{"title":"The traveling alienists","authors":"Emmanuel Drouin , Marion Hendrickx","doi":"10.1016/j.amp.2025.07.004","DOIUrl":"10.1016/j.amp.2025.07.004","url":null,"abstract":"<div><div>This article retraces the history of the “travelling alienists” – 19th-century psychiatrists such as Esquirol and Guislain – who helped to humanize psychiatry by observing and comparing practices abroad. A student of Pinel, Esquirol prescribed therapeutic journeys for wealthy patients, entrusting them to young doctors tasked with studying the asylums they visited. This approach allowed for the collection of data and led to reform proposals, particularly regarding the inhumane conditions of confinement. The Belgian village of Gheel, where mentally ill individuals lived freely in families, deeply influenced French psychiatrists and inspired the creation of family colonies. The article also discusses “mad travellers,” patients suffering from delusions of persecution or pathological wandering, who fascinated figures like Tissié and Charcot. In conclusion, the authors highlight the relevance of the travelling alienists’ legacy: their humanistic and open approach contrasts with today's more technical and security-driven psychiatry. They call for a reinvention of the French sector-based model while preserving the dignity and individuality of patients.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 281-284"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752266","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":"Prevalence and risk factors of anxiety in patients with chronic diseases attending a tertiary care center","authors":"Soumaya Benmaamar , Samira El Fakir , Ibtissam El Harch , Moncef Maiouak , Noura Qarmiche , Nassiba Bahra , Hind Bourkhime , Mohamed Omari , Nada Otmani , Bouchra Amara , Nesserine Akesbi , Rhizlane Berrady , Hakima Abid , Nabil Tachfouti","doi":"10.1016/j.amp.2026.02.004","DOIUrl":"10.1016/j.amp.2026.02.004","url":null,"abstract":"<div><h3>Context</h3><div>Anxiety is a common comorbidity in patients with chronic diseases. This study aims to assess the prevalence of anxiety among Moroccan patients with chronic diseases and identify the key factors associated with increased anxiety levels.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted at Hassan II University Hospital of Fez, among patients diagnosed with various chronic diseases. A structured questionnaire was used to collect sociodemographic, clinical, and economic data. Anxiety levels were measured using HADS questionnaire in its version Arabic validated. The socio-economic status (SES) was assessed using a composite index based on key indicators, including income, educational level, employment status, and health insurance coverage. Bivarite and multivariate (logistic regression) statistical analyses were performed to determine associations between anxiety and potential risk factors.</div></div><div><h3>Results</h3><div>1122 subjects were included in the study. The findings revealed a high prevalence of anxiety among patients with chronic diseases (48.9%) CI<sub>95%</sub> <!-->=<!--> <!-->(46%–52%). It varies according to the type of disease. Older age, female gender, low socioeconomic status, and duration of disease over or equal 6 years were significantly associated with higher anxiety levels.</div></div><div><h3>Conclusion</h3><div>The study highlights the urgent need for integrated mental health care within chronic disease management.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 275-280"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754069","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}
Clotilde Potez , Agnès Certain , Stéphane Vignes , Nicole Robert , Yves Ferrarini , Arnaud Plagnol
{"title":"Le rétablissement dans le contexte des maladies somatiques – co-analyses de parcours de vie traversés par le VIH et le lymphœdème","authors":"Clotilde Potez , Agnès Certain , Stéphane Vignes , Nicole Robert , Yves Ferrarini , Arnaud Plagnol","doi":"10.1016/j.amp.2025.04.001","DOIUrl":"10.1016/j.amp.2025.04.001","url":null,"abstract":"<div><h3>Context and issues</h3><div>Particularly deployed in the context of persistent psychological disorders, recovery as a personal process of redefining oneself and re-engaging in a positive life dynamic, despite residual symptoms, seems entirely worthy of being introduced into the field of treating somatic illnesses, and especially when they are chronic. Practices focused on the individual's future are being developed in somatic medicine departments, but the concept of recovery has yet to really find its place in psychiatry. In the field of psychiatry, recovery is a hopeful prospect, but could not it also be the case for people living with “visible” chronic somatic illnesses such as lymphedema, or “invisible” ones such as HIV infection?</div></div><div><h3>Methodology</h3><div>To illustrate the appropriateness of the concept of recovery in the field of chronic somatic diseases, we questioned two people directly concerned: Mrs. NR, who suffers from lymphedema of the leg, and Mr. YF, who is living with HIV. After recounting their respective backgrounds, drawing on their experiences and experiential knowledge, NR and YF were invited to discuss how the concept of recovery might or might not resonate with them, and what interest they felt it might hold for people living with chronic somatic illnesses. These exchanges were the subject of a collaborative analysis.</div></div><div><h3>Results</h3><div>With the onset of the disease, NR and YF spoke of coming face to face with vulnerability, and death for YF, in the eyes of others, as well as a change in the way they viewed their own bodies and themselves more generally. It should be noted that they were both diagnosed with cancer during their lives, NR before the diagnosis of lymphedema (the treatment of the former having caused the latter), and YF after the diagnosis of HIV. Various factors helped them on their respective journeys: family support and a return to study for NR, the positive visualization technique and therapeutic patient education for YF, meeting other people living with the same disease, having associative responsibilities and engaging in peer-help and partnership. YF and NR describe a very gradual period of personal, non-linear self-reconstruction, during which they learned a great deal, they explain, particularly on a human level. Despite the persistence of symptoms, NR no longer feels “ill” today. YF and NR describe feeling they are in a “new equilibrium”.</div></div><div><h3>Discussion</h3><div>In NR's and YF's respective life courses, we can identify the key dimensions of recovery – grouped together under the acronym CHIME, in reference to the work of Leamy et al. in 2011 – in the context of psychological disorders: connection to others, hope and optimism, identity, meaning in life, and empowerment. It would be relevant to account for perhaps more specific dimensions of recovery in the context of somatic illnesses in general, and more specifically in relation to the chronicity ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 244-247"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147753611","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":"Remédiation cognitive de l’attention chez les patients atteints de maladie d’Alzheimer : un essai clinique randomisé","authors":"Hamza Mrini, Maria Sabir","doi":"10.1016/j.amp.2025.11.009","DOIUrl":"10.1016/j.amp.2025.11.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Alzheimer's disease (AD) affects approximately 200,000 individuals in Morocco, with projections indicating a doubling to 400,000 cases by 2050. The Rabat-Salé-Kénitra region accounts for nearly 22,000 patients, representing 11% of the national burden. Attentional deficits constitute one of the earliest and most debilitating cognitive manifestations of AD, progressively compromising patients’ functional autonomy and quality of life. Current pharmacological treatments (cholinesterase inhibitors, memantine) offer only modest symptomatic benefits, rarely exceeding 1.5 MMSE points at six months, while presenting significant side effects and costs exceeding 1100 dirhams monthly. This situation has prompted the development of non-pharmacological alternatives, particularly cognitive remediation therapy (CRT), which targets neuroplasticity mechanisms to restore or compensate for impaired cognitive functions. This study aimed to evaluate the effectiveness of a multimodal CRT program on attentional functions in patients with mild-to-moderate AD in the Rabat-Salé-Kénitra region.</div></div><div><h3>Methods</h3><div>This quasi-experimental study included 94 patients with probable AD diagnosed according to NINCDS-ADRDA criteria, with MMSE scores<!--> <!-->≥<!--> <!-->12, aged<!--> <!-->≥<!--> <!-->55 years. Participants were recruited from the Rabat Alzheimer Day Care Center, the geriatric psychiatry department of the Specialties Hospital, and home-based care settings. They were allocated to either a CRT group (<em>n</em> <!-->=<!--> <!-->47) receiving 24 sessions of multimodal cognitive remediation over 12 weeks, or a control group (<em>n</em> <!-->=<!--> <!-->47) receiving standard care. The CRT program incorporated five categories of attentional exercises: visual part-whole analysis, visuospatial transformations, eye-hand coordination tasks, visual analogies, and consecutive number searches. These tasks employed errorless learning, positive reinforcement, and metacognitive strategies to promote neuroplasticity. The control group continued receiving standard medical care, including regular geriatric or neurological consultations, maintenance of prescribed pharmacological treatments without dosage modifications, usual occupational activities, and informal caregiver support. Pre- and post-intervention assessments utilized the Bells Test (primary outcome), MMSE, and MoCA. Effect sizes were calculated using Cohen's <em>d</em>, and moderating variables (age, IADL, self-efficacy, motivation) were examined through correlation and stepwise regression analyses.</div></div><div><h3>Results</h3><div>The CRT group demonstrated exceptional improvements across all cognitive measures compared to the control group, which showed slight deterioration. On the Bells Test, the CRT group improved by 4.82<!--> <!-->±<!--> <!-->2.09 bells versus a decline of -0.49<!--> <!-->±<!--> <!-->0.98 in controls (Cohen's <em>d</em> <!-->=<!--> <!-->3.26, <em>P<","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 4","pages":"Pages 264-270"},"PeriodicalIF":0.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754070","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":"L’amnésie traumatique et ses implications judiciaires dans les faits d’inceste","authors":"Julie Francols","doi":"10.1016/j.amp.2025.10.006","DOIUrl":"10.1016/j.amp.2025.10.006","url":null,"abstract":"<div><div>In continuity with our previous article (Francols et Ravit, 2025), in which we identified the main factors associated with traumatic amnesia in the context of incestuous violence, we propose here to discuss the judicial implications of traumatic amnesia among victims of incest. Today, in France, 7.4 million people are recognized as having been victims of incest (Sondage IPSOS, 2023) and among them, 89% have suffered (and continue to suffer) from traumatic amnesia (Francols et Ravit, 2025), with 50% experiencing it in its complete form. Furthermore, for 28% of individuals who experienced complete traumatic amnesia, the condition lasted for more than 30 years. Traumatic amnesia, also referred to as “dissociative amnesia” in the scientific community, is defined as “an inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting” (American Psychiatric Association, 2015). Beyond this psychiatric definition, traumatic amnesia bears witness to the extreme nature of psychic survival mechanisms in the face of the psychic disintegration and destruction brought on by incestuous acts. Incest is not merely an assault on the body; it is, first and foremost, an assault on the psyche — a kind of death, an erasure of the other as a singular and differentiated subject. By taking possession of the child's body, the incestuous parent also attacks the child's mind, denying their otherness, their desire, and their inherent need for existence. The child is no longer a subject, no longer the bearer of a singular identity differentiated by age and gender; they become an object — an object of other — reduced to a body with forms and orifices, transformed into a toy whose sole function is to entertain, to give pleasure — and, in the worst cases, to provide gratification. To survive, the individual has no choice but to erase the reality of the act, to render it non-existent within the self. Symbolization processes break down, preventing the transformation of “initial perceptual traces” into conscious and meaningful representations of experience. Ego-splitting and repression operate to keep the threatening representations of sexual trauma out of awareness. Due to its complexity and radical nature, traumatic amnesia places significant limitations on victims’ ability to report what happened and on the expected judicial response. Based on a national epidemiological study conducted between November 2022 and March 2023 with 400 participants who experienced incest in childhood or adolescence, we identified the specific temporality associated with the phenomenon of traumatic amnesia and the psychic processes necessary for constructing representations of incestuous traumatic events. However, the French criminal justice system is bound by statutory time limits that fail to account for the extended psychological timeframe needed by incest victims to fully process and integrate these trau","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 201-208"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555636","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":"Us et méfaits de l’usage du syndrome de Münchhausen par procuration en protection de l’enfance","authors":"Hélène Romano , Jean-Yves Hayez","doi":"10.1016/j.amp.2025.09.006","DOIUrl":"10.1016/j.amp.2025.09.006","url":null,"abstract":"<div><div>Child abuse is a multi-faceted violence that can be very difficult to identify, among others when the child is very young and complaints about his condition are mainly reported by a parent. The fear of being misled by parental allegations is common, especially in the context of parental separation. For a long time, the notion of “parental alienation syndrome” (PAS) was used to alert people to on these situations. But since the latest 2013 version of the DSM-5 did not recognize PAS as a psychiatric pathology, some child care professionals instead use the term “Münchhausen syndrome by proxy”. This article proposes a reflection on the judicious use or the misuse of the diagnosis of a Münchhausen syndrome by proxy, with sometimes dramatic consequences.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 209-215"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555637","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":"Présentation des dispositifs de protection actuels (ordonnance de protection, téléprotection grave danger et bracelet anti-rapprochement)","authors":"Amélie Astier","doi":"10.1016/j.amp.2025.07.001","DOIUrl":"10.1016/j.amp.2025.07.001","url":null,"abstract":"<div><div>The CIDFF in Paris plays an essential role in protecting victims of domestic violence through several tailored measures. The protection order, issued urgently by a family court judge, allows victims to quickly take advantage of legal measures such as a restraining order, allocation of housing, or provisions concerning children. The CIDFF assists victims in compiling their case files. The serious danger tele-protection (TGD) system, which uses a GPS-locatable smartphone, enables the police to intervene quickly in the event of a threat; access to it is subject to strict conditions and remains confidential. The CIDFF is responsible for evaluating and monitoring it. As for the anti-approach bracelet (BAR), ordered by a magistrate, it allows monitoring of whether the perpetrator of violence is physically approaching the victim. Here again, the CIDFF intervenes to ensure follow-up. Other legal resources are available, particularly in the context of family or divorce proceedings. The support offered is based on a comprehensive, expert, and confidential approach, focused on the needs of each victim.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 220-222"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555639","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}
Despoina Nikiforaki , Pascale Giravalli , Thomas Fovet
{"title":"Un état des lieux des soins psychiatriques pour les femmes incarcérées en France","authors":"Despoina Nikiforaki , Pascale Giravalli , Thomas Fovet","doi":"10.1016/j.amp.2024.12.007","DOIUrl":"10.1016/j.amp.2024.12.007","url":null,"abstract":"<div><h3>Context</h3><div>The mental health of incarcerated individuals appears significantly worse than that of the general population. One in seven prisoners is diagnosed with a psychotic disorder or depression. This population is also at a heightened risk of self-harm and violence, either as victims or perpetrators. Women represent less than 4% of the total prison population but exhibit higher rates of psychiatric disorders compared to men. A recent study in France showed that, among incarcerated women, 59.9% suffer from substance-related disorders, 57.3% from anxiety disorders, 53.5% from mood disorders, and 16.8% from psychotic disorders. Nearly 90% have experienced various forms of abuse during childhood or adulthood. In France, psychiatric care for prisoners is structured into three levels: outpatient care (level 1, <em>Unités sanitaires en milieu pénitentiaire</em> [USMP]), day hospitalization (level 2, <em>Services de soins medico-psychologiques régionaux</em> [SMPR]), and full hospitalization (level 3, <em>Unités hosptialières spécialement aménagées</em> [UHSA]). This study aims to assess access to psychiatric care for incarcerated women in France. We hypothesize that the current healthcare system provides unequal access for this population.</div></div><div><h3>Material and methods</h3><div>We conducted a survey targeting all psychiatric care facilities in French prisons housing women, including USMP and SMPR. A 24-item questionnaire was sent to 48 centers, and a descriptive analysis of the responses was performed.</div></div><div><h3>Results and discussion</h3><div>Of the 48 facilities contacted, 38 (79%) responded to the survey. The findings indicate that, despite notable organizational challenges, the principle of gender parity, inherited from general hospital culture, is widely implemented in outpatient psychiatric care (level 1) within prisons. However, access to day hospitalization (level 2) remains profoundly inadequate. Recent developments, such as the establishment of part-time therapeutic activity centers (<em>Centre d’accueil thérapeutique à temps partiel</em> [CATTP]), have improved access to therapeutic activities for incarcerated women with psychiatric disorders. These activities are either designed to be equal (offering the same activity to both sexes but conducted separately) or diverse (allowing simultaneous participation of men and women). Despite these efforts, only a small percentage of incarcerated women are admitted to day hospitals. There is a pressing need to develop care tailored to the specific health needs of women, considering their higher prevalence of psychiatric disorders and histories of abuse. Full-time inpatient psychiatric care (level 3), which operates in a hospital setting, appears less affected by gender-related disparities but remains limited by accessibility issues.</div></div><div><h3>Conclusion</h3><div>Access to daytime psychiatric care for incarcerated women remains inadequate in France. The i","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 177-183"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555175","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":"Prise en charge psychique des femmes victimes de violences conjugales : focus sur le groupe psychothérapeutique G-TEP EMDR","authors":"Lore Brunel , Aurélie Raust , Léa Rotenberg , Damien Fouques , Sarah Dauchy , Cédric Lemogne","doi":"10.1016/j.amp.2025.07.002","DOIUrl":"10.1016/j.amp.2025.07.002","url":null,"abstract":"<div><div>Domestic violence is a public health issue. Female victims often present with post-traumatic stress disorder (PTSD) or complex PTSD, accompanied by anxiety and depressive comorbidities. Eye Movement Desensitization and Reprocessing (EMDR) therapy is recognized for its effectiveness in treating PTSD. The Group Traumatic Episode Protocol (G-TEP), derived from EMDR, offers a secure, rapid, and suitable group alternative to individual EMDR therapy for these populations. This theoretical and clinical communication, supported by a literature review and a presentation of a program within a women's shelter, discusses the foundations and relevance of G-TEP in the psychological support of women who are victims of intimate partner violence.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 216-219"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555638","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}