Annales medico-psychologiques最新文献

{"title":"Les enjeux relationnels dans la prise en charge du trouble de stress post-traumatique : un éclairage par la théorie de l’attachement","authors":"Samuel Couilliet , Gaël Galliot , Susana Tereno","doi":"10.1016/j.amp.2025.06.006","DOIUrl":"10.1016/j.amp.2025.06.006","url":null,"abstract":"<div><h3>Background</h3><div>Post-traumatic stress disorder (PTSD), characterized by its complex symptoms arising from the interaction between an individual, a traumatic event and a particular context, represents a major public health challenge. It leads to a wide range of symptoms that profoundly affect psychological, emotional, and relational functioning. Through the work of John Bowlby and Mary Ainsworth, attachment theory provides a valuable lens for understanding the impact of traumatic events on interpersonal relationships and attachment patterns.</div></div><div><h3>Objective</h3><div>This article explores how attachment styles influence the onset or worsening of post-traumatic symptoms, and how the relational dynamics inherent to the disorder affect the therapeutic alliance, through the lens of attachment theory.</div></div><div><h3>Method</h3><div>This literature review is based on research from developmental psychopathology, focusing on attachment, PTSD, and the therapeutic alliance. Sources were selected for their clinical and theoretical relevance, including reference books and specialized articles.</div></div><div><h3>Results</h3><div>PTSD can be understood as a disorganization of attachment internal working models, resulting from the simultaneous and prolonged activation of both the alarm and attachment systems. This disorganization disrupts representations of the self and others, leading to an alternation between hyperactivation and inhibition of attachment-related behaviors. Preoccupied, dismissing, and fearful attachment styles, are associated with more severe post-traumatic symptoms. The literature highlights that intense, prolonged, or interpersonal trauma, can exacerbate attachment insecurity or even disrupt a previously secure attachment style. Furthermore, chronic PTSD may itself modify attachment patterns over time. A person with a secure attachment style may develop insecurity after a traumatic experience, while someone already insecure may see their negative internal representations of self and others be reinforced. These findings support the hypothesis that the clinical manifestations of PTSD reflect, at least in part, a breakdown in attachment patterns and emotional regulation mechanisms.</div></div><div><h3>Discussion and conclusion</h3><div>An attachment therapeutic approach offers valuable insight into the relational impasses that may arise during PTSD treatment. These difficulties are particularly significant in patients with previous insecure or disorganized attachment styles, for whom relational trust and help-seeking behaviors may be impaired. The therapeutic relationship, as an attachment-relevant situation, becomes a key space for restoring emotional regulation and providing corrective relational experiences. Focusing on relational dynamics contributes to building a working alliance that functions as a secure base around which the therapeutic process can be structured. This alliance supports emotional regulatio","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 981-987"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145711707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’amnésie traumatique dans les situations d’abus incestueux. Étude épidémiologique et clinique","authors":"Julie Francols , Magali Ravit","doi":"10.1016/j.amp.2025.03.016","DOIUrl":"10.1016/j.amp.2025.03.016","url":null,"abstract":"<div><div>Despite the prohibition that condemns it, incest spans centuries and generations. Literature abounds with writings denouncing it and yet, incest remains and is perpetuated, often in silence and family and social secrecy. Incest has the power to be forgotten, to disappear from the collective consciousness as well as to escape the consciousness of the subject himself. It is this “disappearance” that we are talking about in this article, this strange “forgetting” – which is not really one – which questions as much as it divides. The scientific community speaks of “traumatic amnesia” or “dissociative amnesia”, defined in the DSM-5 as “an inability to remember certain potentially traumatic experiences, in their entirety or partially, and for a certain duration ranging from a few days to several years” – this incapacity cannot be attributed to taking toxic substances, head trauma, or a neurological disorder. Our research aims to define the different clinical criteria underlying traumatic amnesia occurring in the context of incestuous abuse. Several studies conducted since the late 1980s have highlighted the high rate of traumatic amnesia among victims of childhood sexual trauma. It also appears that victims of incest are systematically overrepresented among those who have suffered from traumatic amnesia. Some of them have reported a form of complete traumatic amnesia, others a partial form, and still others have never suffered from traumatic amnesia in their lives. Therefore, we will not attempt to fuel the decades-old debate between proponents of the “false memory” theory and defenders of the amnesia mechanism. We will draw on the reality of encounters, testimonies, and the real and subjective suffering of victims who have suffered from complete traumatic amnesia and/or who still suffer from partial traumatic amnesia. We will draw on the testimony of 400 victims of incest, men and women, aged 18 to 72, who agreed to participate in our national epidemiological study, carried out between November 2022 and March 2023. Our objective was to identify potential factors associated with the presence of traumatic amnesia in contexts of incestuous abuse. Our methodology is based on the administration of a very detailed questionnaire (around a hundred questions) distributed to several associations providing assistance to victims of incest as well as to numerous clinical psychologists. These partners were able to offer their patients or members to contribute to our research. The survey was followed by a series of individual clinical interviews with 30 volunteers, chosen randomly from among the survey respondents. We were thus able to highlight the influence of three determining factors in the manifestation of symptoms of traumatic amnesia in incestuous contexts: (1) the uniqueness of the link with the perpetrator of the abuse, (2) the age of the victims at the beginning of the abuse and (3) the nature of the incestuous acts. This article attempts to link","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 973-980"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712418","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":"When aggression (re)structures the relationship bonds between caregiver and care receiver in neurodegenerative diseases: A systematic review","authors":"Sébastien Gardelle ,&nbsp;Nathalie Duriez","doi":"10.1016/j.amp.2025.09.010","DOIUrl":"10.1016/j.amp.2025.09.010","url":null,"abstract":"<div><h3>Introduction</h3><div>This review focuses on the role of aggression in family relationships during the course of neurodegenerative diseases. Several questions arise: (1) Should aggression be considered as an isolated symptom? (2) Was the quality of the caregiver/care recipient relationship already impaired before the onset of the disease? (3) Who provides help within the family, and what are the inherent risks in terms of each family member's positioning? (4) Is it possible to help a loved one without significant external social support?</div></div><div><h3>Methods</h3><div>To answer these questions, we conducted a literature review from 1990 to 2023 using the PubMed, PsycINFO, and Cairn databases. The results presented follow the PRISMA method. We focused on the concept of caregiver burden and the psycho-behavioral expression of neurodegenerative diseases.</div></div><div><h3>Results</h3><div>Overall, we identified three categories of research: those focusing on a holistic vision, seeking broad unifying concepts; those focusing on a subdomain vision, searching for the smallest common set; and those focusing on an interactional vision, taking into account the complexity of the relationship. Regardless of the chosen approach, all studies concluded that the relationship deteriorates. The proposed solutions aim to improve the medical management of the care recipient's symptoms and to educate caregivers on adapted communication methodologies.</div></div><div><h3>Discussion</h3><div>Studies tend to overlook the harmful effects of changes in family roles. A specific approach in family therapy, known as floating objects, could help reframe communication between the caregiver and the care recipient according to the family context in which the neurodegenerative disease arises.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 992-1002"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712420","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 récit et la preuve : traumatisme psychique en milieu militaire","authors":"Julia Salomé,&nbsp;Marian Desouche,&nbsp;Gilles Thomas","doi":"10.1016/j.amp.2025.07.003","DOIUrl":"10.1016/j.amp.2025.07.003","url":null,"abstract":"<div><div>Post-Traumatic Stress Disorders (PTSD) induce a rupture in the existential trajectory of those affected, not only in their psychic structure but also their temporal experience and social identity. One of the core challenges in therapeutic care lies in restoring a sense of continuity between the pre- and post-traumatic self. In this context, the trauma narrative plays a crucial role: it serves as a unifying agent that allows the subject to symbolically re-inscribe the traumatic event within the thread of personal experience. The act of narrating becomes a vector of subjectivation, helping the individual regain coherence and psychic integrity. However, this same narrative assumes a different function in expert contexts, particularly in medico-legal or institutional settings such as the military. Here, the narrative is not primarily valued for its subjective or therapeutic effects, but rather as a form of judicial evidence. It is mobilized within legal and administrative frameworks to establish causality and imputability, especially when the trauma is belatedly disclosed, initially unnoticed, or reported long after the triggering events. In such contexts, the narrative is expected to conform to criteria of consistency, plausibility, and traceability — requirements that may be at odds with the fragmented, defensive, or elliptical nature of traumatic memory. This tension may hinder recognition or subsequent support, especially in cases where psychic disorganization impairs the ability to produce a coherent account. This article aims to examine the dialectical tension between these two uses of the trauma narrative: as a clinical tool in the process of psychic reorganization, and as an expert document within medico-legal proceedings. By articulating these opposing logics, we strive to highlight the ethical, clinical, and epistemological challenges posed by the dual status of the trauma narrative, particularly in military psychiatry, where subjects often oscillate between the need for care and the quest for recognition. We illustrate our argument through a clinical case that allows us to explore these different issues. Our discussion raises broader questions about the place of subjective truth within institutional care systems, the temporality of trauma and recognition, and the risk of epistemic injustice when clinical singularity is reduced to documentary validity. Ultimately, this reflection calls for a rethinking of the interface between care and expertise, and for renewed attention to the narrative as both a site of suffering and a potential path toward reintegration.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 988-991"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712419","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 recherches en neuro-imagerie structurelle et fonctionnelle confirment l’existence du trouble dissociatif de l’identité","authors":"François Louboff","doi":"10.1016/j.amp.2024.11.016","DOIUrl":"10.1016/j.amp.2024.11.016","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Dissociative Identity Disorder (DID) appeared in version IV of the Diagnostic and Statistical Manual of Mental Disorders (DSM) in 1994, and in version 11 of the International Classification of Diseases (ICD) in 2022. It was called “Multiple Personality Disorder” in their previous versions. DID is characterized by the presence of two or more distinct personality states within the same person, each with its own patterns of thought, behavior and ways of perceiving the world. These states alternate recurrently, resulting in gaps in the continuity of the person's memory, consciousness and identity. Despite this international recognition, more than half of psychiatrists still doubt its reality (survey conducted at the Congrès de l’Encéphale in 2023). The phantasmatic model of DID (hypnotizable, suggestible, malingerers) is still favored over the traumatic model (DID is a severe form of post-traumatic stress disorder linked to early severe abuse).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;To enable better recognition of DID and more appropriate management of patients, more scientifically grounded arguments are needed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Material&lt;/h3&gt;&lt;div&gt;This article brings together the findings of several structural, functional and connectivity neuroimaging studies conducted with female patients with DID, post-traumatic stress disorder (PTSD) and healthy controls between 2014 and 2022, using either structural MRI, functional MRI or positron emission tomography.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Patients with DID can be differentiated from healthy controls on the basis of structural and functional brain abnormalities. &lt;u&gt;Structural abnormalities&lt;/u&gt; (Blihar et al., Chalavi et al. and Chalavi et al.): smaller cortical and subcortical volumes in the hippocampus, amygdala, parietal and frontal structures; larger white matter tracts responsible for communication between somatosensory association areas, basal ganglia and precuneus; greater striatal volume in patients with DID than in those with PTSD; much smaller volume of left inferior parietal cortex in DID patients than in PTSD patients and controls; greater reduction in hippocampal volume in DID patients than in PTSD patients and controls; abnormal shape, in both DID and PTSD patients, in different areas of the hippocampus, i.e. CA1, CA2, CA3, CA4, dentate gyrus, and subiculum; the use of probabilistic pattern recognition shows that the brain phenotype can distinguish DID patients from healthy controls with a sensitivity of 72% and a specificity of 74% (Reinders, Marquand et al.). The hypothesis that DID is a severe form of PTSD (indeed, it's virtually impossible to find a DID patient without a history of PTSD) is thus confirmed by the neuro-structural abnormalities common to both disorders, and sometimes quantitatively greater in DID than in PTSD, compared with healthy controls. &lt;u&gt;Functional abnormalities&lt;/u&gt;: Lanius and his team have identified functional features that distingu","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 957-966"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712416","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":"Retour d’expérience de l’intervention de la cellule d’urgence médicopsychologique suite à l’attentat du lycée Gambetta à Arras le 13 octobre 2023","authors":"Laure Rougegrez ,&nbsp;Justine Poissonnier ,&nbsp;Pierre Valette ,&nbsp;Frédérique Warembourg ,&nbsp;François Ducrocq","doi":"10.1016/j.amp.2025.02.007","DOIUrl":"10.1016/j.amp.2025.02.007","url":null,"abstract":"<div><div>On 13 October 2023, a terrorist broke into the grounds of the Gambetta school complex in Arras, killing a teacher and injuring three other people. Around 2000 people were present at the school, directly or indirectly exposed. The nature of the attack within the school, the rapid dissemination of videos, and the length of the uncertainty as to the persistence of the threat in a context of confinement resulted in a major traumatic event. The intervention of the medical-psychological emergency unit as soon as the first few hours of the event and until D<!--> <!-->+<!--> <!-->7, it was necessary to take into account and adjust to the limited nature of the event within the specific characteristics of the adolescent population affected. This feedback is to present and question the system put in place to draw the lessons learned from this mobilisation.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 967-972"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712417","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":"Dissociative Identity Disorder: A Consequence of Trauma or of Social Contagion?","authors":"Jean-Pierre Luauté ,&nbsp;Harrison G. Pope Jr.","doi":"10.1016/j.amp.2024.04.008","DOIUrl":"10.1016/j.amp.2024.04.008","url":null,"abstract":"<div><div>In a recent interchange in the pages of this journal, Piedfort-Marin et al. (2021, 2022, 2023) and Dodier et al. (2022) have highlighted the ongoing controversies surrounding the diagnosis of dissociative identity disorder (DID) – controversies documented by a recent survey of French psychiatrists attending the 2023 annual meeting of l’Encephale. Does DID characteristically arise as a response to early traumatic experiences such as childhood sexual abuse? Can individuals develop amnesia for these traumatic events via the mechanism of “repressed memory/dissociative amnesia,” presumably as a protective mechanism to cope with such experiences? Does the development of “alters,” who themselves report full or partial amnesia for one another, represent a further manifestation of this post-traumatic process? Or, as others claim, is DID often a product of suggestive influences, be they therapeutic techniques or cultural influences? In this paper, we suggest that some insights into this controversy may be gained by following the history of DID over the last 50 years as it has been portrayed in novels, films, television series, and most recently on social media posts that have garnered billions of views. Turning next to the output of the scientific community, we also point to the dwindling acceptance of the theory of “repressed memory/dissociative amnesia” among scientists writing in the peer-reviewed literature. These reflections compel us to confront the challenging philosophical question of how to judge whether a psychiatric syndrome is “real.”</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 953-956"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712415","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 psyche of the artist: Link between creativity, temperament and personality","authors":"Rim Sellami ,&nbsp;Mariem Bouhamed ,&nbsp;Sirine Yazidi ,&nbsp;Taoufik Fourati ,&nbsp;Ines Feki ,&nbsp;Jawaher Masmoudi","doi":"10.1016/j.amp.2025.05.006","DOIUrl":"10.1016/j.amp.2025.05.006","url":null,"abstract":"<div><h3>Context</h3><div>Creativity has been widely studied and closely linked to psychiatric pathology. However, modern approaches have focused on the psychological components, present in any individual that may be the source of the link between creativity and psychopathology, namely affective temperament, and personality dimensions.</div></div><div><h3>Aims</h3><div>The aims of the study were to establish the link between creativity, temperament, and the different dimensions of personality in a population of amateur artists.</div></div><div><h3>Settings and design</h3><div>This study is a cross-sectional, analytical, and descriptive conducted on a sample of amateur artists met and randomly selected at different art manifestations. Participants completed a form following explanations given by the examiner and after having acquired their oral consent. The data collected was entered and analyzed using the computer software Statistical Package for Social Sciences (SPSS) in its 20th version.</div></div><div><h3>Results</h3><div>The average age of the artist participants in our sample was 26.9 years, the sex ratio was 0.78 with 22 men and 28 women. Eight percent (8%) of artists were amateur writers, 34% musicians, 16% performative artists and 42% had visual arts productions. Regarding affective temperament, we found that our sample presented the highest scores for cyclothymic temperament. As for the personality dimensions according to the Big 5 model, we found that the O dimension (openness, originality, and open-mindedness) had the highest score, and the N dimension had the lowest score.</div></div><div><h3>Conclusion</h3><div>Our study demonstrates a certain intricacy between creativity, affective temperament, and personality dimensions. This led us to draw up a specific temperamental profile and personality dimensions allowing the identification of creative traits that would predispose the individual to creativity and the practice of creative activities.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 1003-1008"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712423","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":"Effets médiateurs de la symptomatologie de stress post-traumatique et des symptômes de dissociation somatoforme sur la relation entre l’attachement et la qualité de vie liée à la santé après un infarctus du myocarde","authors":"Murielle Jacquet-Smailovic ,&nbsp;Charles Martin-Krumm ,&nbsp;Cyril Tarquinio","doi":"10.1016/j.amp.2023.11.011","DOIUrl":"10.1016/j.amp.2023.11.011","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Myocardial infarction (MI) is a particularly frequent coronary disease: the number of new cases of MI recorded each year amounts to nearly 90,000 in France and nearly 790,000 in the United States. Over the past 15 years, the number of people who can survive this major cardiac event has substantially increased, as a result of advances in medical treatment and a reduction in delay to intervention. However, patients often report a decrease in their health-related quality of life following myocardial infarction. In other words, some patients perceive that the disease negatively affects various aspects of their daily lives, including physical functioning, emotional state, social relationships, and overall well-being. Furthermore, studies have shown that health-related quality of life is a prognostic indicator of the evolution of patients’ health status: the more health-related quality of life is reduced, the greater the risk of all-cause mortality, recurrence of cardiovascular events, and re-hospitalization for heart disease. In view of these elements, the identification of potentially modifiable factors, and in particular psychological factors, having an impact on health-related quality of life is particularly relevant. More specifically, insecure attachment, post-traumatic stress symptomatology and somatoform dissociation symptoms could have an impact on the health related-quality of life of people who have experienced a major cardiac event.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The objective of this study was to investigate the mediating role of posttraumatic stress symptoms and somatoform dissociative symptomatology in the relationship between insecure attachment and health related-quality of life after a myocardial infarction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;A total of 73 participants, having suffered a myocardial infarction and participating in a cardiovascular rehabilitation program, completed questionnaires to assess the degree of insecurity of their attachment (Experiences in Close Relationship Scale-12; ECR-12), the severity of post-traumatic stress symptoms (Post-Traumatic Stress Disorder Checklist Scale; PCL-5) and somatoform dissociation symptoms (Somatoform Dissociation Questionnaire; SDQ-20), and their health related-quality of life (MacNew Heart Disease-Health Related Quality of Life; MacNew). Mediation analyses were conducted according to the recommendations formulated by Baron and Kenny.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Our results showed that only anxious attachment was positively and significantly associated with the severity of posttraumatic stress symptomatology, whereas such a link was not observed for avoidant attachment. The importance of posttraumatic symptomatology fully explained why individuals with high levels of fear of abandonment also have the poorest emotional, physical, and social quality of life after myocardial infarction. The importance of dissociative somatoform symptomatology p","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 943-952"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469892","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":"Téléconsultation et e-santé : évolution des pratiques, évolution de la clinique, évolution des identités ?","authors":"Benoît Schneider ,&nbsp;Lise Haddouk ,&nbsp;Philippe Drewski","doi":"10.1016/j.amp.2025.06.011","DOIUrl":"10.1016/j.amp.2025.06.011","url":null,"abstract":"<div><div>Reflecting on the plural identities of psychologists today requires that we take into account the technological and social changes that are altering and challenging their practices. The introduction of telepsychology and teleconsultation in e-health is one of the most striking aspects of these changes. This article presents an approach to these issues from three perspectives: the ways in which the ethical and deontological questions that frame practices can and should be questioned; the approach to the use of teleconsultation in the context of supporting expatriate patients as a long-term experience that has informed more current reflections arising from the expansion of these practices following the COVID-19 pandemic; a summary of partial data contributing to the empirical evaluation of the extension of these practices, which in turn takes us back to the deontological issues addressed above.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 867-871"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435308","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}