Annales medico-psychologiques最新文献

{"title":"Exposition aux événements traumatogènes et coping : analyse lexicométrique du discours de patients en service de victimologie","authors":"Ornella Ouagazzal ,&nbsp;Nelly Goutaudier ,&nbsp;Olivier Bodic ,&nbsp;Abdel Halim Boudoukha","doi":"10.1016/j.amp.2024.03.016","DOIUrl":"10.1016/j.amp.2024.03.016","url":null,"abstract":"<div><h3>Aim</h3><div>Exposure to traumatic events is a common phenomenon in the general population. Indeed, according to international epidemiological studies, 80% of individuals have been exposed to at least one traumatic event during their lifetime. Traumatic events can lead to post-traumatic (post-traumatic stress disorder (PTSD) specific symptoms) and dissociative symptoms (PTSD nonspecific symptoms). However, few French studies in the field of the epidemiology and psychopathology of traumatic events take into account the emotional experience in individuals exposed to a traumatic event. Our research focus on (1) the characteristics of traumatic events and (2) the strategies to cope with it.</div></div><div><h3>Method</h3><div>Fourteen patients met at a victimization service participated in this study. The sample includes three men and eleven women aged between 21 and 54 (mean age<!--> <!-->=<!--> <!-->37.07 years-old; standard deviation<!--> <!-->=<!--> <!-->10.10). For the recruitment of patient, each patient was approached by the psychiatrist, head of the unit, to participate in the study during a consultation. An individual appointment was scheduled with patients for conducting the interview. Interviews were transcribed and we produced a lexicometric analysis with the software Iramuteq, based on the Alceste method. The Alceste method is a technique that consist in a modeling of the distribution of words in a speech and language patterns to identify the most words used by the subjects.</div></div><div><h3>Results</h3><div>Results demonstrated, (a) four types of traumatic events to which the patients were exposed (car accidents, interpersonal violence, domestic and intra-family violence), but the intensity of the subjective experience of the event does not appear in a specific class, and (b) that among the strategies used to cope with it, the use of active and problem-centered coping strategies appears explicitly in two specific classes: seeking for social support (18.40% of the corpus) and searching for information and understanding (19.10% of the corpus).</div></div><div><h3>Discussion</h3><div>We categorized the traumatic events to which the patients were personally exposed, nevertheless, as an event has a different impact on victims, the intensity of the subjective experience of the traumatic event was not clearly highlighted in the patient's speech. This finding suggests the need to focus on the potentially traumatic nature of the event in order to better understand the psychopathological repercussions. We described the use of adapted strategies (i.e., social support, the search for information and solutions) that may mediate the negative effects of the experience of traumatic events on the physical and mental health of victims. The use of emotional-related strategies may increase the conditional risk of developing post-traumatic stress disorder.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 614-619"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703745","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":"Identifier et traiter les traumatismes psychiques : quelle place pour l’intelligence artificielle ? Actualisation des travaux en langue française et appel à une étude nationale","authors":"Yann Auxéméry ,&nbsp;Robin Quillivic ,&nbsp;Salma Mesmoudi","doi":"10.1016/j.amp.2025.04.008","DOIUrl":"10.1016/j.amp.2025.04.008","url":null,"abstract":"<div><div>Anchored in the recent clinical and therapeutic advancements stemming from the rise of psychotraumatology over the past decade, this article explores how cutting-edge developments in psycholinguistics enhance the identification of post-traumatic symptoms. The linguomarkers that define what we propose as a <em>syndrome psycholinguistic traumatic (SPLIT)</em> appear to be more specific and fine-grained than the current description of <em>post-traumatic stress disorder (PTSD)</em> in international nosographic classifications – particularly in the characterization of dissociative phenomena. In parallel with the rapid progress in artificial intelligence over the past two years, we present findings from a French software tool designed to support diagnostic strategies and to assess the effectiveness of evidence-based psychotherapies. These psychotherapeutic processes are conceived as acts of language emerging within the therapeutic dialogue – acts that activate and reorganize our networks of mental representations. By seeking to elucidate the structure of trauma and, consequently, the paths toward recovery, psychotherapy promotes the refunctionalization and re-harmonization of these representational networks, through the homeostatic reduction of excessive internal tensions. Drawing on language sciences, our approach advocates for the coexistence of <em>objectivity</em> – the foundation of quantifiable, replicable scientific inquiry – with <em>subjectivity</em>, as an essential marker of each individual's singular human experience. Might we soon be able to identify the specific words, phrases, and discourses that facilitate healing? We call for a nationwide psycholinguistic study to better detect and address post-traumatic psychological suffering among our fellow citizens.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 581-589"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241847","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 psychotraumatologie : une jeune spécialité qui continue de se développer","authors":"Yann Auxéméry","doi":"10.1016/j.amp.2025.04.007","DOIUrl":"10.1016/j.amp.2025.04.007","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 579-580"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241846","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 thérapie des schémas est-elle pertinente pour une population adulte souffrant de TSPT et de TSPT-complexe ? Une revue de littérature systématique qualitative","authors":"Émilie Ubico ,&nbsp;Anne Plantade-Gipch ,&nbsp;Nathalie Duriez","doi":"10.1016/j.amp.2024.09.010","DOIUrl":"10.1016/j.amp.2024.09.010","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Schema therapy (ST) involves two core concepts: early maladaptive schemas and modes. Early maladaptive schemas play a key role in the development and maintenance of post-traumatic stress disorder (PTSD), while observed modes reflect the internalized relationships of the traumatized individual. Given this context, how might ST be an interesting psychotherapeutic approach for a population suffering from PTSD or complex post-traumatic stress disorder (CPTSD)?&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Considering the impact of trauma and/or adversity on the subject's psychological development, ST could be relevant for a population suffering from PTSD or CPTSD. This study aims to explore the effectiveness of ST in treating an adult population suffering from PTSD or CPTSD, through a review of qualitative literature.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Following the PRISMA guidelines, articles were searched from December 2023 to May 2024 on PubMed, Google Scholar, PsycInfo, and the Cochrane Library, with specific eligibility criteria: studies on ST, adult population with PTSD or CPTSD, with no publication year limit. Data extraction considered the studied pathology (PTSD or CPTSD), research methodology, therapeutic setting (group/individual), measurement tools, and therapy effects.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Numerous studies explore the early maladaptive schemas of traumatized individuals, while others observe the effectiveness of ST in various clinical populations. However, few studies focus specifically on PTSD or CPTSD. The research process, summarized in a flow diagram, identified 989 articles, of which twelve were selected and analyzed, involving for 302 participants. Given the predominantly qualitative nature of the studies, a qualitative synthesis was deemed appropriate. Researchers’ chosen diagnoses varied according to the nosographic reference (DSM-5 for PTSD, ICD-11 for CPTSD). ST was found to reduce post-traumatic symptoms but also impacts overall psychiatric symptoms, anxiety, depression, suicidal thoughts, and the severity of substance and/or alcohol addiction. Improvements were observed in overall functioning, emotional regulation, interpersonal relationships, socio-professional life, quality of life, and self-esteem. ST is found to be relevant when exposure therapy was ineffective for trauma treatment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Research methodologies vary&lt;/h3&gt;&lt;div&gt;Quantitative studies demonstrated ST's effectiveness, while case studies explore the process of change at work in therapy and ST's efficacy. Some biases were noted, particularly in session transcription practices, the small number of comparison groups, and the absence of independent evaluations. Psychotherapeutic interventions included individual and/or group-based approaches, utilizing cognitive, behavioral, and experiential tools, including imagery rescripting or chair work. Only one study adapted its group therapy content to the three-phase approa","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 662-672"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241843","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 violences conjugales dans les couples appartenant aux « minorités sexuelles » : quelles causes traumatologiques ?","authors":"Telma Mimault ,&nbsp;Suzanne Léveillée ,&nbsp;Yann Auxéméry","doi":"10.1016/j.amp.2024.09.009","DOIUrl":"10.1016/j.amp.2024.09.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Most prevention and awareness-raising programs are heteronormative and do not take into account the presence of violence in sexual minority couples.</div></div><div><h3>Method</h3><div>The aim of this study is to review the literature on domestic violence in sexual minority couples in relation to any traumatic experiences that may be causes and/or consequences.</div></div><div><h3>Results</h3><div>A link between childhood trauma, stress or a combination of the two in the perpetration of domestic violence in sexual minorities is highlighted just like the recent creation of typologies in these couples.</div></div><div><h3>Discussion</h3><div>Suffering from significant methodological biases, nevertheless, these studies, which are all too rare, deserve to highlight phenomena that should be better appreciated. Although domestic violence in minority couples appears to be similar to violence in heterosexual couples, two-way violence is more prevalent. This bidirectional violence could largely be the result of a cyclical process of violence from childhood to adulthood, moving from intrafamilial trauma in childhood to societal stress related to sexual orientation in adolescence and finally to mutual violence within the couple in adulthood.</div></div><div><h3>Conclusion</h3><div>The origins of the perpetration of domestic violence in a sexual minority couple appear to be linked to: the consequences, particularly psychological, of stress related to sexual minorities, which mediate the subsequent violence; the cycle of violence with the internalisation of an appropriate violent relationship model, thus representing a generational transmission and a pattern of repetition; the presence of bidirectional violence, also involving defence and reaction behaviours, accentuated by traumatic experiences or stress related to minorities.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 681-691"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241845","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 Centre Régional de Psychotraumatisme Paris Centre et Sud : quel profil psychotraumatique pour les victimes appelant sa plateforme téléphonique ?","authors":"Déborah Malet ,&nbsp;Gaëlle Abgrall ,&nbsp;William Zephir ,&nbsp;Ségolène Rolland ,&nbsp;Giovanni Mollica","doi":"10.1016/j.amp.2023.11.008","DOIUrl":"10.1016/j.amp.2023.11.008","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Psychotrauma is a public health issue. Prior to 1995 in France, support for victims of psychotrauma was mainly provided by associations. Following the terrorist bombing in the Paris metro at the Saint-Michel station on 25 July 1995, a new emergency care unit, the Cellule d’Urgence Médico-Psychologique (CUMP), was created. Its main mission is to provide immediate and post-traumatic event care to victims of disasters or events involving a large number of victims and likely to result in significant psychological repercussions. Following the 2015 attacks in Paris and Saint-Denis, the creation of the National Resource and Resilience Center and the Regional Psychotrauma Centers in 2018, represented a major step forward in the field of victim care and resilience. The Regional Psychotrauma Center for Central and Southern Paris (CRPPCS), which covers an area that consists of several departments (including Paris and the south of the Île-de-France region), is organized on a model of the federation of several care and associative structures. The originality of the CRPPCS system lies in the establishment of a call center, assessment, and referral platform. Three state-certified nurses trained in psychotraumatology engage callers in a semi-structured interview, explaining the course and purpose of the interview; noting the reason for the call, then evaluating any psychotraumatic symptoms according to a grid inspired by the Posttraumatic Stress Disorder Checklist version DSM-5. They also evaluate potential comorbidities (associated depression, addictions, suicidal behaviors, somatoform disorders, etc.). The callers’ psychiatric and addictological history are explored.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The aim of this study is to establish the profiles of callers, studying the different types of trauma, addictive comorbidity, treatment approaches and demographic data.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;This is a descriptive and retrospective observational study that was carried out from September 2020 to the end of June 2021. Our sample comprised 502 people, 75% of whom were women, 70% of whom were aged between 25 and 60, and the majority of whom were from the Île-de-France region (98%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Psychotrauma was diagnosed in 411 out of the 502 individuals. The main causes of trauma, in descending order of importance, were: domestic violence (32%), rape, physical assault, psychological assault, sexual assault other than rape, traumatic bereavement, confrontation with death, traffic accidents, verbal aggression/psychological violence/harassment at work, fire/explosion, traumatic migration path, assistance provided to a loved one in danger, and serious medical problems. For 24% of the sample, a previous history of traumatic events was reported. Among, these callers, 289 were redirected to a specialized structure for further treatment, and 20% of them also had an addictive comorbidity. Of t","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 620-627"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140465892","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 dimension du thérapeute dans l’efficacité de la prise en charge EMDR du trauma : la dimension oubliée ? Présentation d’un protocole de recherche","authors":"Juliette Machado ,&nbsp;Sophie Gendarme ,&nbsp;Élise Eby ,&nbsp;Christine Rotonda ,&nbsp;Cyril Tarquinio","doi":"10.1016/j.amp.2023.08.006","DOIUrl":"10.1016/j.amp.2023.08.006","url":null,"abstract":"<div><h3>Introduction</h3><div>While studies of the effectiveness of EMDR psychotherapy have demonstrated a definite impact on post-traumatic symptoms, it is often evaluated through the strict application of the standard EMDR protocol. However, in everyday clinical practice, many therapists deviate from the protocol. The observation of this discrepancy between what is prescribed and what is actually done, that is widely documented by the activity clinic, led to the creation of an original research project, inspired by methodologies from the activity clinic. This article presents the research protocol.</div></div><div><h3>Method</h3><div>Considering the therapeutic setting as a professional situation, we will compare two conditions for implementing the standard EMDR protocol: one in which therapists will be asked to treat their patients strictly according to the standard protocol, and the other in which they will be asked to treat them “as they usually do”. The psychotherapy sessions will be filmed and analyzed using a methodology derived from the activity clinic: self-confrontation of data.</div></div><div><h3>Issues</h3><div>By using an original method, and cross referencing quantitative and qualitative evaluations, the issues are epistemological, methodological, and clinical. By having therapists talk about the practices they see themselves carrying out, we hope to grasp what is happening in the reality of psychotherapeutic work, and make explicit the principal role of the therapist, which plays a large part in the effectiveness of EMDR psychotherapy.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 646-650"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135810759","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":"Étude longitudinale des changements éprouvés par les civils exposés aux attentats de novembre 2015 à Paris","authors":"Sophie Fierdepied ,&nbsp;Philippe Pirard ,&nbsp;Yvon Motreff ,&nbsp;Thierry Baubet","doi":"10.1016/j.amp.2024.03.011","DOIUrl":"10.1016/j.amp.2024.03.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Following the attacks of November 13, 2015, Santé Publique France set up an epidemiological survey. A first phase was carried out in 2016 then repeated in 2020, in order to understand the post-traumatic impact of the attacks. The survey consisted of closed and open-ended questions. We present here the analysis of the answers to the following open-ended questions: “Would you say that the attacks that your experienced has changed you in any way? Could you explain how?” We compare the answers given in 2016 and 2020.</div></div><div><h3>Objective</h3><div>To understand the individual impact of terrorist attacks on civilians between 2016 and 2020.</div></div><div><h3>Method</h3><div>Based on a qualitative analysis, we compare the results at two different times and observe the evolution of these responses. The material is composed of short testimonials related to the question of interest and are processed by thematic analysis inspired by grounded theory. We analyze the responses from 2016 and 2020 independently, and then compare the emerging themes.</div></div><div><h3>Results</h3><div>The results highlight the presence of symptoms associated with post-traumatic stress disorder, with symptoms of intrusion, persistent avoidance of stimuli associated with the traumatic event, altered cognition and mood changes in arousal and reactivity related to the traumatic event, significant suffering, and sometimes dissociative elements. Five years after the attacks, disorders are still present in some subjects. The most distressed ones present a profile with no projection into the future, living from day to day, sometimes associated with risky behaviors. The meaning of their existence eludes them. Another part of the respondents tries to find meaning in their lives. They are looking for new life projects. The process of transforming their individuality is underway. Finally, for others whose profiles appear in the 2020 testimonials, changes have been made, they have been able to mourn their past life, who they were, and overcome their trauma. They are resilient and, in some cases, show psychic functioning suggestive of post-traumatic growth.</div></div><div><h3>Conclusion</h3><div>The psychological impact of terrorist attacks on civilians is still very much present with important suffering, but some form of adaptation in the form of resilience or even post-traumatic growth is underway for some five years after the November 2015 attacks.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 598-605"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144876","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":"Comment une technique de psychothérapie devient-elle « scientifique » ? Analyse comparée de trois méthodes de traitement du psychotraumatisme jugées « pseudo-scientifiques »","authors":"Gabriel Hansmaennel ,&nbsp;Fabrice Berna","doi":"10.1016/j.amp.2024.04.007","DOIUrl":"10.1016/j.amp.2024.04.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;In recent decades, numerous psychotherapy methods have emerged to treat individuals suffering from post-traumatic stress disorder. This article focuses on three of them: Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy (TFT) and Emotional Freedom Technique (EFT). Belonging to the Power Therapies movement, they have been presented as revolutionary methods by their promoters and have been the subject of considerable controversy within the scientific community. However, EMDR is now a standard treatment for post-traumatic stress disorder. TFT and EFT, on the other hand, are still described as “pseudosciences”. In order to gain a better understanding of the factors that explain this difference, we analysed the way in which EMDR, TFT and EFT developed. We therefore looked at the factors which encouraged the emergence of these methods, but also at the opposition they encountered in their respective paths to scientific validation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methodology&lt;/h3&gt;&lt;div&gt;In order to conduct our comparative analysis, we carried out a non-systematic review of the literature. To do this, we consulted reference works and collected articles relating to EMDR, EFT and TFT using several scientific databases. In total, our analysis covered thirty-seven articles, including eleven reviews of literature, eight books and seven other documents (reports, reviews of evidence, treatment guidelines) produced by health care institutions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;After a brief presentation of EMDR, TFT and EFT, we first looked at the factors which encouraged their emergence. We identified three of these: the rise of psychotherapies in the second half of the twentieth century, the notion of “concept creep”, and the popularisation of alternative and complementary medicine. It is this combination of factors that has created a favourable context for the emergence of Power Therapies. At the same time, EMDR, TFT and EFT have also been criticised for their inconsistent theoretical foundations, the poor methodological quality of their initial studies, and questionable promotional tactics. For all these reasons, the scientific community has repeatedly labelled them “pseudosciences”.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;These results led us to discuss the notion of “pseudoscience”. At the end of our research, it appeared to us that the various criteria developed to date did not make it possible to draw a clear line between “science” and “pseudoscience”. With this in mind, we took a critical look at how psychotherapies are evaluated, and tried to determine the respective scientific status of EMDR, TFT and EFT. Despite its inconsistent theoretical foundations, EMDR is the method that comes closest to being scientifically valid. EFT, on the other hand, lacks sufficient evidence to prove its effectiveness, but efforts to standardise its practice have been made with a view to facilitating its evaluation. Finally, TFT is t","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 673-680"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241844","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":"Traitements pharmacologiques dans le trouble de stress post-traumatique : la nécessité d’une stratégie globale","authors":"Arnaud Leroy ,&nbsp;Frédérique Warembourg ,&nbsp;Stéphane Duhem ,&nbsp;Thomas Fovet ,&nbsp;Nicolas Gaud-Le Pierres ,&nbsp;Amélie Porte ,&nbsp;Emilie Veerapa ,&nbsp;Fabien D’Hondt ,&nbsp;Guillaume Vaiva","doi":"10.1016/j.amp.2023.06.010","DOIUrl":"10.1016/j.amp.2023.06.010","url":null,"abstract":"<div><div>International guidelines indicate that trauma-focused psychotherapeutic treatments are the recommended approach for first line treatment of post-traumatic stress disorder (PTSD). However, the guidelines concerning drug-focused treatment are less consistent and contradictory. Although trauma-focused therapy combined with cognitive-behavioral therapy is effective in treating PTSD, many patients do not respond adequately to this treatment, which stresses the need to develop effective adjuvant therapeutic treatments. In addition, most randomized controlled trials investigating psychological treatments for PTSD exclude patients with psychosis, addiction, bipolar disorder, and suicidal thoughts, and it is crucial to offer effective treatments for these patients. Off-label medication is frequently used in treating these populations, but there is a need to clarify these practices. We thus propose an evidence-based algorithm for the management of PTSD, based on current international literature and taking into consideration suicidal tendencies, the presence of psychiatric disorders (psychotic disorders, bipolar disorders, borderline personality disorders) or addictive disorders, the severity of PTSD, and resistance to treatment.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 651-655"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134995789","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}