Annales medico-psychologiques最新文献

{"title":"La scène de l’expertise : vérité psychique, vérité narrative et vérité judiciaire – La fonction clinique de l’expertise psychologique","authors":"Patrick Ange Raoult","doi":"10.1016/j.amp.2025.06.013","DOIUrl":"10.1016/j.amp.2025.06.013","url":null,"abstract":"<div><div>Numerous debates crowd the scene of psychological praxis and within the profession, giving rise to contradictory views. Psychological expertise, through its specific challenges, illustrates many epistemological, methodological and statutory issues. The question of the role of validated tests in this mission expresses this tension. It calls into question the autonomy of psychological expertise. After reviewing the mission and functions of the expert psychologist, we will discuss the clinical and epistemological issues prevalent in criminal and civil expert situations. The expert's position is sandwiched between contradictory expectations that deposes him from his usual functions. In addition, he is confronted with destabilizing situations. He finds himself in the grip of a singular tension between judicial truth (police and legal), narrative truth (the subject's account) and the subject's truth, i.e. what drives the subject psychologically. We will address the training problems raised in the light of the remarks made. We will rely on the existing literature. The recognition of a lack of training in expertise calls for a fundamental reform in this area. We will conclude with the necessary recommendations regarding the exercise of expert opinions. In view of the very issues at stake in the expertise and ethics inherent in the practice of the profession of psychologist, it is crucial to base the practice on objective knowledge, on a reflective experience of the intersubjective encounter, an understanding of psychopathology, and a well-established clinical praxis.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 878-884"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La pratique des psychologues à l’ère des données probantes. État des lieux d’une crise paradigmatique","authors":"Conrad Lecomte","doi":"10.1016/j.amp.2025.06.014","DOIUrl":"10.1016/j.amp.2025.06.014","url":null,"abstract":"<div><div>The scope of this debate is considerable, as the findings of these studies directly influence the training of psychotherapists and their clinical practice. When it comes to adopting therapeutic approaches based on research findings, it is essential to ensure that the methods used to measure treatment efficacy are valid and reliable. This raises crucial questions : what do we really know about the efficacy of treatments described as “empirically supported”? Do the available data allow us to declare certain treatments superior to others? What are the key variables that explain therapeutic outcomes? Few topics in clinical psychology and psychotherapy generate as much debate as that of evidence-based practice. Professional associations and mental health governing bodies in many countries advocate an approach based on the integration of the best available research evidence, the psychotherapist's clinical expertise and the patient's preferences. This approach aims to ensure that interventions are both relevant and rigorous. However, a key question remains: what reliable data can psychotherapists rely on to guide their clinical choices in an informed manner? A thorough re-analysis of the research reveals that the determining factor in the variability of therapeutic outcomes is not so much the treatment itself as is the role of the psychotherapist. The therapist's skills, empathy and ability to establish a solid therapeutic alliance have a far more significant impact on outcomes than the choice of a specific approach. This finding calls into question the idea that one therapeutic model might be more effective or superior to another. The implications of this perspective are far-reaching. From the point of view of practice, the training of psychotherapists needs to be reoriented to place greater emphasis on the development of relational and interpersonal skills. In terms of research, more nuanced studies are needed, studies that explore not only therapeutic models but also the complex interactions between therapist, patient and care context.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 885-890"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435385","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":"What role can hope play in sanitary containment versus chosen isolated environments?","authors":"Barbara Le Roy ,&nbsp;Yann Delas ,&nbsp;Charles Martin-Krumm ,&nbsp;Charlotte Poupon ,&nbsp;Alexandre Vannier ,&nbsp;Cécile Mercier ,&nbsp;Marion Trousselard ,&nbsp;Anne Plantade-Gipch","doi":"10.1016/j.amp.2024.08.017","DOIUrl":"10.1016/j.amp.2024.08.017","url":null,"abstract":"<div><div>A large body of research shows that hope is an important psychological resource for coping with aversive events. The pandemic that the whole planet has just experienced is part of this type of event likely to impact the quality of life and health of people, which was particularly acute during the successive phases of sanitary containment. Indeed, many people developed depressive episodes following these phases of isolation. The number of hospitalizations in psychiatry in teenagers has exploded. Should we therefore consider that confinement will have de facto deleterious consequences in terms of health and well-being? Does hope represent an essential resource to protect oneself from it, whatever the type of confinement, whether it is chosen or imposed? The purpose of the present research is to test the effects of hope on the quality of life of individuals, particularly their emotions, depending on whether they are in the context of sanitary confinement as decided in the context of public health policies or the context of a chosen confinement as are submariners during their missions. At their core, the results reveal that hope influences the nature of the emotions felt. It does play a protective role in terms of negative and positive emotions in the case of sanitary confinement but has no effect in the case of chosen confinement.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 921-927"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435390","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":"Former les psychologues de demain pour fabriquer la psychologie d’après-demain","authors":"Christian Heslon","doi":"10.1016/j.amp.2025.06.015","DOIUrl":"10.1016/j.amp.2025.06.015","url":null,"abstract":"<div><div>This chapter takes up the introductory remarks and the final prospective synthesis delivered at the Colloquium The Plural Identities of Today's Psychologists organized by the School of Practicing Psychologists, which was held in Lyon on June 6 and 7, 2024. He reminds us of the extent to which plural identities constitute a major anthropological issue in the face of the double risk of identity withdrawal and blurring of identities. Recalling that identity is the result of a dynamic process that articulates ipseity and otherness, he proposes to think about the “pluriversity” of contemporary psychology in order to invite us to create the psychology of the day after tomorrow by training the psychologists of tomorrow. He reminds us that the scientific challenge specific to psychology is one of objectification or, at least, of description, of intersubjective interactions, and then succinctly recalls the resulting issues for psychology in the twenty-first century, confronted on the one hand withperspectives recently opened up by environmental psychology, epigenetics, existential psychology or that of guidance at all ages of life, on the other hand to the challenges of Artificial Intelligence which, perhaps, marks the end of the author and the subsequent end of the subject as understood by the psychology of the last century… So many avenues for reconfiguring the “pluriversal” psychology that is beginning, between “psychology applied” to the human concerns of the time and “psychology involved” in the major political questions that our time is going through.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 891-894"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La dimension psychologique des soins palliatifs","authors":"Nicolas Nieuviarts ,&nbsp;Isabelle Triol ,&nbsp;Romain Jallet ,&nbsp;Camille Baussant-Crenn ,&nbsp;Carole Carnémolla Cousin ,&nbsp;Jean-Pierre Bouchard","doi":"10.1016/j.amp.2025.05.002","DOIUrl":"10.1016/j.amp.2025.05.002","url":null,"abstract":"&lt;div&gt;&lt;div&gt;In France, approximately 600,000 people die each year, affecting a far greater number of relatives and loved ones who are then directly confronted with the experience of grief. Behind each death, several individuals — partners, children, friends, caregivers — must come to terms with an irreversible loss. Living with a serious, progressive, and potentially life-threatening illness represents one of the most challenging experiences a person and their loved ones can face, affecting them psychologically, physically, socially, and existentially. It is now widely acknowledged that the circumstances surrounding the end of life profoundly influence the grieving process: they can either support its elaboration or, conversely, make it more difficult, potentially leading to complicated or pathological grief. In this context, palliative care offers an appropriate response to the complexity of such situations. However, despite being enshrined in French law since 1999 as a right for all individuals suffering from serious illness, its implementation remains uneven and largely misunderstood. Too often, palliative care is associated with last-minute interventions, limited to the final days of life, and perceived as a form of therapeutic abandonment. These reductive representations hinder its comprehension and integration, both by healthcare professionals and by patients and their families. It is essential to remember that palliative care does not oppose curative treatment: it follows a logic of comprehensive support aimed at preserving quality of life, relieving symptoms, supporting the person through their journey, and, where possible, enabling the expression of their wishes. Over the past decade, efforts have been made to better incorporate this approach into the training of healthcare professionals. Medical students, nurses, and care assistants are gradually being introduced to palliative care principles through specific courses or clinical placements. Complementary training programs, such as the University Diploma in Palliative Care (DUSP) or the Inter-University Diploma (DIUSP), also offer opportunities for further specialization. However, these programs remain optional, vary widely in availability depending on the region, and are still undervalued in professional development pathways. As a result, the dissemination of palliative care continues to suffer from a lack of structured training, institutional recognition, time, and adequate human and logistical resources. The situation is even more concerning for psychologists. To date, there is no compulsory module on palliative or end-of-life care within initial psychology training. This represents a significant gap, considering the specific demands of this clinical field. While psychologists are increasingly recognized within healthcare and social institutions, their involvement in palliative care settings requires particular cross-disciplinary skills. These include the ability to receive and work wit","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 928-941"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435391","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 tissage de l’alliance thérapeutique en service de soins aigus","authors":"Fanny Marteau-Chasserieau ,&nbsp;Anne-Laure Poujol ,&nbsp;Victoire Deltour ,&nbsp;Jacques Arènes","doi":"10.1016/j.amp.2024.06.011","DOIUrl":"10.1016/j.amp.2024.06.011","url":null,"abstract":"&lt;div&gt;&lt;div&gt;The therapeutic alliance is well-known to be a key factor in the effectiveness of therapy. It is a concept that is widely accepted in the world of research, and is defined by the establishment of an emotional bond that the psychologist forms with their patient, as well as the collaboration between the two partners allowing the definition of relevant goals and tasks recognized as effective to allow the best therapeutic progress for the patient. Previous studies have highlighted that the nature of the alliance varies according to the care context, the therapeutic approach, and the characteristics of the patient and the therapist. How is the therapeutic alliance established in an intensive care unit where the life or death nature of the situation intensifies the extreme somatic distress of the patients, disrupts their autonomy and the decision-making process, and marks the therapeutic relationship? The aim of this article is to define the therapeutic alliance in the context of intensive care unit, taking into account the temporality of the emergency, the plurality of actors involved in the care process: patient, relatives and healthcare workers, and the need to maintain the autonomy of a patient who is sometimes psychologically absent from the relationship. The hospitalized patients's state of health leads to fluctuations of their state of consciousness, on a continuum ranging from coma to wakefulness, passing through phases of confusion. However, essential decisions are taken on their behalf, affecting both their life and their future. Those involved in the patient's care (carers, close relations) provide information to help inform decisions. The trusted support person testifies to what the patient may wish. Exchanges with all those involved in the situation are a prerequisite for the emergence and recognition of the patient's autonomy and subjectivity. A weaving therapeutic alliance is lead through the building of emotional bond of trust with all those involved (patient, family and carers), and by discussing the patient's state of health, experience and therapeutic project with those involved in the intensive care unit, in order to guarantee consent to care. This relational weaving also enables caregivers to gradually gain a more holistic view of their patients, supporting their thinking and the setting up of the best possible therapeutic strategy. Therapeutic objectives and techniques are regularly redefined to ensure that they remain relevant as the patient's state of health evolves. This weaving of the alliance engages an ethical conflictuality, in which each person expresses his or her point of view, centered on the patient, and his or her singular experience with him or her, participating in a dynamic of adjustment to a common objective: optimal care for the patient, taking into account his or her opinion as far as possible. The therapeutic alliance that the psychologist establishes in the intensive care setting seems vital to prese","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 916-920"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435386","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":"Perceptions et vécus des étudiants de leurs difficultés psychologiques. Étude qualitative sur 135 participants","authors":"Guillaume Païs ,&nbsp;Lucia Romo ,&nbsp;Marie-Carmen Castillo ,&nbsp;Damien Fouques","doi":"10.1016/j.amp.2025.03.009","DOIUrl":"10.1016/j.amp.2025.03.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Psychological difficulties among university students. University students face significant psychological challenges. According to the National Observatory of Student Life [11], 30% of surveyed students (&lt;em&gt;N&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;60,014) reported psychological distress, characterized by anxiety and depressive symptoms. These mental health issues are linked to lower academic performance and decreased future professional success. Additionally, addictive behaviors are prevalent among students. In 2015, 11% of men and 6% of women regularly consumed cannabis, while 40% of students drank alcohol at least once a week (4). The COVID-19 pandemic further exacerbated anxiety, depression, and substance use, particularly among already vulnerable students.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Psychological trauma in university students&lt;/h3&gt;&lt;div&gt;Psychological distress and addictive behaviors are often associated with trauma-related symptoms, including post-traumatic stress disorder (PTSD). A 2005 study in France reported a PTSD prevalence of 2.32% in the general population, rising to 5.29% among individuals aged 18–29. Women are more frequently affected, with severe cases being more common than moderate ones. PTSD correlates with lower academic performance and increased dropout risks. Since the #MeToo movement in 2017, more student victims have spoken out, particularly about sexual violence within university settings. Research suggests that trauma occurring within an institutional setting (e.g., university) or perpetrated by institutional members (e.g., professors, administrators, fellow students) exacerbates PTSD symptoms. However, studies on PTSD among French university students remain limited.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Limited access to mental health care&lt;/h3&gt;&lt;div&gt;Despite widespread psychological distress, students often struggle to access healthcare. Surveys highlight financial constraints, housing difficulties, and lack of social support as barriers to seeking care (12,13). In 2019, one-third of students reported forgoing medical consultations due to cost concerns or the belief that their symptoms would resolve on their own. This limited access to care can further exacerbate mental health issues and negatively impact academic success.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methodology&lt;/h3&gt;&lt;div&gt;This study aimed to explore students’ subjective perceptions of their psychological difficulties through an anonymous qualitative survey. Of the 438 respondents, only 135 provided complete responses. The study followed ethical guidelines, adhering to the Helsinki Declaration.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;The qualitative data were analyzed using IRAMUTEQ, a text analysis software that employs Reinert's hierarchical classification method to identify thematic categories.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Key results&lt;/h3&gt;&lt;div&gt;University as an anxiety-provoking environment: Students frequently reported stress, anxiety, and imposter syndrome. Financial precarity and perceived administrat","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 895-902"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La psychologie, ses invariants, sa fonction sociale et politique","authors":"Albert Ciccone","doi":"10.1016/j.amp.2025.06.012","DOIUrl":"10.1016/j.amp.2025.06.012","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Psychology is diverse and multifaceted, and its practices are varied. This is due, among other things, to the recent emergence of psychology as a discipline and of the profession of psychologist. While it is true that Lagache advanced the concept of the “unity” of psychology, it came at the cost of conceptual distortions that fail to minimize its diversity. And the reference to psychology as a “science” does not serve as a unifying element of the disparate discourses. Other attempts to unify psychology have emerged, such as the establishment of the “code of deontology”. But the latter must inevitably consider divergent conceptions, if only with regard, for example, to respect for the “psychic dimension” that it postulates in its preamble: not all psychologists have the same representation of the “psychic dimension”. References and practices are extremely varied, even within each sub-discipline or “specialty” within psychology. As a result, psychology is in an uncomfortable position, always fragile, and always threatened by every attempt to assert control over the profession and to adapt authoritarian domination by public authorities, such as those we are currently witnessing. The invariants of psychology have to be defined or constructed. The first is its rightful place in the humanities. It is transversal and fundamental. Psychology has always resisted attempts at annexation by medicine, for example, and must continue to do so. Another invariant is the legally protected title of psychologist. This is both a protection and a complication. If a qualifier is not added to the noun “psychologist”, there is a great risk that cases of imposture will develop, such as the idea that any psychologist could be therapeutic as long as he or she is a psychologist. Another invariant can be circumscribed or constructed by considering a “psychological position”: an internal position that would cut across all psychology's specialties and sub-specialties. This position would be “transdisciplinary” within psychology. Transdisciplinarity concerns that which is essential and exceeds the specificity of each discipline. It is opposed to pluridisciplinarity, complementarism or integrative approaches. It does not simply juxtapose or even articulate disciplines but strives toward the essential that cuts across all disciplines. The “transdisciplinary position” is an internal position that in no way requires expertise in, or even knowledge of, all disciplines, for it is the opposite of an omnipotent, omniscient position. It requires humility and humanism. Transdisciplinarity concerns the invariant in all variations. The “psychological position” would be based on the essential, the very heart of psychology, the common denominator of psychologies. This kind of identification could also be made for each of psychology's sub-disciplines or specialties. Another constant is the social and political function of psychology. Psychology attracts a considerable number of stude","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 872-877"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435382","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":"Intérêt de la psychothérapie d’acceptation et d’engagement et de la thérapie fondée sur la compassion pour soutenir le maintien de l’abstinence dans les polyaddictions","authors":"Elodie Murys-Chaix ,&nbsp;Galina Iakimova ,&nbsp;David Szekely","doi":"10.1016/j.amp.2023.10.005","DOIUrl":"10.1016/j.amp.2023.10.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction and objectives&lt;/h3&gt;&lt;div&gt;Addiction concerns people suffering from great psychological vulnerability due to early trauma and attachment disorders. Although several forms of therapeutic management have been shown to be effective, the relapse rate remains high, and the effects are short-lived. Therefore, the first objective of this study was to integrate the tenets and concepts of compassion-based therapy with acceptance and commitment therapies for the treatment of patients with polyaddictions by conceptualizing a therapeutic program aimed at support for maintaining abstinence. The interest in such an integration has been raised by several authors. The central concept of that integrative approach was the “compassionate flexibility”. Our second objective was to explore the feasibility, acceptability, and therapeutic effects of this intervention for patients with polyaddictions and psychiatric comorbidities, who are particularly resistant to psychotherapies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Material and method&lt;/h3&gt;&lt;div&gt;Twelve patients (8 men and 4 women) with polyaddictions (alcohol, cocaine, tobacco, cannabis) of the 24 referred for the study, followed the MyActaddiction program. The A-B multiple-case-series protocol combined qualitative and quantitative measures to monitor feasibility, acceptability, clinical (OCDS, EADS-21) and psychological (AAQ-II, EAC) progress, patient narrative feedback (perception, connection, sense of presence), complemented by follow-up observations on abstinence maintenance.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Results show moderate feasibility, with only 50 % of study referrals accessing psychotherapy, good accessibility, with 66 % of patients completing all sessions, high satisfaction levels and positive qualitative feedback. Pre- and post-treatment assessments showed a significant clinical improvement in craving (obsessive thoughts and OCDS total score) at group level, and these changes were clinically significant at individual level by Reliable Change Index measures, for 70 % of participants. On the EDAS-21 scale, patients who had pathological scores prior to therapy improved their scores to non-pathological thresholds for anxiety, stress and depression. The Reliability Change Index (RCI) showed that the resulting change was clinically significant at the individual level for 83 % of patients on anxiety level, for 58.33 % of patients on depression, and 50 % of patients on the stress level. In terms of the psychological processes targeted by the therapeutic practices, we observed an improvement in psychological flexibility, with a clinically significant reduction in AAQ-II scores after the intervention compared to the pre-treatment score. The RCI indicated that the observed clinical change was significant. There was also a significant increase in post-test versus pre-test for two dimensions of self-compassion: “common humanity” and “mindfulness”, with a high Cohen's d. Regarding individual scores, the scores for","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 903-915"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780900","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 identités plurielles des psychologues d’aujourd’hui","authors":"Mathilde Moisseron-Baudé ,&nbsp;Lionel Strub","doi":"10.1016/j.amp.2025.06.009","DOIUrl":"10.1016/j.amp.2025.06.009","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 865-866"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435381","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}