Annales medico-psychologiques最新文献

{"title":"Classer, enfermer, prévenir : la psychiatrie de Jules Falret à l’épreuve de la loi de 1838","authors":"Lucrèce Larrouturou,&nbsp;Marion Hendrickx,&nbsp;Emmanuel Drouin","doi":"10.1016/j.amp.2026.01.003","DOIUrl":"10.1016/j.amp.2026.01.003","url":null,"abstract":"<div><div>This article analyzes Jules Falret's handwritten <em>Cours sur les maladies mentales</em> (1867), a landmark in the pedagogy of nineteenth-century French psychiatry. A disciple of the alienist tradition of his father, Jean-Pierre Falret, Jules Falret categorized the classification of mental disorders based on the central notion of dangerousness. He conceived the asylum as a true laboratory of observation, where the physical confinement of patients made it possible to study the “progression of mental alienation” and the prevention of risks associated with psychiatric pathologies. As a proponent of medical authority in decisions of commitment, he contributed to the rise of the psychiatrist as both a scientific and asocial figure. His pragmatic approach, based on the temporality of disorders and the adaptation of confinement to individual cases, foreshadows contemporary debates on security-oriented psychiatry and coercive practices such as seclusion and confinement. The article thus highlights the modernity as well as the ambivalences of a conception of the role of psychiatry that oscillates between care, control, and the physician's social responsibility.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 231-235"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555641","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’unité de la psychologie et la pluralité des pratiques","authors":"Alain Blanchet","doi":"10.1016/j.amp.2025.06.010","DOIUrl":"10.1016/j.amp.2025.06.010","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 163-165"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555204","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":"Vers l’identification des caractéristiques psychosociales d’hommes auteurs d’un homicide-suicide ou d’un suicide","authors":"Retchia Ayeva ,&nbsp;Suzanne Léveillée","doi":"10.1016/j.amp.2024.11.015","DOIUrl":"10.1016/j.amp.2024.11.015","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Intimate partner homicide-suicide events are human tragedies, primarily committed by men. Much research indicates that perpetrators of intimate partner homicide-suicide share characteristics with men who commit suicide, there is little information on the differences and similarities between these two groups of men. In fact, around the world, few studies have compared the two and to date, none have been conducted in the province of Quebec. In an effort to shed light on intimate partner homicide-suicide, this study compares the sociodemographic, situational, criminological, and psychopathological characteristics, as well as some details of consultations with a health professional of two groups of adult men: those who committed intimate partner homicide-suicide and those who committed suicide in the province of Quebec between 2012 and 2021.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;A total of 41 cases (21 cases of intimate partner homicide-suicide and 20 cases of suicide) were selected from the files of the Office of Coroner of Quebec. In addition, newspaper articles and criminal records were consulted to complement the data collected in the files of the Office of the Chief Coroner of Quebec. The &lt;em&gt;Grille d’analyse multidimensionnelle de l’homicide intrafamilial&lt;/em&gt; (Léveillée et al., 2005) was used to list the collected data. Comparative analysis such as Student's &lt;em&gt;t&lt;/em&gt;-test (&lt;em&gt;t&lt;/em&gt;-test) and Pearson's Chi&lt;sup&gt;2&lt;/sup&gt; (X&lt;sup&gt;2&lt;/sup&gt;) test were carried out for the quantitative and qualitative variables of this study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;There is no statistical difference between the two groups with regards to having a child, being employed, suffering a social loss, experiencing a stressful event, exhibiting depressive symptoms (as identified by an expert), using substances, attempting suicide and/or having suicidal ideation, the consultation of a health professional within the last month before committing the act, the types of consultation with a health professionals, professionals consulted, and taking medication for any physical illnesses. Although the perpetrators of intimate partner homicide-suicide have some characteristics in common with men who commit suicide, they differ from them in various aspects. When committing the act, a greater proportion of intimate partner homicide-suicide perpetrators are in the process of separating or experiencing marital difficulties, have a criminal record, and engage in domestic violence compared to men who have committed suicide. Compared to men who commit suicide, a smaller proportion of intimate partner homicide-suicide perpetrators have psychiatric diagnoses, a psychiatric history, and take medication for a mental disorder. In addition, compared to men who commit suicide, a smaller percentage of intimate partner homicide-suicide perpetrators consult a health professional during their life, during the period ranging from 1 to 3 months and 3 ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 184-192"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555176","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":"État des lieux de la prise en charge psychiatrique des mineurs incarcérés en France","authors":"Caroline Pouget ,&nbsp;Pascale Giravalli ,&nbsp;Charlotte Chicco","doi":"10.1016/j.amp.2025.10.011","DOIUrl":"10.1016/j.amp.2025.10.011","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;La prise en charge psychiatrique des mineurs incarcérés constitue un enjeu majeur de santé publique et un défi pour la psychiatrie infanto-juvénile. En effet, ces adolescents présentent une prévalence plus élevée de troubles psychiques que la population générale, et voient leur état mental fragilisé par la détention. Les modalités de soins psychiatriques en milieu carcéral restent peu étudiées dans la littérature scientifique. Cet article a pour but d’explorer les dispositifs de soins psychiatriques dans les établissements pénitentiaires pour mineurs (EPM) et les quartiers pour mineurs (QM) en France, en évaluant leur efficacité, leurs limites, les défis rencontrés, et en proposant des pistes d’amélioration.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectifs&lt;/h3&gt;&lt;div&gt;L’objectif principal de cette étude est d’identifier les modalités et les méthodes de prise en charge psychiatrique, les ressources disponibles, ainsi que les défis rencontrés par les professionnels de santé dans ce contexte spécifique. L’objectif secondaire est de réaliser un état des lieux des diagnostics cliniques, et des traitements prescrits auprès de cette population.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Matériels et méthodes&lt;/h3&gt;&lt;div&gt;Une étude descriptive, observationnelle et multicentrique a été menée via un questionnaire diffusé aux professionnels de santé exerçant dans les établissements pénitentiaires pour mineurs et les quartiers pour mineurs en France. Ce questionnaire a permis de collecter des données quantitatives et qualitatives.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;L’étude révèle des pratiques hétérogènes selon les établissements, tant en termes d’organisation que de moyens humains et matériels. L’évaluation psychiatrique à l’arrivée n’est pas systématique, et son contenu varie largement. Le suivi psychiatrique repose principalement sur des consultations individuelles, dans la moitié des établissements sur des thérapies de groupe, et rarement sur des entretiens familiaux. Peu d’établissements disposent d’accès à un dispositif de soins gradués et on note des difficultés à l’accès aux hospitalisations. La coordination entre les intervenants médicaux et judiciaires pour préparer les relais de soins à la sortie de détention est jugée difficile voire insuffisante dans une partie des réponses. L’étude met également en lumière une prévalence élevée de troubles psychiatriques parmi les mineurs incarcérés, en particulier les troubles du comportement, les troubles anxio-dépressifs, et les troubles liés au stress et troubles somatoformes et de l’adaptation. Les problématiques addictologiques sont très présentes également.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussions&lt;/h3&gt;&lt;div&gt;Les résultats soulignent les disparités géographiques, et la nécessité urgente d’améliorer la prise en charge psychiatrique des mineurs détenus en France. Des axes d’amélioration sont identifiés, tels que l’augmentation des ressources humaines, la systématisation des évaluations psychiatriques à l’entrée, la diversification ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Pages 166-176"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555205","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":"Recension du livre de Félix Lemaître La nuit des hommes. Une enquête sur la soumission chimique. JC Lattès 2024","authors":"Jean-Pierre Luauté ,&nbsp;Serge Christin","doi":"10.1016/j.amp.2025.12.007","DOIUrl":"10.1016/j.amp.2025.12.007","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 3","pages":"Page 236"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147555642","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":"Caractérisation clinique d’un groupe de sept détenus radicalisés recruteurs pour le djihad","authors":"Guillaume Monod ,&nbsp;Léonard Gautrelet ,&nbsp;Marine Ambar-Akkaoui ,&nbsp;Alexandra Pham-Scottez","doi":"10.1016/j.amp.2025.09.002","DOIUrl":"10.1016/j.amp.2025.09.002","url":null,"abstract":"&lt;div&gt;&lt;div&gt;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}