{"title":"La clinique transculturelle d’aujourd’hui face à des sociétés en changement","authors":"Rahmeth Radjack, Marie Rose Moro","doi":"10.1016/j.amp.2024.05.005","DOIUrl":"10.1016/j.amp.2024.05.005","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Pages 591-592"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172240","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’identité des personnes LGBTQ+ en contexte migratoire : entre dialogues et intersections","authors":"","doi":"10.1016/j.amp.2024.05.011","DOIUrl":"10.1016/j.amp.2024.05.011","url":null,"abstract":"<div><p>In at least 67 countries, LGBTQ+ individuals face discrimination and persecution due to their sexual and gender identity. For this reason, some decide to leave their countries of origin to escape violence and to seek better living conditions. Regardless of their reasons for migration, it significantly impacts the expression of their sexual orientation and gender identity. Once they arrive in the host country, they often experience other forms of hardship or violence due to socio-cultural differences, the perception of otherness, and hosting conditions. These factors can have either a positive or a negative impact on their identities. In this context, migration leads to a process of questioning and reconstruction of identity, which needs to be understood in all its complexity if we are to adequately meet their needs for psychosocial support. To gain a better understanding of the impact of migration on the identities of LGBTQ+ migrants, we have based our study on the concepts of the Dialogical Self proposed by H. Hermans, and those of Intersectionality developed by K. Crenshaw. On the one hand, the Dialogical Self depicts identity as a dynamic ensemble of relational Self “voices” that can change, be challenged or reinforced based on time and context, allowing for the development of a complex and harmonious perception of the Self. On the other hand, Intersectionality underscores how different systems of oppression operate to create novel experiences for individuals with multiple marginalized identities. Taking into account the complex and multiple identities that engage in dialogue and that intersect with each other seems to us to be essential for the elaboration of a more decentralized and well-founded clinical and psychosocial approach.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Pages 656-659"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0003448724001860/pdfft?md5=881ee22623168307f475e15deca207f2&pid=1-s2.0-S0003448724001860-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Brief needs-based psychoeducation for sibling family caregivers of persons with schizophrenia: A qualitative assessment from southern India","authors":"","doi":"10.1016/j.amp.2023.11.010","DOIUrl":"10.1016/j.amp.2023.11.010","url":null,"abstract":"<div><h3>Context</h3><p>There is a gap in the literature that qualitatively explores the effects of psychoeducation on siblings who serve as caregivers for persons with schizophrenia. Therefore, this study aims to investigate the qualitative effects of brief need-based psychoeducation on sibling family caregivers of persons with schizophrenia from southern India.</p></div><div><h3>Methods</h3><p>Ten sibling family caregivers of persons with schizophrenia were recruited for the study, with five in each group receiving either brief need-based psychoeducation or standard care. The participants were interviewed and their responses were recorded. Qualitative data analysis was performed using a combination of thematic and summative content analysis.</p></div><div><h3>Results</h3><p>The study found that both the intervention and standard care groups of sibling family caregivers of persons with schizophrenia reported similar themes. However, the frequency and prominence of the themes were greater among those in the intervention group, as shown by the summative content analysis. The thematic analysis revealed four major themes: 1) personal experiences with the treatment process, including reduced stigma, active caregiving involvement, bonding, reduced criticality, and coping; 2) improved understanding and management of illness; 3) service satisfaction, and 4) indirect effects on symptomatic and functional recovery.</p></div><div><h3>Conclusion</h3><p>Brief need-based psychoeducation was found to be more beneficial for sibling family caregivers of persons with schizophrenia, as evidenced by the greater prominence of themes in the intervention group. This study adds to the limited literature on psychoeducation for sibling family caregivers of persons with schizophrenia. Further studies utilizing rigorous qualitative methods are needed to explore the full scope of the intervention's effects.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Pages 602-610"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139537459","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’Analyse Fonctionnelle en TCC en contexte transculturel : diachronie et synchronie selon le modèle SECCA ; exploration d’un modèle théorique d’adaptation transculturelle","authors":"Samia Lahya MD (Praticien Hospitalier.)","doi":"10.1016/j.amp.2024.05.002","DOIUrl":"10.1016/j.amp.2024.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Cognitive and Behavioral Therapies (CBT) explore thought patterns related to psychological disorders, acting on the cognitive, behavioral, and emotional levels, according to structured and validated protocols. The patient's cultural representations can be questioned as early as the initial stage of Functional Analysis (FA), enabling CBT models to be adapted to transcultural situations.</p></div><div><h3>Context</h3><p>FA examines the disorder and its context. Synchrony, based on Cottraux's SECCA model, addresses the cognitions, emotions and beliefs associated with the problematic situation. Diachrony collects structural and anamnestic data related to the disorder. A model of FA can be proposed in a transcultural context, taking into account the social and cultural construction of the symptom, illness, disorder or crisis.</p></div><div><h3>Methodology</h3><p>By adapting the SECCA model and the diachronic reading grid, FA is adjusted to the transcultural situation, considering aspects relating to culture, exile, migration, the etiological model, the therapeutic itinerary, the traditional treatment of the illness, and the patient's representations and beliefs. It also questions the notion of family and affiliations, transmission, and what, for some patients, is the “invisible world”.</p></div><div><h3>Discussion</h3><p>The adjustment of FA in a transcultural context raises questions about representations, belief systems and the individual, and the collective history of the patient. Raising the clinicians’ awareness of the cultural issue in CBT helps them to better understand its influence on the clinical expression of psychiatric disorders and their conceptualization by patients, over and above stereotypes and the therapist's own representations.</p></div><div><h3>Conclusion</h3><p>The theoretical model of FA conceptualized in this way takes into account the subjectivity of the patient, combining the transcultural approach with cognitive-behavioral methodology; and thus making it possible to adapt to our global patients and their singularities.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Pages 669-677"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172237","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 vécu subjectif de l’expatrié : revue systématique de littérature","authors":"","doi":"10.1016/j.amp.2024.02.005","DOIUrl":"10.1016/j.amp.2024.02.005","url":null,"abstract":"<div><h3>Context</h3><p>Expatriation is a form of migration and temporary exile, characterized by a voluntary departure abroad and frequent back and forth with the country of origin. Globalization and international mobility over the past 50 years have resulted in an increase in the number of expatriates worldwide. Even when choosing to move abroad, some expatriates encounter difficulties that lead to illness and recourse to psychotherapy. This article offers a synthesis of the results of a review of the literature on the subjective experiences of expatriates.</p></div><div><h3>Objectives</h3><p>Our review of the literature aims to better understand the experience of expatriation, and the crises some expatriates go through during their stay abroad. Clinical practice treating expatriates is a complex situation, occurring in a specific context. However, expatriation has only recently become the subject of clinical psychological research. Economics and the sciences of sociology, demography, and work psychology, appear to have been the first to study this phenomenon. The objective was then to understand why some expatriates ended their expatriation prematurely. In the clinical psychology field, the paradigms of cultural adaptation and acculturation have been widely invoked as reasons for determining expatriate suitability and for establishing recommendations of preparation programs. If we recognize the adaptive dimension, we move away from these concepts to promote the subjective experience of the expatriate. To date, we have only found one publication on expatriation which specifically examines the consequences of expatriation for the family. It highlights a need for research that takes into account the variability of expatriation contexts and individual pathways. We therefore conducted a literature review on the subjective experience of the expatriate.</p></div><div><h3>Method</h3><p>A broad search on EBSCO and Google Scholar was conducted in English and French, successively using the key words EXPATRITION, EXPATRIATE, EXPATRIE. This first search phase led us to limit the scope of our research to the subjective experience of the expatriate. In order to gather existing data, we used the PRISMA method. Of the 423 publications extracted from different search engines, we selected and analyzed 25 papers published between 1992 and 2022.</p></div><div><h3>Results</h3><p>Expatriation appears to be a complex subjective experience, which can reveal a state of crisis in its dimension of upheaval, but also with the potential of creating new order. The literature highlights the articulation of latent reasons for departure and the accompanying crises that some expatriates may experience because of a wish to escape from an original environment, the desire to break with the family, and a search for oneself. Separation from the original environment and exposure to a foreign environment can cause archaic anxieties to resurface and summon the ability to be alone. The ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Pages 611-617"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0003448724000581/pdfft?md5=c484405232be7ea131e1614e159576f3&pid=1-s2.0-S0003448724000581-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’importance de la voix pour accompagner, accueillir et résonner avec le patient dans le travail transculturel","authors":"","doi":"10.1016/j.amp.2024.05.009","DOIUrl":"10.1016/j.amp.2024.05.009","url":null,"abstract":"<div><p>The human voice is an often underestimated tool in clinical practice and psychosocial studies and research. Paradoxically, despite being a primary means of expressing emotions and sharing intimate feelings, the human voice is often neglected in clinical psychotherapeutic work. Despite its importance for psychotherapists, psychiatrists, and caregivers, a lack of theories and deeper explorations of its potential impedes its explicit utilization in the mental health care environment. This article focuses on the importance of the caregiver's voice when working with patients from different cultures and languages, particularly in transcultural clinics, such as transcultural consultations, which emphasize the therapeutic characteristics of the voice that clinicians often overlook. The authors examined the clinical intuition of experienced caregivers, including nurses, psychologists, and psychiatrists, who work with patients from diverse cultural and linguistic backgrounds. The prosody and musical elements of the spoken voice play a particularly important role in these clinical settings that transcend language barriers. Through a qualitative inductive study involving six experienced clinicians, the authors developed themes highlighting the importance of the caregiver's voice. These themes were based on the experiences and clinical anecdotes of participants specializing in transcultural therapeutic approaches, accustomed to collaborating with interpreters who bridge the language divergence between French and the patients’ native languages. The transcultural consultation constitutes a unique therapeutic approach comprising a team of co-therapists with diverse cultural backgrounds and languages, along with patients, their family members, and professionals providing administrative, medical, or psychological help. The principal therapist is responsible for setting the stage for the consultation and may invite co-therapists to share mental images or proposals while listening to the patient. In this group setting, attentiveness to the voice is crucial, as it provides the therapist with direct audible cues from the patient, and it is also what the patient receives from the caregivers. Before language is translated by an interpreter, the patient perceives the sound of the therapist's voice, its musicality, prosody, and conveyed emotions. The results of this qualitative study suggest that the therapist's voice in a transcultural clinical setting is essential in creating a positive work environment, conveying good intentions to patients, and establishing a therapeutic alliance through prosodic elements. Furthermore, the voice plays an important implicit and explicit role for the participants in this study. They note that their voice unconsciously varies, and they can use it explicitly as a therapeutic tool to create an impulse or mood. Important aspects of the patient-caregiver relationship can be exclusively transmitted by the tone of the voice and by the ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Pages 625-629"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0003448724001847/pdfft?md5=a2ad449b1ea97f3b7091073fbb9f5d08&pid=1-s2.0-S0003448724001847-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Séance du lundi 9 février 2024","authors":"","doi":"10.1016/j.amp.2024.05.012","DOIUrl":"10.1016/j.amp.2024.05.012","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Page 618"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172242","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":"Enjeux du soin psychique auprès de jeunes mères migrantes avec parcours traumatiques : intérêts d’un groupe thérapeutique transculturel","authors":"Khadija Chahraoui , Sevan Minassian , Luisa Molino , Johana Duhamel , Nina Franzoni","doi":"10.1016/j.amp.2024.05.007","DOIUrl":"10.1016/j.amp.2024.05.007","url":null,"abstract":"<div><h3>Context and/or stakes</h3><p>The psychological treatment of young, recently migrated mothers who are suffering from multiple problems (social isolation, precariousness, complex traumas, bereavement, and major depression) represents a real challenge for mental health care professionals. This clinical undertaking requires an understanding of the various vulnerabilities associated with traumatic migratory journeys, social and cultural ruptures, precariousness, and the difficulties of giving birth to a child in such a context.</p></div><div><h3>Objective</h3><p>The aim of this study is to demonstrate the interest in a transcultural clinical paradigm in order to better take into account the articulation of the problems encountered and to propose appropriate psychological care adapted to these cases.</p></div><div><h3>Materials and methods</h3><p>We present a protocol of treatment inspired by the transcultural approach which we have illustrated with two paradigmatic clinical follow-ups.</p></div><div><h3>Discussion</h3><p>We discuss the three dimensions of this system, which we believe to be essential therapeutic levers: the supportive function of the collective, the support provided to improve maternal competency, and narrative skills.</p></div><div><h3>Conclusion</h3><p>We have determined that by stressing the importance of working on developing maternal and narrative skills. We can help these women in their process of adaptation and improvement so that they can build a better future for themselves and their children.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Pages 637-643"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172234","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 stress parental chez des familles migrantes : le rôle des réseaux transnationaux","authors":"","doi":"10.1016/j.amp.2024.05.006","DOIUrl":"10.1016/j.amp.2024.05.006","url":null,"abstract":"<div><p>Parenthood can be a source of stress, especially for parents with young children. For migrants, the task is made more complex by cultural differences and the child's integration into a psychic filiation. Traditionally, parents rely on a social group to help them cope with the demands of parenthood. However, this support may be lacking in migratory situations. The literature in psychology has little data available on the composition of social support networks, particularly for transnational networks. The aim of this study is therefore to explore both the local and transnational support networks for migrant parents with respect to a sense of stress for parents. The sample consisted of 62 migrant parents living in Switzerland, and a quantitative and qualitative methodology was used to analyze the data. The results revealed that migrant parents maintain both local and transnational social networks to cope with the challenges of parenting. First-time arrivals have a less well-developed local support network and a corresponding higher level of parental stress. The density of the local support network increases with the duration of residency in Switzerland.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 7","pages":"Pages 630-636"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S000344872400180X/pdfft?md5=aadd8adcbb46102ca3c314617503a82b&pid=1-s2.0-S000344872400180X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}