Annales medico-psychologiques最新文献

{"title":"Caractérisation clinique d’un groupe de sept détenus radicalisés recruteurs pour le djihad","authors":"Guillaume Monod , Léonard Gautrelet , Marine Ambar-Akkaoui , Alexandra Pham-Scottez","doi":"10.1016/j.amp.2025.09.002","DOIUrl":"10.1016/j.amp.2025.09.002","url":null,"abstract":"<div><div>Although research into the radicalisation processes of Jihadist terrorists has developed significantly in France since the Paris attacks, no study has described the clinical characteristics of Jihadist terrorist recruiters. This population is particularly dangerous as they are at the centre of the radicalisation process and the implementation of terrorist attacks. Our study aims to provide a clinical characterisation of Jihadist recruiters by examining biographical details, clinical histories and ideological beliefs. A secondary objective is to characterise this group epidemiologically by comparing it to a population of Jihadists imprisoned for criminal association in connection with acts of Jihadist terrorism (CAJT). A total of 90 adults (76 men and 14 women) who were imprisoned for CAJT in three prisons in the Île-de-France region were consecutively included in the study, including seven recruiters (six men and one woman) and 83 recruits. The primary objective of our study was to describe the clinical profile of these seven individuals. We presented these seven recruiters’ profiles in the form of clinical vignettes, detailing their clinical diagnoses (three had an ICD-10 diagnosis of personality disorder), histories of violence, delinquency and criminality, knowledge of Islam, the circumstances surrounding the start of their recruitment activities, their interest in Jihad, their personal motivations for recruiting and the language they used in their recruitment activities. Mr A., aged 25, was a journalism student and an anti-capitalist and anti-colonialist political activist. Disappointed by political parties that he considered to be corrupt, he joined a Jihadist recruitment network with the aim of establishing an Islamic and libertarian state in Syria. Mr B., aged 35, has a dissocial personality disorder (F60.2). After a career in organised crime, he formed his own small Jihadist group to leave the criminal underworld, return to religion and find new meaning in life. Mr C., aged 51, exhibits narcissistic personality traits (F60.8) and emotional immaturity. As an Islamist militant since his late teens, he describes his journey as a fight against corruption and colonialism, motivated by a desire to avenge his family. He claims that many of his relatives were victims of the French army during the Algerian War. Mr D., aged 25, justifies his involvement as an act of revenge for his older brother, who was the victim of a racist attack. He also cites his desire to create a self-defense militia for his religious community as a reason for his actions. Mr E., aged 28 and a former early childhood educator, gathered friends in 2014 to travel to Syria and join a Jihadist group. Their goal was to protect civilian women and children from the abuses of Bashar al-Assad's regime. After the death of his father, Mr F., 32, wanted to go and live in Syria, thinking he could return to an eco-friendly rural life and lead a virtuous and healthy life in accor","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 193-200"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555253","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 place des femmes dans l’espace public : étude qualitative sur l’adaptation et la résistance face aux violences de genre","authors":"Noémie Rinaldi ,&nbsp;Amira Karray","doi":"10.1016/j.amp.2025.08.001","DOIUrl":"10.1016/j.amp.2025.08.001","url":null,"abstract":"<div><div>Gender-based violence in the public space poses a major societal challenge, yet little is known about its impact and the ways in which women resist it. In this study, semistructured interviews were conducted with ten French women aged between 26 and 52, to explore their experiences and coping strategies in the face of such violence. Through thematic analysis method, the results show that such violence affects the women's mental health, resulting in reactions and behaviours that can be likened to traumatic manifestations. Experiences of oppression, histories of victimization, institutional and social violence combine with gender-based violence in the public space to amplify its impact. Women have external resources at their disposal, such as social support and victim services, as well as internal resources such as intellectualization, communication skills and confidence in their ability to defend themselves. They succeed in reducing the risks and consequences associated with these, but also in boosting their sense of efficacy and engaging in personal growth projects. They build a social network, elaborate and transmit their experiences through activism. The reappropriation of public space is enabled by a sense of belonging to a community. Clinical, societal and research implications are discussed.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 223-230"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555640","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":"Propriétés psychométriques et validation de construit du Cognitive Restraint Assessment Questionnaire (CRAQ) en France","authors":"Céline Ferreira ,&nbsp;Damien Oudin Doglioni ,&nbsp;Margaux Estremar-Ibor ,&nbsp;Stéphane Giannini ,&nbsp;Aurélie Docteur ,&nbsp;Hanane Bouaziz ,&nbsp;Marie-Claire Gay","doi":"10.1016/j.amp.2025.02.001","DOIUrl":"10.1016/j.amp.2025.02.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Cognitive restraint (CR) is a behavioural pattern characterised by individuals deliberately restricting their food intake to achieve weight loss or prevent weight gain. CR is currently the most comprehensive theoretical framework for elucidating the ineffectiveness of conventional weight loss strategies and the associated cognitive, emotional, and behavioural challenges, including the dysregulation of eating patterns that can contribute to the development of eating disorders. While various tools exist to assess CR, these typically focus solely on its behavioural aspects. Since its inception in 1998, the &lt;em&gt;Groupe de Réflexion sur l’Obésité et le Surpoids&lt;/em&gt; (G.R.O.S.) has been investigating the underlying factors influencing these behaviours, drawing upon contemporary cognitive-behavioural and emotional therapy models. In 2009, the G.R.O.S. developed the Cognitive Restraint Assessment Questionnaire (CRAQ), a comprehensive measurement instrument whose validity has been subject to scrutiny and requires further examination.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aims to validate the ten dimensions of the CRAQ and conduct a statistical comparison of three distinct factorial groupings identified in existing literature or clinical practice: a unifactorial grouping (CRAQ total score), a three-factor statistical grouping retrieved by Rabemampianina et El-Hage in 2009, and a five-factor clinical grouping.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;To validate the proposed structure of the 10-dimensional measure, a three-step process was employed. Firstly, principal component analyses (PCA) were conducted to explore the underlying factorial structure of the 10 dimensions independently. Secondly, a series of confirmatory factor analyses (CFA) were performed to test the hypothesised factor structures. The first series of CFA examined the 10 dimensions, and their underlying structure identified in the PCA at step 1. Subsequently, a second series of CFA was conducted to assess the three-factorial structure, based on the 10 factors retrieved during the first series of CFA. Finally, a comparison of the performance for the three non-nested models (five-factor, three-factor, and a single-factor model) was undertaken to determine the optimal model. Data were collected from a French sample of 452 individuals. Participants were recruited from two sources: (1) psychological files of patients routinely followed at the Clinique Saint-Louis de Poissy, and (2) individuals who voluntarily agreed to participate in the study through social media platforms (LinkedIn, Facebook, Twitter/X).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Step 1: a principal component analysis (PCA) was conducted to examine the underlying factor structure of the 10-dimensional measure. Prior to the analysis, assumptions were tested to ensure the suitability of the 10 dimensions for factor analysis. The PCA revealed a complex factor structure. Six dimensions demonstrated ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 137-147"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122577","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 potentialités cliniques et thérapeutiques du rap : une revue de littérature narrative sur une médiation originale en devenir","authors":"Cassandre Loegel ,&nbsp;Nadine Demogeot ,&nbsp;Bernard Kabuth","doi":"10.1016/j.amp.2025.09.008","DOIUrl":"10.1016/j.amp.2025.09.008","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Because rap music appeals to the under-25s, it could be a way of facilitating therapeutic alliance with people who are reluctant to use our conventional treatment methods. To date, rap has not been widely used in France in the clinical field of therapeutic mediation. Research on the subject is more abundant in Anglo-Saxon countries, with the development of a specific therapy: the rap therapy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This article presents a narrative review with the aim of identifying some of the potential clinical and therapeutic properties of rap. To this end, we have sought to understand the historical and cultural roots of rap, its musical and scriptural characteristics, and the psychic functions mobilised in this artistic practice. This research stems from a doctoral thesis (RAPeJeM study) conducted in France in child welfare services with emerging adults.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;This narrative review is based on international research and a variety of bibliographical resources (digital data, books) in a multidisciplinary approach. However, given its non-systematic nature, this review does not claim to provide an exhaustive study of the clinical and therapeutic potential of rap as a mediation tool. The aim of this methodological approach is to enable the development of areas of research around this original form of mediation. Furthermore, since rap mediation is largely approached through behavioural models, we propose a psychodynamic reading of this form of mediation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Narrative review&lt;/h3&gt;&lt;div&gt;The first part of this review explores the specificities of rap. We first examine its artistic particularities, and it becomes clear that rap consists of a multitude of parameters summed up under the term “flow” (writing, voice, rhythm, tempo, instrumental, emotions, body, etc.). We then study its historical roots, from the birth of rap in New York neighbourhoods in the 1970s to its emergence in France in the 1990s. Often regarded as breaking away from artistic conventions in France, the literature helps to nuance these representations by highlighting the influence of French culture on rap practice. The creativity present in this art seems to follow a dual dynamic: continuing a cultural heritage on the one hand and creating original forms and content on the other. Moreover, far from signifying a cultural rejection, it sometimes facilitates a process of integration through the interplay with language. The second section looks at several settings using rap as an artistic medium or for psychological care, with different populations (unaccompanied minors, incarcerated adults, young people from street gangs, psychotic patients). In psychotherapy, the use of this musical genre can vary depending on whether it is framed within a cognitive-behavioural or psychodynamic approach, and whether it is applied in an individual or group setting. Rap mediation can also be used in multiple way","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 96-104"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122600","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":"Élaboration verbale d’émotions discrètes dépressogènes et sévérité de la dépression","authors":"Serge Lecours,&nbsp;Alexis Gondolff","doi":"10.1016/j.amp.2025.11.002","DOIUrl":"10.1016/j.amp.2025.11.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aims&lt;/h3&gt;&lt;div&gt;Psychoanalytic and emotion theories have emphasized the important role affective processes play in depression. Discrete emotions such as sadness, hostility turned against the self, shame, guilt and contempt have been empirically associated with the depressive experience. However, research on affect has been mostly focused on the identification of the presence of emotions (their intensity or frequency), without considering the quality of the affective experience. To get a complete picture of affect regulation processes in depression, we must also look at the quality of the elaboration and mentalization of affects. The present study explores the relationship between the regulation and mentalization of distinct affect categories and the severity of depressive symptoms. The level of verbal elaboration/mentalization of discrete affects (quality of emotions) and the proportion of these specific affects in verbal expression (quantity of emotions) will serve as measures of affect regulation. We conceptualize depression as presenting deficits in the regulation of both the quantity and the quality of specific affects, specifically sadness and hostility turned against the self.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;To test this hypothesis, 62 participants were recruited at an outpatient hospital clinic and at a university psychology clinic. Among them were 45 women (73%) and mean age was 34&lt;!--&gt; &lt;!--&gt;years (range 18–60). Thirteen suffered from a current major depressive episode (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;13). Twenty-five had been diagnosed with at least one Axis I disorder (40%) while 18 had at least one Axis II disorder (29%). After completing a series of questionnaires, participants took part in an affect-focused RAP interview in which they described relationship episodes that had evoked the basic emotions of sadness, among others. The quality of affect mentalization was examined with the Grille de l’Élaboration Verbale de l’Affect (GEVA), an observer-rated measure designed to be used on verbal transcripts, and the measure of affect content (MAC), which identifies the specific category of verbalized affect (e.g. sadness). Depressive symptoms were assessed with the Hamilton rating scale for depression. Correlations and hierarchical regression analysis were conducted.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The severity of depressive symptoms was correlated with a higher proportion of hostility turned against the self (0.35**) and desire (0.27*) and negatively associated with the proportion of love of others (−0.40**) and the level of mentalization of sadness (−0.27*). A hierarchical regression analysis was computed to assess the unique contribution of these affects on the prediction of depression severity, over and above the potential confounding variables of sex, age and level of education. Results indicate that the quantity of hostility turned against the self and love of others, as well as age, predict 26% of the variance of the sev","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 105-111"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122601","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 processus créateur dans le jeu vidéo et la matérialisation de processus psychiques","authors":"Guillaume Gillet ,&nbsp;Johann Jung","doi":"10.1016/j.amp.2025.04.006","DOIUrl":"10.1016/j.amp.2025.04.006","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Goals The author proposes to explore, in the field of psychodynamic psychology referred to psychoanalysis, the creative process in video games and the specificities of video games as an art object, as well as the psychological implications of its use.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;The author first reviews the question of the creative process, creation and art from a psychoanalytic point of view. The description of the video game software « Brothers : A tales of two sons » then makes it possible to highlight that this video game constitutes a materialization of theories, models and psychic processes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The video game « Brothers: A tales of two sons » constitutes a materialization of psychic processes which were implemented in the source code of the software by its designer-programmers. It contains more or less explicit theories of psychological suffering, connection, and care, which are materialized on screen through “scenic figuration” work, made possible by updating the source code. of the software. The theme of loss and mourning punctuates the entire proposed story. The software also contains a theory of what causes trauma and a theory of how to treat it. It contains a fundamental rule that conveys a message about a specific pattern of bonding and dependence. The last chapter of this game allows us to observe that the designer-programmers have integrated into the source code of the software, in particular in what controls the specific handling of the video game controller, that is to say in the playability of the video game, a perceptual-motor equivalent of the mourning and identification process, encouraging the user to symbolize the traces of the lost object using sensorimotor skills.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;This work involves several points of discussion. First of all, the creative process of the video game is based on a manufacturing process which involves rules, principles, conventions and specificities which generally supposes the intervention of numerous people, both upstream and downstream, both professionals and members of the public, potential future buyers, which leads us to qualify the main hypothesis. The materialization of theory, model and psychic processes firstly originates from group co-creation work. Furthermore, our hypothesis does not take into account the difference between software designed by large publishers and that created by small groups who do not have the same means and the same design strategies. Then, if the software seems to be able to be considered as an invitation to play in order to carry out mourning work in support of an operation of sensori-affective-motor symbolization, the game sequence reported in the last chapter of the story opens on a discussion regarding the meaning of this scene and the nature of the identification process. Despite an unchanged method of handling the interface, several elements suggest that this is the actualization","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 85-92"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122722","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 grossophobie, une délinquance qui ne dit pas son nom","authors":"Jean-Pierre Bouchard (Psychologue, Professeur extraordinaire, Docteur en psychologie, Docteur en droit)","doi":"10.1016/j.amp.2025.12.002","DOIUrl":"10.1016/j.amp.2025.12.002","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 77-78"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122599","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":"Pratique musicale comme remédiation cognitive incarnée dans la schizophrénie. Deux revues narratives","authors":"Chloé Naïli ,&nbsp;Etienne Bally ,&nbsp;Florent Cholat ,&nbsp;Aliya Agarande ,&nbsp;Christophe Arbus ,&nbsp;Anya Attou ,&nbsp;Tudi Gozé","doi":"10.1016/j.amp.2025.11.012","DOIUrl":"10.1016/j.amp.2025.11.012","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Schizophrenia is a chronic and disabling psychiatric disorder that affects about 1% of the population. It is characterized by a complex combination of positive, negative, disorganized, and cognitive symptoms. Cognitive impairments – especially in memory, attention, processing speed, and executive functions – are among the strongest predictors of psychosocial functioning. Social cognition is also frequently impaired and impacts emotional recognition, theory of mind, and interpersonal adjustment. As pharmacological treatments remain ineffective for cognitive symptoms, cognitive remediation is now considered the gold standard. This narrative review explores the potential of music practice as a non-pharmacological tool for cognitive remediation in schizophrenia. Music engages multiple cognitive and emotional processes, and has demonstrated positive effects both in healthy individuals and in clinical populations, including patients with stroke and Alzheimer's disease. These effects may stem from the multimodal and embodied nature of music practice, which involves motor coordination, memory, symbolic processing, and emotional engagement. To deepen the theoretical framework, this article draws on embodiment – a cognitive science approach that considers the body as central to cognition, structured around the 4E model: Embodied, Extended, Embedded, and Enactive. This framework supports a grounded exploration of music-based interventions in schizophrenia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;This article is based on two narrative reviews conducted using PubMed: one on the relationship between embodiment and schizophrenia (RN1), and the other on embodiment and music (RN2). Each review followed a two-step selection process to exclude duplicates and irrelevant articles, focusing only on those addressing both embodiment and either schizophrenia or music. The selected articles were organized according to the 4E framework: Embodied, Extended, Embedded, and Enactive cognition. A cross-analysis of both corpora revealed recurrent embodied processes – temporal perception, interactional synchrony, and social cognition – justifying a dedicated subchapter. Although the music review included both listening and practice, the final focus was placed on active music-making, which more directly engages the embodied, extended, and enactive dimensions of cognition, and aligns with the principles of cognitive remediation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The first narrative review (RN1) analyzed 23 articles exploring schizophrenia through the lens of embodiment. Cognitive impairments in schizophrenia were reframed as disruptions in the sensorimotor integration between body, action, and environment. Studies highlighted altered posture, impaired source memory, and disconnection from bodily experience as central to cognitive and social dysfunction. Embodied therapies, such as Body-Oriented Psychotherapy, showed clinical benefits by re-engaging patients","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 121-136"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122576","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":"« C’est comme si j’étais sortie de l’humanité ». Deuil, argile et art-thérapie","authors":"Odette Chesnot ,&nbsp;Silke Schauder","doi":"10.1016/j.amp.2025.12.004","DOIUrl":"10.1016/j.amp.2025.12.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context and Guiding Question&lt;/h3&gt;&lt;div&gt;This article examines clay-based art therapy as a therapeutic response for war widows navigating the twin burdens of post-traumatic stress disorder (PTSD) and complicated grief. Within programs led by the Lebanese Association of Victims of Terrorism (AVT-L) and partner NGOs (Dignity beyond borders, AVVAT et Solidarité Défense), the authors observe that bereavement following violent, often public deaths fragment's identity, freezes symbolization, and constrains speech. The guiding question is explicit: How does art therapy with clay help military widows reconstruct identity after PTSD and complex grief? The working hypothesis is that clay, as a sensori-motor, group-based, and transcultural medium, converts the “unspeakable” into a manipulable form, enabling affect regulation, meaning-making, and the repair of familial bonds.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Program and Methods&lt;/h3&gt;&lt;div&gt;The documented program has been implemented since 2019 and, to date, has served 125 widows. The current cohort comprises 25 adult widows from five countries (France, Lebanon, the United States, the United Kingdom, Jordan). The intervention begins with six, two-hour group sessions, delivered in two subgroups (12 and 13 participants) and co-facilitated by a trilingual art therapist (Arabic/French/English) and a trilingual clinical psychologist; no interpreters are used to preserve continuity and nuance. Depending on clinical indication or participant request, widows are then offered individual follow-up (two sessions per month for four months) to consolidate gains. The clinical frame is precisely described (group composition, session choreography, safety and ethics), and outcomes are illustrated through a central case vignette (Mme M.). Across the program, emphasis falls on sensorially, group dynamics, and the transcultural status of clay as a “universal” medium that helps participants traverse emotional and linguistic barriers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Theoretical Rationale&lt;/h3&gt;&lt;div&gt;Grounded in trauma-informed practice and informed by group and art-therapy theory, clay's haptic engagement activates perception – action loops that reduce hyperarousal and allow pre-symbolic contents to take shareable form. In group settings, co-regulation (through shared rhythms of modeling, posture, and silence) enhances affect tolerance and supports mentalization; peers act as mirrors, and the “language of gesture” precedes speech. In grief work, the medium facilitates negotiation between presence and absence, loosens rigid identifications, and supports flexible, continuing bonds. Its accessibility and reversibility provide psychological safety, enabling exploration without fear of failure. A clinical vignette illustrates the psychic and sensorimotor mechanisms activated during a clay-based art therapy workshop, highlighting the transition from emotional disorganization to symbolization and identity reconstruction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Clinical Findings&lt;/h3","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 112-120"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122602","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 narrativité : un paradigme prometteur dans l’étude du phénomène délirant","authors":"Florent Poupart","doi":"10.1016/j.amp.2025.04.002","DOIUrl":"10.1016/j.amp.2025.04.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Delusions are a longstanding and emblematic topic in psychiatry, yet they remain conceptually elusive. Traditional approaches struggle to categorize delusions coherently: they have been described as fixed beliefs, imaginary constructs, linguistic acts, or meaningless disturbances. Contemporary empirical psychopathology predominantly adopts a doxastic view, as reflected in the DSM-5, which defines delusions as unchangeable beliefs despite contradictory evidence. However, this approach fails to resolve the paradox at the heart of delusion: its simultaneous resemblance to incorrigible belief and inconsequential fiction. Such paradoxes reveal the limitations of conventional psychological categories in understanding the experiential complexity of delusion.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This article proposes to reframe delusion through the lens of narrativity. Drawing from philosophical, psychoanalytic, and developmental frameworks, the goal is to explore how narrative structures may offer insight into both the form and function of delusions. Specifically, the study investigates whether delusions might constitute a narrative response to psychic disintegration—a compensatory process that provides a kind of coherence where symbolization has failed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This is a theoretical and conceptual analysis. The framework draws heavily on Paul Ricœur's notion of narrative identity, wherein narration serves to configure lived experience and support identity formation. Insights from psychoanalysis, particularly from early subjectivation research, are integrated to understand how narrative supports psychic development. Classical psychopathological literature (e.g., Bleuler, Jaspers, Aulagnier, Grivois) is analyzed to illustrate how delusions may operate as narrative forms of psychic containment and organization.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The analysis suggests that delusions function less as flawed beliefs and more as emergent narrative structures aimed at containing and giving meaning to overwhelming, often non-symbolized, experiences. They offer a framework to mitigate disintegration by transforming diffuse, affect-laden material into structured discourse. For instance, delusions of persecution may serve to historicize depersonalization and existential terror. Yet delusions remain paradoxical: while they employ representational logic, they are not metaphorical for the patient—they are lived realities. This ambiguity reflects a breakdown in the symbolization process and a fusion of primary (sensory-affective) and secondary (discursive) representational levels.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Delusional discourse resists simple classification. It is marked by undecidability: the patient simultaneously recognizes and denies its representational nature. Rather than functioning as metaphors, delusions impose a direct, literalized form of expression. The result is a hybrid construct","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 93-95"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122723","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}