L’autopsie psychologique : un exercice scientifique ou un art divinatoire ?

IF 0.5 4区 医学 Q4 PSYCHIATRY Annales medico-psychologiques Pub Date : 2024-05-01 DOI:10.1016/j.amp.2022.08.014
Éric Coulombe , Serge Larivée
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Abstract

Psychological autopsy has been added to the psychiatrist's diagnostic toolbox since his creation in the United States in the late 1950s. However, we wonder about the scientific validity of this method. Therefore, we trace the history of its creation, before pointing out the methodological flaws and defects: we maintain that 1) it is impossible to diagnose a mental disorder in a deceased person by interviewing relatives and acquaintances, 2) that the scientific literature supporting the validity of the method does not demonstrate that it is possible to respond scientifically to point 1 and 3) that the association between depression and suicide is an artifact introduced by the methodological flaws of the studies on psychological autopsy. We finally show that its use today exceeds the objective of its creators.

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心理解剖:科学实践还是占卜艺术?
自 20 世纪 50 年代末在美国创立以来,精神科医生的诊断工具箱中就多了一项心理解剖。然而,我们对这种方法的科学性表示怀疑。因此,在指出其方法上的缺陷和不足之前,我们追溯了其创立的历史:我们认为:1)通过询问亲属和熟人来诊断死者是否患有精神疾病是不可能的;2)支持该方法有效性的科学文献并未证明可以对第 1 点做出科学的回应;3)抑郁症与自杀之间的关联是心理解剖研究方法上的缺陷所造成的假象。最后,我们要说明的是,如今这种方法的使用超出了其创造者的目标。
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来源期刊
Annales medico-psychologiques
Annales medico-psychologiques 医学-精神病学
CiteScore
1.30
自引率
33.30%
发文量
196
审稿时长
4-8 weeks
期刊介绍: The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.
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