout the world. This model responds to a principle of zero exclusion regarding any kind of disorders if they are being treated. However, its value for individuals with BPD remains largely understudied. IPS job coaches find it difficult to deal with people with this disorder and could benefit from an additional feature to help them in this sense. Good Psychiatric Management (GPM) for BPD, an evidence-based therapeutic method, applicable in any psychiatric setting, could be a solution for easing job coaches’ practices and reaching more satisfying results for clients. A one-day training is enough to show a change in healthcare attitudes towards BPD. In a previous study, IPS teams seemed to find this additional feature valuable and feasible.</div></div><div><h3>Objectives</h3><div>The aim of this multiple case study was to explore clients’ experiences of the IPS intervention with GPM-trained job coaches.</div></div><div><h3>Material and Methods</h3><div>IPS practitioners of the RESSORT unit of the Community Psychiatry Ward of Lausanne University Hospital and the Nant Foundation, Vaud, Switzerland, were trained in GPM in January 2022. Six of their BPD clients took part in research interviews, around 9 months later, addressing their experience and opinion about the intervention. An abductive content analysis was conducted, using the characteristics of an efficient GPM intervention as a theoretical background to classify elements that were or were not fitting GPM success. In parallel, quantitative data from these clients, including their professional path during the intervention, and questionnaires for non-vocational outcomes, were collected at three time points, when they entered the study, 3 months and 9 months later. Their evolution through time was analysed descriptively and linked to their discourse.</div></div><div><h3>Results</h3><div>Service users were globally satisfied with the intervention, built a certain level of stability and an alliance with their job coach, and would recommend participating in the program. Job coaches seem to have adopted the main GPM principles. Judging by the discourse and evolution of the participants, the intervention seemed to help them in their recovery and professional goals. Most of them had a stable or improving symptoms level and found an activity at post-test.</div></div><div><h3>Discussion</h3><div>These results also suggest some additional ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 7","pages":"Pages 742-750"},"PeriodicalIF":0.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048142","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":"Thérapie cognitivo-comportementale pour l’insomnie chez des adultes souffrant d’un trouble de la personnalité du groupe B et d’insomnie : une étude de faisabilité (étude INSOPERSO)","authors":"Laurent St-Pierre ,&nbsp;Ann Julie Huberdeau ,&nbsp;Félix-Antoine Bérubé ,&nbsp;Annie Vallières ,&nbsp;Célyne Bastien ,&nbsp;Laurie-Anne Côté ,&nbsp;Alexandre Hudon ,&nbsp;Annabelle Bissonnette ,&nbsp;Lionel Cailhol","doi":"10.1016/j.amp.2025.06.005","DOIUrl":"10.1016/j.amp.2025.06.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Insomnia is highly prevalent among individuals with Group B personality disorders (GBPD). Cognitive-behavioral therapy for insomnia (CBT-I) is the most recommended treatment for chronic insomnia; however, no study has examined this approach in patients with GBPD. This study aimed to assess the feasibility of a CBT-I program for this patient population, focusing on acceptability, gathering preliminary measures of effectiveness, and collecting participant experiences to enhance treatment.</div></div><div><h3>Method</h3><div>This pilot study employs a mixed methods design without a control group. Twenty-two adult participants diagnosed with GBPD and experiencing insomnia were recruited from a specialized program for personality disorders. The four-session CBT-I program was specifically designed for patients with GBPD to enhance treatment retention and therapeutic response. Quantitative measures included recruitment and retention rates and self-administered questionnaires assessing insomnia and comorbidities, collected before, during and three months after treatment. <em>Per protocol</em> and intention-to-treat analyses were conducted on data from these questionnaires. Qualitative data were gathered through group discussions and semi-structured interviews, and the qualitative data were analyzed using thematic content analysis.</div></div><div><h3>Results</h3><div>Twenty-two participants were recruited, with an initial goal of 24. The treatment retention rate was 45%. Among the eight participants who completed the study <em>as intended</em>, a significant reduction in insomnia (−9 points on the ISI), depression (−6 points on the PHQ-9), and anxiety (−3.6 on the GAD-7) was observed from the time of inclusion to three months post-therapy. In discussions about the collection of qualitative data, six main themes were identified among four participants: content, functioning, therapist, group format, therapy effect, and factors influencing motivation,</div></div><div><h3>Discussion</h3><div>The retention rate achieved is lower than what is found in the literature. Factors impacting motivation, such as momentum, external influences on therapy, and group dynamics, are identified. The initial measures of therapy effectiveness align with the literature, indicating a reduction of about 50% in the ISI at three months. The ISI score declined after therapy concluded, in line with participants’ perception of having the tools to enhance their sleep further.</div></div><div><h3>Conclusion</h3><div>This is the first pilot project evaluating a CBT-I program for Group B personality disorder patients. It has shown that a short-duration group CBT-I protocol for this clientele is feasible but not entirely acceptable. The low retention rate observed suggests a need for reflection to enhance acceptability, particularly regarding the recruitment process and individual support. Moreover, the preliminary results regarding clinical outcomes are prom","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 7","pages":"Pages 757-764"},"PeriodicalIF":0.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048616","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":"Fonctionnement conjugal et sexuel des personnes souffrant de troubles de la personnalité : survol des connaissances actuelles impliquant le Modèle alternatif pour les troubles de la personnalité","authors":"Mélissa Deschênes ,&nbsp;Charlotte Bouchard Asselin ,&nbsp;Élodie Gagné-Pomerleau ,&nbsp;Dominick Gamache ,&nbsp;Marie-Chloé Nolin ,&nbsp;Marie-Pier Vaillancourt-Morel ,&nbsp;Claudia Savard","doi":"10.1016/j.amp.2025.03.011","DOIUrl":"10.1016/j.amp.2025.03.011","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with personality disorder (PD) face numerous challenges, particularly in their interpersonal relationships. Issues frequently encountered include difficulties in establishing lasting intimate relationships, rapid cycles of breakup and reconciliation, infidelity, intimate partner violence, sexual distress, and risky sexual behaviors. Introduced in 2013 in the DSM-5, the Alternative Model for Personality Disorders (AMPD) provides a theoretical framework that combines dimensional and categorical approaches, based on growing empirical and clinical support. This model considers the severity of personality difficulties (Criterion A), describing self (including Identity and Self-direction elements) and interpersonal (including the elements of Empathy and Intimacy) impairment. Criterion B of the AMPD details 25 specific pathological personality facets regrouped into five domains: Negative Affectivity, Detachment, Antagonism, Disinhibition, and Psychoticism. The PD conceptualization of this model makes it a promising perspective to improve our understanding of the intimate and sexual issues of people with PD.</div></div><div><h3>Objective</h3><div>This brief review aims to describe the contribution of the AMPD to the understanding of relationship functioning (including relationship satisfaction and intimate partner violence), as well as sexual functioning (including sexual distress, sexual satisfaction, and sexual function). A literature review involving the aforementioned areas of functioning and the AMPD across various samples was conducted.</div></div><div><h3>Results</h3><div>Various personality components appeared to be involved in relationship and sexual functioning. Personality pathology, regardless of its nature, seems negatively associated with relationship satisfaction, but pathology of the Detachment domain seems particularly consistent across studies. As for intimate partner violence, in addition to an elevation of the Hostility facet (Negative affectivity) and the Detachment domain, a more disinhibited profile appears to be particularly associated with violence perpetration in men, while women may have a profile of traits that is more antagonistic. For sexual health, a single listed study showed that personality, as conceptualized by the AMPD, predicts sexual health beyond factors such as distress and relationship satisfaction, with specific personality domains and facets contributing to sexual satisfaction or distress across genders. Women with an elevation in the Detachment domain suffer more from sexual functioning issues, while for men, several facets from different AMPD domains contributed to lower sexual functioning, namely Separation Insecurity, Intimacy avoidance, and Anhedonia. Additionally, unexpected positive effects of personality pathology were found in men. In fact, it seems that Intimacy impairment, Rigid perfectionism, and Irresponsibility are related positively to particular aspects of","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 7","pages":"Pages 709-714"},"PeriodicalIF":0.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048043","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":"Numéro thématique : allier savoirs et expériences pour favoriser une vie de qualité : actes de la 3e édition du colloque francophone sur les troubles de la personnalité","authors":"Nadine Larivière ,&nbsp;C. Savard ,&nbsp;D. Gamache","doi":"10.1016/j.amp.2025.08.002","DOIUrl":"10.1016/j.amp.2025.08.002","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 7","pages":"Pages 693-695"},"PeriodicalIF":0.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048135","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":"Interventions psychotraumatisantes chez les ramasseurs de blessés : déterminants du stress post-traumatique chez les sapeurs-pompiers de Lomé","authors":"Kokou Messanh Agbémélé Soedje ,&nbsp;Daméga Wenkourama ,&nbsp;Guy-Gérard Aza-Gnandji ,&nbsp;Komlan Mensah Ketoh ,&nbsp;Adjaré-Kamé Fidèle Ahara ,&nbsp;Sonia Kanekatoua ,&nbsp;Koffi Mawussé Mensah ,&nbsp;Tchédié Etdéchié Elvyre Klikpo ,&nbsp;Hassimou Bramah ,&nbsp;Hamza Dolès Sama ,&nbsp;Kolou Simliwa Dassa","doi":"10.1016/j.amp.2023.08.008","DOIUrl":"10.1016/j.amp.2023.08.008","url":null,"abstract":"<div><h3>Purpose</h3><div>The general objective was to evaluate the factors influencing the onset of Post-Traumatic Stress Disorder (PTSD) in firefighters in Lomé.</div></div><div><h3>Method</h3><div>This was a cross-sectional, descriptive, and analytical study of the case-control and content analysis of the discourse relating to firefighters and their experience in the face of psychotraumatic interventions in Lomé. This study was carried out from June 1 to 14, 2021. Two groups were formed: one group consisted of firefighters who presented with PTSD defined by a score greater than 51 on the QSPT with the presence of the 8 DSM V criteria; a control group made up of firefighters who did not present with PTSD. One case was matched to a control.</div></div><div><h3>Results</h3><div>The firefighters were divided into 2 groups depending on whether or not they had presented with PTSD; hence 40 cases were matched to 40 controls. The male gender predominated in the case group at 75%; as in the control group, at 77.5%. The M/F sex ratio was 3/1 in the cases. Overall, the mean age was 32.4<!--> <!-->±<!--> <!-->6.1 years. With respect to personal vulnerability, being conscientious, perfectionist, they had probabilities <em>P</em> <!-->=<!--> <!-->0 each and ORs respectively equal to 21.3 [2.3–10.4] and 6.2 [1.4–5]. Those who demonstrated a reluctance to make requests, fear of being criticized, and excessive submission to others had probabilities <em>P</em> <!-->=<!--> <!-->0.0003 [1.3–4.9], <em>P</em> <!-->=<!--> <!-->0.0009 [1.3–5.6] and <em>P</em> <!-->=<!--> <!-->0 respectively, 0001 [1.4–4.9]. In terms of those experiencing trauma, both the feeling of a loss of control and that of being alone in facing situations constituted a significant risk for the onset of PTSD with <em>P</em> <!-->=<!--> <!-->0 and OR<!--> <!-->=<!--> <!-->21 [2.3–10.4]; <em>P</em> <!-->=<!--> <!-->0.0001 and OR<!--> <!-->=<!--> <!-->6.4 [1.4–4.3] respectively. In others, the desire to leave the profession, emotional exhaustion and alcohol consumption after the intervention constituted a significant risk factor in the occurrence of PTSD.</div></div><div><h3>Conclusion</h3><div>The fact of being conscientious, with a feeling of loss of control during interventions, associated with the desire to leave the profession were the main risk factors linked to the occurrence of PTSD.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 590-597"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139305551","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":"Hypothèses étiopathogéniques du trouble de stress post-traumatique d’apparition retardée","authors":"Sophie Annette ,&nbsp;Julia Salomé ,&nbsp;Frédérique Gignoux-Froment ,&nbsp;Yorgos Dimitriadis","doi":"10.1016/j.amp.2023.04.016","DOIUrl":"10.1016/j.amp.2023.04.016","url":null,"abstract":"<div><h3>Background</h3><div>The temporality of the emergence of symptoms following exposure to a potentially traumatic event is variable.</div></div><div><h3>Objectives</h3><div>The purpose of our research is to investigate the etiopathogenic hypotheses concerning the question of the latency phase which sometimes precedes the emergence of post-traumatic stress disorders.</div></div><div><h3>Materials and methods</h3><div>We conducted a review of the psychiatric literature concerning delayed-onset post-traumatic stress disorders. Hypotheses from the psychoanalytic literature were then discussed, as well as neuroscientific hypotheses.</div></div><div><h3>Results</h3><div>This diagnosis has two possible definitions: a considerable delay in the emergence of symptoms, or the presence of early symptoms that are not very specific and not attributed to the effects of the event on the psyche. The etiological hypotheses found in the literature involve the role of denial, emotional detachment, and early avoidance. The role of the occurrence of a later triggering event, the intensity of the event with psychotraumatic potential, the protective role of social support systems, and the hypotheses related to cognitive aging were also highlighted. Furthermore, numerous studies have shown that the subjective experience of a perceived threat was a more reliable predictor of the likelihood of developing post-traumatic stress disorders than a supposedly objective assessment of danger. From a neuroscientific perspective, a study published by Smid and al. in 2022 found that since different traumatic experiences share common elements, each new event with psychotraumatic potential would activate the same memory structure, which would reinforce the interconnections of this memory network. This could explain the role of a later triggering event in the development of delayed post-traumatic disorders. On a psychoanalytical level, according to the Freudian concept of <em>après-coup</em>, the first event is initially without consequence, but it is transformed by a second event, and it becomes retroactively traumatic. We discussed two hypotheses: either the first event left an unsymbolized trace, it was not integrated into the signifying chain, and it was subsequently integrated later on due to the second event, either the first event was symbolized at the moment of its occurrence, and in the light of a second subsequent event, it assumed a new meaning. The establishment of several psychic defense mechanisms could also explain the delayed onset of symptoms. From an interdisciplinary perspective, the study of the concept of <em>trace</em>, developed by researchers such as F. Ansermet and P. Magistretti, has enabled us to shed light on our subject. The experience transcribed in the form of traces could undergo changes due to plasticity, the trace being thus able to associate with other traces on the occasion of exposure to other events.</div></div><div><h3>Conclusions</h3><div>Th","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 606-613"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75153705","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 dynamique transféro-contre-transférentielle entre clinicien et patient à l’épreuve d’un événement traumatique commun","authors":"Fresner André","doi":"10.1016/j.amp.2024.01.017","DOIUrl":"10.1016/j.amp.2024.01.017","url":null,"abstract":"<div><div>This article focuses on the transference-countertransference dynamic between clinicians and patients in the context where they experienced the same traumatic event. This paper takes into account a clinical experiment carried out in a makeshift camp in Haiti after the earthquake of January 12, 2010. It is a post-coup analysis of a program of psychological treatment for earthquake victims living in the Pax Villa camp. The population under care included women, men, young people, families, and children. Two clinical vignettes were selected for an analysis of the fundamental role of transference and countertransference in the therapeutic relationship in this traumatic context. This experience enabled us to understand that the fact that the clinician has witnessed and experienced the same traumatic event can contribute to the underpinning of the trusting relationship and the therapeutic process. We also understood that the transference countertransference relationship in this setting takes place between similarity and distance. To limit the harmful impact of the patient's emotional responses that are simultaneously echoed by the clinician, it is essential to work out the clinician's countertransference.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 628-638"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283213","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":"Croissance post-traumatique et stratégies de coping chez les sapeurs-pompiers civils français","authors":"Mathias Auville ,&nbsp;Baptiste Alleaume ,&nbsp;Anne Plantade-Gipch","doi":"10.1016/j.amp.2023.06.007","DOIUrl":"10.1016/j.amp.2023.06.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Often faced with potentially traumatic critical incidents, firefighters may experience both negative and positive changes. These include full or partial post-traumatic stress disorder, specific coping strategies and possibly post-traumatic growth. For firefighters, these factors might be related, and their experiences may be possibly different depending on the status of the participants (professional vs volunteer firefighters).</div></div><div><h3>Objective</h3><div>The aim of this study is to explore and predict post-traumatic growth, post-traumatic stress disorder and coping strategies in a sample of French professional and volunteer firefighters.</div></div><div><h3>Method</h3><div>A mixed research methodology was used. The Post-traumatic Stress Disorder Checklist, the Post-traumatic Growth Inventory, the Brief-Cope Inventory, and a semi-structured research interview were used with sixteen participants, divided into two equal groups: a group of eight professional firefighters and a group of eight volunteer firefighters.</div></div><div><h3>Results</h3><div>Post-traumatic growth was predicted at 63.4 % by traumatic symptomatology (altered arousal and reactivity) and by coping strategies (avoidance and positive thoughts). Spiritual changes predicted post-traumatic distress at 24.9 %. Firefighters who were not parents had more post-traumatic growth and positive thoughts than those who had children. There were no statistical difference between the volunteer and professional firefighter groups. Volunteer firefighters felt more vulnerable to critical incidents than professional firefighters because they have access to fewer effective resources.</div></div><div><h3>Conclusion</h3><div>Post-traumatic growth among firefighters could be explained by post-traumatic distress and coping strategies. Other factors influencing post-traumatic growth would need to be investigated (coping flexibility, parenting, a sense of self-efficacy).</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 639-645"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191836","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}