Annales medico-psychologiques最新文献

{"title":"Deuil des racines, racines des deuils : à propos d’un cas clinique","authors":"Charlemagne Simplice Moukouta, Eli Kpelly, Dufeil Sounga","doi":"10.1016/j.amp.2025.06.003","DOIUrl":"10.1016/j.amp.2025.06.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Wars and/or natural disasters have long been sources of trauma. Today, it has been demonstrated that migration can also constitute a traumatic reality. Migration can be an acute traumatic phase for some people, even if not all traumas always have negative effects and not all individuals are at equal risk of traumatization. Whether voluntary or forced, Migration remains a particularly trying ordeal and a crisis, which imposes a logic of breaking historical cultural references, changing social references, a reorganization of identity and a psychological transformation. It involves a loss of cultural heritage and the discovery of new resources and potential. Indeed, people who go into exile lose their home, their kinship, their language, their community and their roots. In addition to the various losses suffered, the subject is assailed by existential questions, essentially affecting their identity in their relationship with dyads: sameness–selfhood, time–space, here–there; present–future; illusion–reality, etc.</div></div><div><h3>Method</h3><div>Based on a clinical vignette drawn from our experience in the psychiatric field, we propose to reflect on the psychological and cultural determinants linked to the issue of grief and trauma. This case concerns Mr. B., admitted for major anxiety-depressive syndrome characterized, among other things, by moodiness, loss of appetite and sleep, and psychomotor retardation. He stopped going to work without any specific reason and had lost his usual lifestyle habits (sport, reading at bedtime, lullabies for the children). In addition to antidepressant treatment and the exploration of possible etiopathogenic factors, such as the migratory trajectory, it was possible to co-construct a transcultural psychotherapy program with the patient and his wife, where cultural data served as therapeutic levers. As such, the migratory trajectory taken as an intercultural variable can be considered here as one of the etiopathogenic factors of depressive syndrome or other related disorders to the extent that it reactivates the ontological elements linked to the basic personality of the subject and confronts them in another universe, that of the host or adopted country. In this configuration, it was necessary for us to mediate between the maternal uncle and the couple following the example of transcultural mediation developed by Bouznah.</div></div><div><h3>Conclusion</h3><div>The caregiver's understanding of these determinants will thus allow for a therapeutic approach adapted to the patient from a different world of meaning, considering not only cultural signifiers, but also the thought patterns to which they refer in relation to the question of normal and pathological. This clinical case raises several observations that influence the therapeutic approach to patients in migration situations. The first observation concerns decoding the cultural meaning given to the question of normal and pathologica","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 813-817"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242248","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":"Hôpital de jour de psychiatrie orienté réhabilitation psychosociale : quelle place pour la psychanalyse ?","authors":"Gaelle Malle , Anne-Louise Pot , Isabelle Amado , Ghita Dadi","doi":"10.1016/j.amp.2025.03.015","DOIUrl":"10.1016/j.amp.2025.03.015","url":null,"abstract":"<div><h3>Objectives</h3><div>This paper relates how relevant can be a psychoanalytic care intermixed within a psychosocial rehabilitation approach in a psychiatric day hospital. The psychiatric day hospital of the 15th district of Paris at GHU Paris Psychiatrie & Neurosciences (HDJ) specialized in the care of adult patients, primarily those suffering from schizophrenia and other severe mental disorders. Established in the 1990s, the HDJ was initially influenced by psychoanalytic theories, particularly those of Jacques Lacan. However, in 2015, the HDJ underwent a significant evolution due to the transformation of psychiatric services in the 15th district. This led to a shift towards a psychosocial rehabilitation model focused on recovery and social-professional reintegration. The HDJ redefined its identity as a transitional space for recovery, emphasizing the importance of rehabilitation and reintegration into society. The new care model introduced a structured approach to treatment, focusing on the development of individualized projects and the opportunity of professional reintegration from the outset of care. The concept for care is based on cognitive remediation, cognitive behavior therapy and psychoanalytical therapy.</div></div><div><h3>Methods</h3><div>Psychosocial rehabilitation is defined as a set of processes aimed at helping individuals with mental disorders achieving a satisfying quality of life in accordance to their expectations. It is based on the belief that every person can progress towards a personalized project for life. The rehabilitation process encompasses clinical (symptoms, treatments), functional (cognitive abilities, relationships, autonomy), and social (housing, budget management, employment) dimensions. The HDJ assumed these principles and incorporated them into a model for care, based on the clinical experience of the multidisciplinary team. This team included clinical stakeholders with psychoanalytic orientations. Practically, after an initial assessment, the treatment pathway is now organized into three phases: 1. Stabilization and clinical consolidation: The first period consists in a whole effort to reach clinical remission and consolidation. The focus is on defining treatment goals and directing patients to workshops that address their specific needs. 2. Functional Rehabilitation: Once acute crises have been overcome, this phase allows for the evaluation of residual difficulties and the identification of patient's strengths. 3. Rehabilitation and Reintegration: The final phase focuses on personalized cognitive remediation programs aimed at restoring cognitive deficits. Social workers facilitate connections with rehabilitation, social inclusion and employment services to support patient's professional wishes. The HDJ emphasizes the importance of psychoanalysis in understanding the relational dynamics of patients. Psychoanalytic principles help staff recognize and respond to patient's unconscious relational patte","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 840-846"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242431","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":"Nouveaux précurseurs de dérégulation émotionnelle et cerveau adolescent « à risque » : implications pour la prévention","authors":"Jean-Luc Martinot ,&nbsp;Marie Laure Paillère ,&nbsp;Alice V. Chavanne ,&nbsp;Éric Artiges","doi":"10.1016/j.amp.2025.03.005","DOIUrl":"10.1016/j.amp.2025.03.005","url":null,"abstract":"<div><div>Precursors are evoked upstream of the Capgras’ syndrome. Then, an analogy is suggested between the need for prognostic classification linked to the saturation of the asylum population at the dawn of the 20th century, and the current overflow of the psychiatric healthcare system. The contemporary situation justifies the search for information useful to mitigate ill mental health in at-risk adolescents. The article presents recent research reports on adolescents at-risk of emotional dysregulation, stemming from a longitudinal cohort database of European adolescents. The database analyses have revealed new brain and psychometric predictors of emotional dysregulation in adolescents. New early indicators were derived from easy-to-administer questionnaires, exploring emotions, symptoms and affective traits, sleep, early adversity and stress, puberty. Findings suggest that the physiology and stages of brain development could be taken into account for decisions regarding Mental Health. Studies on adolescent brain development have implications for public health, in terms of the age of protection for adolescents, and targeted prevention upstream of care.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 780-788"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242435","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":"Thérapie Intégrée d’Attachement pour le trouble dépressif persistant : une étude pilote","authors":"Lana Kheirallah ,&nbsp;Jean Belbeze ,&nbsp;Hassan Rahioui","doi":"10.1016/j.amp.2024.11.005","DOIUrl":"10.1016/j.amp.2024.11.005","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Persistent depressive disorder (PDD), newly developed in DSM-5, merges the diagnoses of chronic major depressive disorder with that of dysthymia. In comparison with the characterized depressive episode, PDD is distinguished by a more marked negative impact on the quality of life, a greater risk of hospitalization and suicide attempts, an often-earlier onset, and a duration of several years to several decades. The treatment of PDD is faced with a high rate of treatment failure or partial remission. In terms of psychotherapy, the only specific psychotherapy adapted to chronic depression is the Cognitive-Behavioral Analysis System of Psychotherapy (CBASP). The initial trial showed that it had effects comparable to those of antidepressants and significantly increased efficacy when combined with medication. Subsequent trials, however, showed mixed results. Until now, PDD does not seem to answer to any know validated therapy for depression. One of the hypotheses that can explain this lack of results is attachment insecurity. Indeed, attachment insecurity is increasingly tackled in literature without being taken into consideration in conventional therapies. Although depression is multifactorial in origin, we now know that insecure attachment is a major risk factor for developing depression. In previous studies, insecure attachment is significantly associated with long-term depression. Considering this, the Attachment Integrated Therapy was adapted for PDD from an attachment-based approach. We felt it was essential to integrate the attachmental dimension in this conception since we raise relational problems, especially those that originate in early relationships. AIT is a time-limited therapy that was developed to support clients with insecure attachment whose security requires a direct and profound restructuring of attachment. AIT focuses mainly on what underlies the activation of the attachment system (in the event of threats to the relationship with the attachment figure), namely the representations of the self and of others by working on the concepts of self-confidence and confidence in others and their link with self-esteem. Secondarily, by enabling the patient to develop attachment interaction skills. To achieve these two objectives, the AIT was developed in line with Bowlby's recommendations. Although Bowlby did not develop a therapy founded on his theory, he nevertheless identified five therapeutic tasks that can guide the attachment-oriented therapist in shaping their work. The purpose of the study was to assess the results of AIT on PDD, found at the beginning (T1) at end of therapy (T2), and one year after therapy (T3) on three levels: depressive symptoms, attachment insecurity and social support. This study included eleven clients, suffering from PDD followed in an outpatient setting, at the Sainte-Anne hospital in Paris. The assessments were conducted on three levels: Depressive symptomatology (MINI, BDI-II), Attachment (RSQ) and S","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 789-796"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242291","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’identitovigilance en psychiatrie","authors":"Samir Jabri ,&nbsp;Aurélia Horpin ,&nbsp;Fanny Thomas ,&nbsp;Dominique Januel ,&nbsp;Virginie Moulier ,&nbsp;Noomane Bouaziz","doi":"10.1016/j.amp.2024.01.016","DOIUrl":"10.1016/j.amp.2024.01.016","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The accurate identification of patients is a serious global healthcare concern. Errors in this regard may have egregious consequences, such as administering the wrong medication to a patient, using an incorrect blood type for a blood transfusion, or assigning newborns to the wrong parents. To reduce the occurrence of these types of incidents, identity bracelets are commonly issued to patients upon their admission into a hospital setting. However, just how diligently this procedure is followed by staff, and how aware patients are of the importance of an identity bracelet as part of their hospital admission process, is rarely quantified. Identity bracelets are particularly important in psychiatry due to the nature of severe mental disorders, which can make it difficult or even impossible for the patients to confirm their identity. However, bracelets can be refused by psychiatric patients and their use can cause reluctance among caregivers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study aims to assess patients’ and staff's awareness, opinion, and perception of the protocols of assignment of identity bracelets in a department of a public psychiatric hospital (Ville Évrard hospital, France).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;In this pilot, single-center study, both patients and staff members completed either a paper- or web-based questionnaire. The questionnaires focused on their understanding and perception of patient identification procedures, particularly the use of identity bracelets.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;(1) Regarding the staff survey, 42 participants, aged 20 to 65 years, were included: 26.2% were doctors, 21.4% secretaries, 19.0% nurses, 9.5% psychologists, 7.1% social workers, and 16.7% from other professions. On average (standard deviation), these staff members had worked in the Ville Évrard hospital for 6.9 years (7.4). Only 19.0% of respondents reported having a good or excellent understanding of the patient identification procedure. However, 72.5% considered the procedure to be useful. Notably, the majority of staff members (66.7%) reported that identity bracelets were not used in their department. (2) Regarding the patient survey, a total of 68 patients participated. For the majority of patients (65.7%), identity monitoring presented no disadvantages, and some even felt reassured by it. However, a small minority considered it was a means of data collection (2.9%) and a surveillance system (2.9%) that infringed upon their freedom. The majority of patients was familiar with identity bracelets (88.2%) and held a positive opinion of them (56.7%). However, only a minority of patients (10.3%) reported being offered the bracelet during their psychiatric hospitalization. Interestingly, 80.9% of these same patients reported having worn a bracelet while at general medical care services. At the end of the questionnaire, patients recommended two things: discreetly calling patients asid","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 835-839"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466700","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 partage social des émotions chez 140 psychologues-psychothérapeutes français","authors":"Noémie Sudol ,&nbsp;Mathilde Moisseron-Baudé ,&nbsp;Charles Martin-Krumm ,&nbsp;Christian Heslon ,&nbsp;Tristan Hamonniere","doi":"10.1016/j.amp.2024.11.014","DOIUrl":"10.1016/j.amp.2024.11.014","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Therapists must manage high emotional demands due to the nature of their work. Emotional regulation is crucial not only for their personal well-being but also for the quality of the therapeutic relationship. Ineffective emotional regulation can compromise the therapeutic relationship and increase the risk of burnout. While many studies have explored emotional regulation by therapists during sessions, few have investigated how these emotions are managed outside of sessions, particularly through the social sharing of emotions (SSE) after an interaction with a patient. SSE allows people to express and share emotions with their social environment, which can help regulate negative emotions and strengthen social bonds.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;This study aims to explore the use of SSE among therapists. A sample of 140 French psychologists completed an online questionnaire on the characteristics of emotional sharing outside of therapy following emotions felt during a session. Participants were asked to recall a negative emotional event related to their therapeutic relationship with a patient. Then, they described the intensity and valence of the emotions experienced, and their use of SSE (sharing partner, frequency, and other modalities). Data were analyzed using descriptive statistics and correlations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In total, 98.57% of participants engaged in SSE after emotionally charged events related to their practice, primarily on the same day as the event. The most frequent sharing partners were colleagues (62.3%) and life partners (55.1%), followed by peer therapists and supervisors. On average, SSE was initiated by the participants themselves and occurred shortly after the emotional event. The frequency of sharing was positively correlated with the intensity of the emotions felt (emotional intensity at the time of the event: tau&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.245; &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001 and emotional intensity at the time of the study: tau&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.151; &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.026). However, there was no significant correlation with the timing of sharing or its exhaustiveness. Higher emotional intensity was associated with more frequent SSE, suggesting an increased need for sharing when facing intense emotions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The results show that therapists widely use SSE as an emotional regulation strategy, primarily with colleagues and life partners. This highlights the importance of this emotional regulation strategy in their professional practice. Sharing plays a crucial role in providing emotional support, strengthening professional bonds, and facilitating the management of difficult emotions. However, sharing can sometimes become repetitive and unresolved, leading to rumination. Furthermore, excessive sharing with close ones raises ethical and professional concerns, as well as emotional repercussions for the surr","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 797-806"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242249","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":"Projet, handicap psychique, rétablissement : quelques repères pour l’accompagnement des personnes","authors":"Benoit Brun ,&nbsp;Fabrice Berna ,&nbsp;Jean-Marie Danion","doi":"10.1016/j.amp.2024.09.026","DOIUrl":"10.1016/j.amp.2024.09.026","url":null,"abstract":"<div><div>For some twenty years now, the individual project and, more broadly, life's project, have informed the practices of caregivers and social workers within social and medico-social services. While project-based care has been the subject of considerable interest in the literature, we felt it would be useful to contribute to and clarify the meaning of these different concepts and the way in which projects influence the practice of social and mental health care. We also wanted to discuss more specifically the care of persons with mental disabilities. A psychiatric handicap may indeed appear to be an obstacle for the project methodology. However, these potential obstacles must be weighed against the prospects offered by the concept of recovery in mental health. Finally, we wanted to examine the ethical issues involved in caring for these persons, which seems to be justified by the fact that it enables those patients to achieve a “good life”, which also requires us to question the concept of autonomy.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 847-853"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242430","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":"The art of observation: What does Jacques Lacan's mentor have to say?","authors":"Emmanuel Drouin ,&nbsp;Marion Hendrickx","doi":"10.1016/j.amp.2025.05.003","DOIUrl":"10.1016/j.amp.2025.05.003","url":null,"abstract":"<div><div>This article explores the fundamental importance of clinical observation in psychiatry by assessing a case report drafted by Gaëtan Gatian de Clérambault (1872–1934) in 1901, during his internship at the Sainte-Anne Asylum (Paris, France). The detailed observation of patient M.’s complex clinical picture illustrates the method based on questioning and observation developed by de Clérambault under the influence of his mentors [notably Valentin Magnan (1835–1916)]. This approach was characterized by meticulous attention to the details of the patient's behaviour and discourse and had a profound influence on the French school of psychiatry–particularly through its impact on Jacques Lacan (1901–1981). This article highlights the importance of clinical observation in psychiatry training and emphasizes the need to learn how to “look” before making a diagnosis. It argues that an approach based on close observation and apprenticeship is essential for maintaining the richness and depth of psychiatric practice, faced with the current trend towards the rapid categorization of mental disorders. The article closes by emphasizing the importance of preserving this legacy in contemporary psychiatric training and practice.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 859-862"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242434","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":"Quel rétablissement chez la personne âgée dépressive ? Effets d’un dispositif groupal d’autobiographie guidée","authors":"Ketty Steward ,&nbsp;Arnaud Plagnol ,&nbsp;Renald Asvazadourian","doi":"10.1016/j.amp.2025.04.004","DOIUrl":"10.1016/j.amp.2025.04.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Ageing is often presented solely through the lens of loss and bereavement. When mental disorders occur in the elderly, the “deficit” approach results in the overconsumption of psychotropic drugs, implicitly confirming the lack of hope felt by others. The societal proposals for assisting people in death, that sometimes result from this, overshadow the profound experience of the elderly, where a number of studies have confirmed that it is possible to provide them with an outlook for hope. The recovery paradigm has contributed to bringing forth a new perspective for people with “severe” mental disorders, focused on “empowerment” and “connectedness” with the social world. Can this also be relevant for elderly people even though the pending horizon of death is an undeniable reality of their experience? Several studies have confirmed the value of this paradigm for informing interventions in this population, particularly through narrative programs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Based on a narrative group proposal of guided autobiography, we wanted to clarify to what extent the central dimensions of recovery such as hope, empowerment and “connection” could be taken into account and highlighted in the care of depressed elderly people.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;A ten-session group guided autobiography program, using written and oral communication, was developed and proposed to 3 groups of from 5 to 8 participants in a psychiatric day hospitalization unit for the elderly. In weekly one-and-a-half hour sessions, participants discussed and wrote about their life experiences in relation to a given theme. The 10 themes – one per session – had been selected through working with depressed elderly people during a pre-study meeting: Time, Family and Relatives, Work and Activity, Money, Sex and Gender, Food, Body and Health, Death, Travel, and Arts. Five participants in each group were able to complete the entire evaluation process. At the beginning and end of the program, their mood was evaluated with the Montgomery-Åsberg Depression Rating Scale, and relation to time was assessed by the Zimbardo Time Perspective Inventory. Observation grids were used to track the changes in people's participation and the characteristics of their texts. At the end of the 10 sessions, an interview was conducted with each person which was subsequently analyzed according to the Interpretative Phenomenological Analysis (IPA) method, in order to reconstitute their experience.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In addition to the symptomatic improvement measured with the MADRS, the observation grids and The Time Perspective profiles suggest changes indicative of recovery processes in almost all the individuals. The analysis of the interviews also highlights evidence of experiential recovery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;The therapeutic group proposal would appear to favor several dimensions of recovery, such as hope, connectio","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 807-812"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242433","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 stades du burnout selon une perspective temporelle : revue narrative","authors":"Céline Leclercq,&nbsp;Isabelle Hansez","doi":"10.1016/j.amp.2025.03.003","DOIUrl":"10.1016/j.amp.2025.03.003","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Due to the increasing number of burnout cases, prevention and management of burnout have become major concerns, underscoring the importance of further research to better delineate this phenomenon. To provide a contemporary understanding rooted in the experiences of workers, this article introduces a qualitative approach to the experience of burnout as a temporal process. Some authors emphasize burnout as a state, while others identify it as a process integrating symptomatology alone or associating it with changes in the work context. According to a temporal perspective focused on both symptomatology and the professional context, a narrative review of the literature was conducted to investigate the evolution of burnout. The bibliographic databases Medline (Ovid) and Psycinfo (Ovid), as well as Google Scholar, were consulted. Inclusion and exclusion criteria were defined to select relevant studies, including thematic relevance, adult population, qualitative or descriptive methodology while excluding papers lacking full-text availability and irrelevant contexts. A narrative analysis was conducted, involving a thorough examination of the methodologies, findings, and limitations of the chosen studies. Results were synthesized and classified to discern common themes concerning the temporal progression of burnout. This research identified four stages that depict this temporal process: engagement and enthusiasm with a high job ideal (stage 0), weakening of the ideal (stage 1), protective withdrawal (stage 2) and confirmed burnout (stage 3). At stage 0, individuals are fully engaged in their work, driven by idealistic enthusiasm. They invest a lot of energy in their tasks, considering work as a major source of personal accomplishment. At this stage, signs of burnout are rare. In stage 1, professional ideal begins to show signs of weakness. Work hindrance stressors and conflicting events start to diminish initial enthusiasm. Despite efforts exerted to exhaustion, individuals are confronted with obstacles that question their progress and professional fulfillment, resulting in a feeling of stagnation and doubt. At stage 2, a protective withdrawal occurs. What was once a source of work satisfaction is now perceived as a threat. Individuals develop strategies to protect themselves from harmful situations and begin to adopt an increasing cynicism towards organizational values. Work-related issues also start to impact their personal lives. Finally, in stage 3, burnout is confirmed. The ideal of a fulfilling job has completely disappeared, and individuals find themselves unable to maintain their usual functioning. Often triggered by a critical event, burnout manifests as intense emotional and physical distress, potentially leading to sick leave and an increased risk of depression. Doubts arise about their identity and personal worth, marking the beginning of an awareness and a reassessment of their relationship with work. Without being prescriptive or e","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 818-828"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242432","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}