Annales medico-psychologiques最新文献

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Étude d’un dispositif d’intervention précoce infirmier sur le vécu des personnes « tiers » de la première hospitalisation en soins sans consentement d’un proche : Vécu Tiers Psy 关于未经亲属同意第一次住院治疗的“第三人”的早期护理干预措施的研究:Vecu Tiers Psy
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2025-11-05 DOI: 10.1016/j.amp.2025.09.011
Chantal Portas , Marie Albinet , Lydiane Brevard , Juliette Salles
{"title":"Étude d’un dispositif d’intervention précoce infirmier sur le vécu des personnes « tiers » de la première hospitalisation en soins sans consentement d’un proche : Vécu Tiers Psy","authors":"Chantal Portas , Marie Albinet , Lydiane Brevard , Juliette Salles","doi":"10.1016/j.amp.2025.09.011","DOIUrl":"10.1016/j.amp.2025.09.011","url":null,"abstract":"<div><div>In France, emergency psychiatric visits have increased in recent years, making emergency services a crucial entry point for psychiatric care. In 2018, 14% of psychiatric hospital admissions originated from emergency departments. The support system around psychiatric patients, particularly their family and close ones, plays a vital role in the patient's health and stability. Current recommendations emphasize the importance of supporting family caregivers through psychoeducation interventions, which are particularly effective when implemented early, such as during the first episode of illness. These interventions improve treatment adherence and reduce relapse risk. However, while the role of relatives is significant, the impact of psychiatric illness on them throughout the care continuum—from initial treatment to chronic management—must not be overlooked. Feelings of guilt are common among caregivers, who often feel powerless against the illness. Caregiver exhaustion can lead to anxiety, isolation, frustration, and a sense of helplessness due to conflicting demands. Before treatment begins, relatives are often on the front lines, witnessing a progressive deterioration in the patient's mental health over weeks or months, which eventually leads to a psychiatric crisis. This pre-crisis period is a major stress factor, further intensified by the announcement of hospitalization or involuntary treatment decisions, which are frequent in psychiatry. In 2022, involuntary hospitalizations (SSC) accounted for 26% of psychiatric admissions in France. When involuntary treatment is enacted, relatives may be asked to act as “third parties” in the process. These third parties are mostly family members—50% from the immediate family circle, with nearly a third being spouses. Studies from England and Ireland have explored families’ experiences during involuntary hospitalizations, revealing difficulties accessing help before admission and perceptions that services react to crises rather than prevent them. Relatives often feel burdened by the responsibility of care during involuntary treatment and may experience feelings of betrayal toward the patient or guilt if they refuse to sign the third-party letter. A French study highlighted the need to better prepare relatives for involuntary treatment measures, noting that some had never heard of such measures until their loved one was hospitalized. The authors recommended systematic information provision about psychiatric care modalities and sector organization in France at the start of the patient's care journey. Some support systems exist for relatives in psychiatric emergency settings. For example, in 2013, the Rennes Hospital's psychiatric emergency service established the Family Resource Center for Psychotic Disorders (CReFaP), offering individualized support and access to nursing staff via phone or appointments. However, involving relatives in emergency care and supporting them through crisis periods remains ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 18-27"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996385","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}
引用次数: 0
Lettre ouverte au Conseil National Professionnel de Psychiatrie (CNPP) 致全国精神病学专业委员会(CNPP)的公开信
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2025-12-30 DOI: 10.1016/j.amp.2025.11.008
Alexis Bourla (Psychiatre)
{"title":"Lettre ouverte au Conseil National Professionnel de Psychiatrie (CNPP)","authors":"Alexis Bourla (Psychiatre)","doi":"10.1016/j.amp.2025.11.008","DOIUrl":"10.1016/j.amp.2025.11.008","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 1-3"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996387","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}
引用次数: 0
Interprofessional collaboration between general practitioners and psychiatrists in a French rural multi-professional health center: Assessment of doctors’ needs and patients’ expectations using a mixed methods approach 法国农村多专业保健中心全科医生和精神科医生之间的跨专业合作:使用混合方法评估医生需求和患者期望
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2024-09-24 DOI: 10.1016/j.amp.2024.09.007
Shérazade Kinouani , Lucile Schmidt , Sophie Giraudier , Thibaut Colomb , Thierry Bailly
{"title":"Interprofessional collaboration between general practitioners and psychiatrists in a French rural multi-professional health center: Assessment of doctors’ needs and patients’ expectations using a mixed methods approach","authors":"Shérazade Kinouani , Lucile Schmidt , Sophie Giraudier , Thibaut Colomb , Thierry Bailly","doi":"10.1016/j.amp.2024.09.007","DOIUrl":"10.1016/j.amp.2024.09.007","url":null,"abstract":"<div><h3>Background</h3><div>The effectiveness of interprofessional collaboration (IPC) in primary care is unclear. It may have health benefits for patients with cardiovascular or mental health problems. The increase in the prevalence of mental disorders (particularly depressive episodes) in France over the last decade will mobilize both primary care and mental health actors in the future. They have a vested interest in working together to meet the growing needs of the French population. A consultation-liaison with a private psychiatrist was tested over 4 years within a French multi-professional health center (MHC) located in a French rural town. The overall aim of the study was to assess the care needs of GPs and their patients who benefited from this IPC. A study using a mixed methods approach was carried out with the following specific aims: (1) the main objective of the quantitative study was to describe the reasons for referral to psychiatrist by GP. The secondary objectives were to describe the responses given by the psychiatrist and to estimate the association between reasons for referral and patients characteristics; (2) the main objective of the qualitative study was to explore how patients perceived the GP-psychiatrist IPC, and the collaboration they experienced in this MHC. The secondary objectives were to explore their actual experiences in the French mental health system and their perceived needs.</div></div><div><h3>Methods</h3><div>A convergent parallel design study was set up by combining a retrospective cross-sectional study by analyzing data from the medical records of patients, a qualitative study using semi-directed individual interviews and a non-participant observation with volunteer patients, and an integrative analysis phase to mirror the results of the two substudies. The analysis of data from the quantitative study was descriptive, followed by multivariate logistic regression analyses. The analysis of data from the qualitative study was inspired by Grounded Theory. The target population was adult patients who had visited at least one GP in the MHC.</div></div><div><h3>Results</h3><div>One hundred patients were included in the quantitative study (women: 65%, mean age: 47.2 years), who were seen by the psychiatrist in 117 consultations. Three types of request were made by GPs to the psychiatrist: therapeutic requests (83.7%), diagnostic requests (35.9%), and administrative requests related to work absence (4.2%). After adjustment, patients were more likely to be referred to the psychiatrist for a therapeutic reason if they had depressive or anxiety disorder (AOR<!--> <!-->=<!--> <!-->4.46, 95% CI: 1.57–12.69). Patients with bipolar disorder were more likely to be referred for diagnostic advice (AOR<!--> <!-->=<!--> <!-->10.59, 95% CI: 1.88–59.72). The psychiatrist's response was mainly therapeutic (91.5%): pharmacological in 74.3% of cases and psychotherapeutic in 50.4%. A diagnostic response was given in 41.9% of consulta","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 32-40"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996384","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}
引用次数: 0
L’électroconvulsivothérapie, toute une (psycho)éducation ! 电休克疗法,一种完整的(心理)教育!
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2024-05-24 DOI: 10.1016/j.amp.2024.03.009
Jules Vivier, Emilie Musset, Maeva Magnat, Thomas Fovet, Ali Amad
{"title":"L’électroconvulsivothérapie, toute une (psycho)éducation !","authors":"Jules Vivier,&nbsp;Emilie Musset,&nbsp;Maeva Magnat,&nbsp;Thomas Fovet,&nbsp;Ali Amad","doi":"10.1016/j.amp.2024.03.009","DOIUrl":"10.1016/j.amp.2024.03.009","url":null,"abstract":"<div><h3>Background</h3><div>Electroconvulsive therapy (ECT) remains an essential, yet often stigmatized, treatment in psychiatry. Addressing this issue, our study introduces and evaluates a psychoeducational intervention aimed at demystifying ECT for patients and their caregivers, using the QuAKE (Questionnaire on Attitudes and Knowledge of ECT).</div></div><div><h3>Methods</h3><div>This psychoeducational approach was designed for individuals indicated for ECT and their caregivers. The session's effectiveness was gauged by comparing pre- and post-intervention QuAKE scores. Statistical significance was determined using paired Student <em>t</em>-test.</div></div><div><h3>Results</h3><div>The study included 20 participants, with caregivers constituting 90% of the sample. The intervention led to a statistically significant increase in knowledge (mean increase of 7.55 points, <em>p</em> <!-->&lt;<!--> <!-->0.001) and a notable decrease in stigmatizing attitudes (mean decrease of 9 points, <em>p</em> <!-->&lt;<!--> <!-->0.001) towards ECT, as measured by the QuAKE scales.</div></div><div><h3>Discussion</h3><div>The significant improvements in both knowledge and attitudes underline the potential benefits of incorporating psychoeducational interventions into ECT treatment protocols. Future research should further explore the role of such interventions in the broader treatment pathway, enhancing patient and caregiver understanding and acceptance of ECT.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 28-31"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144916","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}
引用次数: 0
Soignants libéraux et TDAH : enjeux et défis 自由主义和多动症护理人员的问题和挑战
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2025-05-29 DOI: 10.1016/j.amp.2024.11.002
Olivier Menard , Maëva Roulin
{"title":"Soignants libéraux et TDAH : enjeux et défis","authors":"Olivier Menard ,&nbsp;Maëva Roulin","doi":"10.1016/j.amp.2024.11.002","DOIUrl":"10.1016/j.amp.2024.11.002","url":null,"abstract":"<div><div>Attention deficit disorder with or without hyperactivity (ADHD) is one of the most prevalent neurodevelopmental disorders (NDD). Increased awareness of NDDs among the general population, coupled with a global surge in the need for psychiatric care since the COVID-19 crisis, has put considerable pressure on the French mental health system in recent years. This is particularly true for private practitioners, including psychiatrists, neurologists, and pediatricians, who are the only specialists in France authorized to initiate methylphenidate, the first-line treatment for adult ADHD. These professionals face a daunting challenge: 50% of French private psychiatrists are aged 60 or older, and they are tasked with meeting an ever-growing demand for psychiatric care. Additionally, there is a fast-growing demand from younger individuals seeking NDD diagnoses, often self-diagnosed online through social media. Furthermore, NDD diagnosis was not widely taught in French medical universities until recently, resulting in fewer professionals qualified to meet the demand. Due to this shortage of medical practitioners, many individuals are seeking NDD diagnoses from psychologists. However, in France, psychologists are not considered healthcare practitioners, and most are not trained in NDD diagnosis. Nevertheless, a “business of ADHD” has emerged, with an increasing number of neuropsychological tests and other “trainings” being oTered. This is unfortunate because ADHD diagnosis is primarily clinical, and in most cases, especially in adults, does not require neuropsychological testing. That said, psychologists can play a significant role in managing ADHD, particularly through psychoeducation or cognitive-behavioral therapies, and in some non-comorbid cases, pre-diagnosis. We believe that teams of psychologists and psychiatrists trained in NDDs could represent an eTective way to increase the number of patients diagnosed and treated for ADHD. Given the shortage of psychiatrists, we also recommend broader access to the authority to initiate methylphenidate. Doctors specializing in addiction medicine, if trained in NDDs and working alongside psychiatrists, should be authorized to initiate methylphenidate. Finally, training is paramount, and priority should be given to expanding the availability of training programs.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 48-50"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996380","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}
引用次数: 0
Évaluation du burn-out chez les étudiants de médecine au Burkina Faso : une étude traversable à l’université Joseph KI-ZERBO 布基纳法索医科学生倦怠的评估:Joseph KI-ZERBO大学的一项交叉研究
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2025-10-31 DOI: 10.1016/j.amp.2025.09.007
Boubacar Bagué , Désiré Nanéma , Oumar Sourabié , Marie Jacqueline Wendyam Lalsaga , Ismael Ayouba Tinni , Kapouné Karfo , Dieu-Donné Ouédraogo
{"title":"Évaluation du burn-out chez les étudiants de médecine au Burkina Faso : une étude traversable à l’université Joseph KI-ZERBO","authors":"Boubacar Bagué ,&nbsp;Désiré Nanéma ,&nbsp;Oumar Sourabié ,&nbsp;Marie Jacqueline Wendyam Lalsaga ,&nbsp;Ismael Ayouba Tinni ,&nbsp;Kapouné Karfo ,&nbsp;Dieu-Donné Ouédraogo","doi":"10.1016/j.amp.2025.09.007","DOIUrl":"10.1016/j.amp.2025.09.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background and issues&lt;/h3&gt;&lt;div&gt;In sub-Saharan Africa, the precarious conditions of medical training expose students to intense stress, leading to burn-out. This syndrome compromises academic performance and mental health. In Burkina Faso, it remains little studied. This research aims to assess the prevalence and factors associated with burn-out among medical students at Joseph KI-ZERBO University.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methodology&lt;/h3&gt;&lt;div&gt;Setting and type of study This cross-sectional, prospective, descriptive and analytical study was conducted over a six-month period, from 19 April to 19 October 2024, at the Joseph KI-ZERBO University (UJKZ) in Ouagadougou, Burkina Faso. The main site was the Health Sciences Training and Research Unit (UFR/SDS), which in 2022 will have 5,592 students in medicine, pharmacy, dental surgery and paramedical training. Teaching takes place in overcrowded lecture theatres and clinical placements take place in distant university hospitals, exposing students to considerable organisational stress.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Population and sampling&lt;/h3&gt;&lt;div&gt;The study targeted PhD students 1 and 2 in human medicine. Inclusion criteria included being at least 18 years old, registered at the UFR/SDS, and having given informed consent. Students from other fields or levels were excluded. Random sampling was used. The minimum sample size, calculated using the Schwartz formula with an estimated prevalence of 44.2%, gave 379 subjects. To increase statistical power, the sample was increased to 462 students, equally distributed between the two doctoral levels.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Collection tools and techniques&lt;/h3&gt;&lt;div&gt;The data was collected using a structured self-administered questionnaire, digitised on KoboToolbox and distributed via KoboCollect. The survey team consisted of six students trained in digital data collection. The variables measured included: socio-demographic characteristics, lifestyles, academic data, and burnout assessed using the Maslach Burnout Inventory (MBI). This tool measures three dimensions: emotional exhaustion, depersonalisation and personal fulfilment. Burnout was defined by a high score in emotional exhaustion (≥&lt;!--&gt; &lt;!--&gt;27), depersonalisation (≥&lt;!--&gt; &lt;!--&gt;13), and a low score in personal fulfilment (≤&lt;!--&gt; &lt;!--&gt;31).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Statistical analysis&lt;/h3&gt;&lt;div&gt;The data were cleaned and analysed using STATA 16 and Epi-Info 7.2.5 software. Qualitative variables were expressed as frequencies, and quantitative variables as means&lt;!--&gt; &lt;!--&gt;±&lt;!--&gt; &lt;!--&gt;standard deviation. Chi&lt;sup&gt;2&lt;/sup&gt; and Student's &lt;em&gt;t&lt;/em&gt; tests were used to compare groups. Multivariate logistic regression was used to identify factors associated with burn-out, with a significance threshold set at &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;≤&lt;!--&gt; &lt;!--&gt;0.05.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Ethical considerations&lt;/h3&gt;&lt;div&gt;The protocol was approved by the Burkina Faso Health Research Ethics Committee (no 2024-09-292). Student participation was based on free, informed ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 51-59"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996381","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}
引用次数: 0
Good Lives Model (GLM) et alliance avec l’auteur d’infraction : quel apport selon différentes modalités d’entretien (individuel, groupe, réalité virtuelle) ? 良好生活模式(GLM)和与违法者的联盟:根据不同的维护模式(个人、团体、虚拟现实),有什么贡献?
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2025-03-28 DOI: 10.1016/j.amp.2025.03.004
Erwan Dieu , Tony Ward
{"title":"Good Lives Model (GLM) et alliance avec l’auteur d’infraction : quel apport selon différentes modalités d’entretien (individuel, groupe, réalité virtuelle) ?","authors":"Erwan Dieu ,&nbsp;Tony Ward","doi":"10.1016/j.amp.2025.03.004","DOIUrl":"10.1016/j.amp.2025.03.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;This article presents the positive results of a study about the interest of the Good Lives Model (GLM). If the offenders were not selected, the area of employment was systematically noted, as well as limited receptivity. The Council of Europe (Rule 66, REP, 2010) gives the starting point for the stages relating to probation with the RNR model (Risk, Needs, Responsivity). The complementary model Good Lives Model is also recommended in the REPs, and in the French standards, but rarely used. According to the GLM, offenders must be considered as people monitored in each context with methods which may or may not conform to their own “goods” and “strengths”. The readiness is defined here as the presence of characteristics (states or dispositions) in the offenders or in the professional situation likely to promote engagement in support. This proposal could be interesting for offenders who present risk factors linked to employment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;One hundred and forty-six offenders experienced GLM using different methods of administration (individual &lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;111, virtual &lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;11, group &lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;24). The interviews were conducted for a total duration of 4&lt;!--&gt; &lt;!--&gt;hours, or an equivalent of 584&lt;!--&gt; &lt;!--&gt;hours of interviews. Subsequently, the research team administered the WAO (alliance scale) combined with semi-structured interviews. The results were compared to a previous study concerning unstructured interviews (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;38) and structured interviews with the RNR model (&lt;em&gt;n&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;40).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of the 146 participants, 53 benefited from results that could be used for comparative research. The GLM seems to be a particularly interesting method for the alliance between the professional and the offender, compared to other methods (unstructured or structured RNR). However, 4 criteria out of 12 meet higher scores in the context of so-called unstructured individual interviews and only 1 criterion in the context of structured individual interviews based on risk. The results indicate that the three groups (individual, group, RV) present positive results in terms of alliance with high averages (more than 4/5). The highest results are found in the group, which benefited from GLM interviews in Virtual Reality (average of 4.64), then those who benefited from group GLM interviews (average of 4.45), then individual GLM interviews (average 4.38). The questions that received the most responses “ALWAYS” (5/5) are the criteria related to the relationship between the offender and the professional, therefore question 3 “&lt;em&gt;I believe that professionals respect me&lt;/em&gt;” with 87.1%, question 5 “&lt;em&gt;I have the feeling that professionals really listen to me&lt;/em&gt;” with 83.9% and question 9 “&lt;em&gt;Professionals and I show respect towards each other&lt;/em&gt;” with 93.5% responses. The professionals underlined ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 10-17"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996433","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}
引用次数: 0
Experience feedback on participation in a structured, psychodynamic supervision centered on the clinician-patient interaction: Are oncologists ready to talk about themselves? 体验参与以医患互动为中心的结构化心理动力学监督的反馈:肿瘤学家准备好谈论自己了吗?
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2025-01-27 DOI: 10.1016/j.amp.2024.12.002
Friedrich Stiefel, Sonia Krenz, Valentin Baechtold, Laurent Michaud, Céline Bourquin
{"title":"Experience feedback on participation in a structured, psychodynamic supervision centered on the clinician-patient interaction: Are oncologists ready to talk about themselves?","authors":"Friedrich Stiefel,&nbsp;Sonia Krenz,&nbsp;Valentin Baechtold,&nbsp;Laurent Michaud,&nbsp;Céline Bourquin","doi":"10.1016/j.amp.2024.12.002","DOIUrl":"10.1016/j.amp.2024.12.002","url":null,"abstract":"<div><div>Oncology clinicians are expected to have a certain insight in interactional dynamics when communicating with patients. Supervision of oncology clinicians by psycho-oncologists is an important means to enhance this insight. However, research on supervision in the oncology setting remains very scarce with most of the few studies failing to describe the supervisory process.</div></div><div><h3>Objectives</h3><div>To evaluate the experience of oncology physicians, who participated in a structured, psychodynamic supervision centered on the clinician-patient interaction.</div></div><div><h3>Methods</h3><div>Medical oncologists (<em>n</em> <!-->=<!--> <!-->10) who benefited from three individual supervisions following a one-day reflexivity training were asked to report on their experience of the supervision, which specifically addressed interactional dynamics of the cases presented, focusing on countertransference reactions and links to clinicians’ repetitive relational patterns and biography. The semi-structured interviews were conducted by an experienced psychologist, who was not implicated in the training, and based on a guide addressing facilitators and barriers to engage in supervisions and the lived experience of supervisees.</div></div><div><h3>Results</h3><div>Facilitators and barriers to engage in supervision were related to the supervisor, the supervisees, and contextual elements. Trust towards the supervisor, who demonstrated a capacity to adapt to the supervisee and knowledge of the institutional context, without having any professional ties with the supervisees, played a facilitating role. While the supervisees’ openness to be confronted with their own psychological struggles also facilitated engagement, transferential reactions towards the supervisor had positive and negative effects. The principal barrier felt by some supervisees was the confrontational approach of this type of supervision. Most participants reported a positive experience of the supervision, which was perceived as useful, interesting, valorizing and enriching. However, one participant indicated not having benefited from supervision expressing important discomfort to talk about himself.</div></div><div><h3>Conclusion</h3><div>A structured, psychodynamic- and interaction-oriented supervision is a psychologically challenging experience for oncology clinicians. However, if certain prerequisites concerning the supervisor and the context can be granted and if supervisees can engage in such a supervisory process, they clearly benefit from the experience; participation, based on a well-informed and voluntary consent, is thus an implementable and promising means to address clinicians’ own psychological contributions to problematic patient interactions.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 41-47"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996379","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}
引用次数: 0
Compter les personnes pour connaître les populations 数人,了解人口
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2025-11-11 DOI: 10.1016/j.amp.2025.09.005
Pierre D. Dindi , Nancy Stiegler , Jean-Pierre Bouchard
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引用次数: 0
Nadine Skwortzoff (1852–1938), première admise à la Société Médico-Psychologique et pionnière de l’étude de l’aphasie 纳迪娜-斯科沃佐夫(1852-1938),医学心理学协会的第一位成员,失语症研究的先驱者
IF 0.5 4区 医学
Annales medico-psychologiques Pub Date : 2025-12-01 Epub Date: 2024-01-25 DOI: 10.1016/j.amp.2024.01.006
Nicolas F. Brard
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引用次数: 0
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