Pub Date : 2025-10-23DOI: 10.1016/j.neurenf.2025.10.001
{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2025.10.001","DOIUrl":"10.1016/j.neurenf.2025.10.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 7","pages":"Pages 406-408"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-23DOI: 10.1016/j.neurenf.2025.08.003
M. Robin , T. Schupak , L. Bonnardel , C. Polge , M.-B. Couture , L. Bellone , G. Shadili , A. Essadek , M. Corcos
Background
The magnitude and nature of sexual violence (SV) are increasingly described in child and adolescent psychiatry, but the mechanisms underlying their impact remain to be understood.
Objective
This article describes the characteristics of SV identified among adolescents hospitalized in psychiatry as well as the associated clinical features.
Method
The study included 100 patients for whom SV was identified among all patients aged 13 to 17 years hospitalized over a period of approximately four years. The characteristics of SV were correlated with patients’ medical severity, as well as with the number and duration of hospitalizations and the delay in disclosure.
Results
Our findings highlight the central role of SV in adolescent psychiatry, with a prevalence of 28.5% and a cumulative length of hospitalization five times longer than average. Correlations were observed between the number of adolescents’ suicide attempts and the number of SV episodes. Medical severity increased when the identified perpetrator was an adult. The number of hospitalizations was positively correlated with the number of reported violent acts as well as with the intrafamilial and adult status of the perpetrator.
Conclusion
The magnitude and impact of a history of SV in adolescent psychiatry call for the systematic exploration of these events in patients’ histories as well as the anticipation of their consequences on pathology and care.
{"title":"Cent cas de révélations de violences sexuelles en psychiatrie de l’adolescent : une étude descriptive","authors":"M. Robin , T. Schupak , L. Bonnardel , C. Polge , M.-B. Couture , L. Bellone , G. Shadili , A. Essadek , M. Corcos","doi":"10.1016/j.neurenf.2025.08.003","DOIUrl":"10.1016/j.neurenf.2025.08.003","url":null,"abstract":"<div><h3>Background</h3><div>The magnitude and nature of sexual violence (SV) are increasingly described in child and adolescent psychiatry, but the mechanisms underlying their impact remain to be understood.</div></div><div><h3>Objective</h3><div>This article describes the characteristics of SV identified among adolescents hospitalized in psychiatry as well as the associated clinical features.</div></div><div><h3>Method</h3><div>The study included 100 patients for whom SV was identified among all patients aged 13 to 17 years hospitalized over a period of approximately four years. The characteristics of SV were correlated with patients’ medical severity, as well as with the number and duration of hospitalizations and the delay in disclosure.</div></div><div><h3>Results</h3><div>Our findings highlight the central role of SV in adolescent psychiatry, with a prevalence of 28.5% and a cumulative length of hospitalization five times longer than average. Correlations were observed between the number of adolescents’ suicide attempts and the number of SV episodes. Medical severity increased when the identified perpetrator was an adult. The number of hospitalizations was positively correlated with the number of reported violent acts as well as with the intrafamilial and adult status of the perpetrator.</div></div><div><h3>Conclusion</h3><div>The magnitude and impact of a history of SV in adolescent psychiatry call for the systematic exploration of these events in patients’ histories as well as the anticipation of their consequences on pathology and care.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 7","pages":"Pages 361-368"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.neurenf.2025.05.001
N. Bergen , A. Simon , M.R. Moro , T. Baubet
This qualitative and cross-cultural study explores the experiences of Tamil parents living in France following the diagnostic disclosure of autism in their child. Understanding parental representations related to the diagnosis is seen as a crucial component of therapeutic work. Nine families followed in a mental health center called Centre Médicopsychologique were interviewed through semi-structured sessions with an interpreter, using the McGill Illness Narrative Interview method. The findings were analyzed through an interpretative phenomenological approach and are organized into three key themes: a progressive confrontation with the disorder, evolving from initial concern to a process of appropriation and a search for support within the Tamil autism parent community; a subjective reflection on the disorder, shaped by etiological questions; a dynamic mindset reflecting a drive to act, where parents express a need for concrete strategies to support their child.
{"title":"Représentations parentales suite au diagnostic d’autisme : entre l’ici et le monde tamoul","authors":"N. Bergen , A. Simon , M.R. Moro , T. Baubet","doi":"10.1016/j.neurenf.2025.05.001","DOIUrl":"10.1016/j.neurenf.2025.05.001","url":null,"abstract":"<div><div>This qualitative and cross-cultural study explores the experiences of Tamil parents living in France following the diagnostic disclosure of autism in their child. Understanding parental representations related to the diagnosis is seen as a crucial component of therapeutic work. Nine families followed in a mental health center called Centre Médicopsychologique were interviewed through semi-structured sessions with an interpreter, using the McGill Illness Narrative Interview method. The findings were analyzed through an interpretative phenomenological approach and are organized into three key themes: a progressive confrontation with the disorder, evolving from initial concern to a process of appropriation and a search for support within the Tamil autism parent community; a subjective reflection on the disorder, shaped by etiological questions; a dynamic mindset reflecting a drive to act, where parents express a need for concrete strategies to support their child.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 289-294"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.neurenf.2025.09.002
{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2025.09.002","DOIUrl":"10.1016/j.neurenf.2025.09.002","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 358-360"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.neurenf.2025.06.004
Y. Gansel
{"title":"","authors":"Y. Gansel","doi":"10.1016/j.neurenf.2025.06.004","DOIUrl":"10.1016/j.neurenf.2025.06.004","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 295-296"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.neurenf.2025.03.011
M. Perrier Genas , J. Boutinaud
Objectives
The article presents the genesis, functioning and content of the GAPPEA grid (Grille Alternative Psychomotricité Environnement Affectivité – Alternative Psychomotricity Environment Affectivity Grid), which was devised based on needs encountered in clinical practice in CAMSPs when dealing with premature babies and their families. It responds to the need to develop a new and original tool used by psychomotricians to guide and refine their clinical observations in this field.
Patients and methods
The grid takes up and puts to work preliminary studies on cohorts of 8-month-old babies, but it also involves the networking of several dozen psychomotricians around its use. It is based on a quantitative and qualitative approach.
Results
The grid was constructed as a guide for observing specific elements exploring different areas in terms of psychomotricity and is divided into five areas of observation (first observations, the baby's psychomotor discoveries, parent/child interaction and links, the baby's response to the psychomotrician's requests, links between the clinician and the family) with specific items presented in detail for each area. It gives pride of place to issues relating to parents.
Discussion
In terms of its experimental use, the grid is original in relation to existing supports and is adapted to the needs of psychomotricians working in this clinical field. The positive feedback received from professionals who have used it testifies to its usefulness.
Conclusions
The genesis and initial uses of GAPPEA suggest that it should be used in new ways in the field of clinical approaches to babies. Putting it to the test in new ways will also allow it to be transformed and even calibrated later.
{"title":"Aux origines de la Grille Alternative Psychomotricité Prématurité Environnement Affectivité (GAPPEA) : une démarche de recherche clinique","authors":"M. Perrier Genas , J. Boutinaud","doi":"10.1016/j.neurenf.2025.03.011","DOIUrl":"10.1016/j.neurenf.2025.03.011","url":null,"abstract":"<div><h3>Objectives</h3><div>The article presents the genesis, functioning and content of the GAPPEA grid (Grille Alternative Psychomotricité Environnement Affectivité – Alternative Psychomotricity Environment Affectivity Grid), which was devised based on needs encountered in clinical practice in CAMSPs when dealing with premature babies and their families. It responds to the need to develop a new and original tool used by psychomotricians to guide and refine their clinical observations in this field.</div></div><div><h3>Patients and methods</h3><div>The grid takes up and puts to work preliminary studies on cohorts of 8-month-old babies, but it also involves the networking of several dozen psychomotricians around its use. It is based on a quantitative and qualitative approach.</div></div><div><h3>Results</h3><div>The grid was constructed as a guide for observing specific elements exploring different areas in terms of psychomotricity and is divided into five areas of observation (first observations, the baby's psychomotor discoveries, parent/child interaction and links, the baby's response to the psychomotrician's requests, links between the clinician and the family) with specific items presented in detail for each area. It gives pride of place to issues relating to parents.</div></div><div><h3>Discussion</h3><div>In terms of its experimental use, the grid is original in relation to existing supports and is adapted to the needs of psychomotricians working in this clinical field. The positive feedback received from professionals who have used it testifies to its usefulness.</div></div><div><h3>Conclusions</h3><div>The genesis and initial uses of GAPPEA suggest that it should be used in new ways in the field of clinical approaches to babies. Putting it to the test in new ways will also allow it to be transformed and even calibrated later.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 258-265"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.neurenf.2025.08.002
{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2025.08.002","DOIUrl":"10.1016/j.neurenf.2025.08.002","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 297-299"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.neurenf.2025.09.003
N. Catheline, L. Gicquel
{"title":"Retrait scolaire : deux mots pour rassembler, comprendre et agir","authors":"N. Catheline, L. Gicquel","doi":"10.1016/j.neurenf.2025.09.003","DOIUrl":"10.1016/j.neurenf.2025.09.003","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 301-303"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.neurenf.2025.03.005
A. Vachez-Gatecel , F. de Sainte Maréville
Because it is within the possibility of caring for others, touch is at the very basis of ethics. It is central to the work of touch professionals, especially when dealing with children and adolescents in the field of child psychiatry. Questions are raised daily, and post-coup work becomes necessary because of the ambivalence and confusion surrounding this sense. This article focuses on the practice of psychomotricians. Their experience is invaluable in establishing a therapeutic and ethical framework for achieving the right distance between carer and cared-for. Two clinical vignettes illustrate this practice regarding touch but not without first addressing the historical-medical-philosophical dimension of this sense. Psychomotricians draw on the phenomenology of Merleau-Ponty, among others. Merleau-Ponty's thinking is based on touch, the sense of mediation between the surface and depth of being, but also on the paradigm of our relationship with the world, which is highlighted by the experience of touching–touched. It is only through rigorous elaboration and reflection that the use of touch in child psychiatry, whatever the pathological difficulties, can be therapeutic: containing and enveloping without embracing, exciting or coercing…
{"title":"Éthique du toucher en psychiatrie de l’enfant et de l’adolescent : dialectique entre théorie et pratique","authors":"A. Vachez-Gatecel , F. de Sainte Maréville","doi":"10.1016/j.neurenf.2025.03.005","DOIUrl":"10.1016/j.neurenf.2025.03.005","url":null,"abstract":"<div><div>Because it is within the possibility of caring for others, touch is at the very basis of ethics. It is central to the work of touch professionals, especially when dealing with children and adolescents in the field of child psychiatry. Questions are raised daily, and post-coup work becomes necessary because of the ambivalence and confusion surrounding this sense. This article focuses on the practice of psychomotricians. Their experience is invaluable in establishing a therapeutic and ethical framework for achieving the right distance between carer and cared-for. Two clinical vignettes illustrate this practice regarding touch but not without first addressing the historical-medical-philosophical dimension of this sense. Psychomotricians draw on the phenomenology of Merleau-Ponty, among others. Merleau-Ponty's thinking is based on touch, the sense of mediation between the surface and depth of being, but also on the paradigm of our relationship with the world, which is highlighted by the experience of touching–touched. It is only through rigorous elaboration and reflection that the use of touch in child psychiatry, whatever the pathological difficulties, can be therapeutic: containing and enveloping without embracing, exciting or coercing…</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 322-327"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.neurenf.2025.06.002
A. Joffroy-Frixons , P. Colas , K. Abed , M. Gruel , M. Habib
The so-called Non-Verbal Learning Disabilities (NVLD) syndrome is a type of learning disorder that is frequently discussed in clinical, educational, and community contexts, particularly in Anglo-Saxon countries and Quebec. However, its nosographic identity remains undefined, which hinders the early identification of affected children and adolescents and consequently delays diagnosis and the implementation of appropriate intervention protocols. In France, the term is gradually gaining recognition among professionals involved in learning disorders, while its specific impacts on daily, academic, and social life are also becoming more acknowledged. This article has three main objectives: 1/to provide an overview of current knowledge regarding the presentation and mechanisms of the disorder through a brief literature review focused on recent publications, including two meta-analyses and a summary of the few neuroimaging studies dedicated to it; 2/to address ongoing questions regarding the clinical reality of the disorder and its classification among learning disabilities and, more broadly, neurodevelopmental disorders (NDDs) by analyzing a cohort of 89 patients recently admitted to the Résodys center which is specialized in the care of severe learning disorders in the PACA region of France; 3/finally, in light of these findings, to examine the relevance of a new set of diagnostic criteria for clinicians, adopting a dimensional rather than categorical approach to better support affected children and adolescents. We thus propose a new perspective on this syndrome—one that no longer focuses on deviation from the norm but rather on two key observations: the multiplicity of moderately or partially affected cognitive domains, and the intra-individual performance discrepancies among these domains, particularly verbal and nonverbal. From this standpoint, our clinical experience diverges from a portion of the recent literature that equates NVLD with visuospatial disorder. More than an isolated cognitive deficit, the hallmark of this syndrome seems to lie in the coexistence of subtle impairments across several domains—even at a subclinical level. Though still limited, neuroimaging data tend to support the hypothesis of impaired connectivity among neural networks that jointly contribute to several of the cognitive functions involved.
{"title":"Le syndrome de dysfonctions non verbales (SDNV) : actualisation des connaissances et analyse d’une cohorte de 89 patients traités dans le centre expert Resodys","authors":"A. Joffroy-Frixons , P. Colas , K. Abed , M. Gruel , M. Habib","doi":"10.1016/j.neurenf.2025.06.002","DOIUrl":"10.1016/j.neurenf.2025.06.002","url":null,"abstract":"<div><div>The so-called Non-Verbal Learning Disabilities (NVLD) syndrome is a type of learning disorder that is frequently discussed in clinical, educational, and community contexts, particularly in Anglo-Saxon countries and Quebec. However, its nosographic identity remains undefined, which hinders the early identification of affected children and adolescents and consequently delays diagnosis and the implementation of appropriate intervention protocols. In France, the term is gradually gaining recognition among professionals involved in learning disorders, while its specific impacts on daily, academic, and social life are also becoming more acknowledged. This article has three main objectives: 1/to provide an overview of current knowledge regarding the presentation and mechanisms of the disorder through a brief literature review focused on recent publications, including two meta-analyses and a summary of the few neuroimaging studies dedicated to it; 2/to address ongoing questions regarding the clinical reality of the disorder and its classification among learning disabilities and, more broadly, neurodevelopmental disorders (NDDs) by analyzing a cohort of 89 patients recently admitted to the Résodys center which is specialized in the care of severe learning disorders in the PACA region of France; 3/finally, in light of these findings, to examine the relevance of a new set of diagnostic criteria for clinicians, adopting a dimensional rather than categorical approach to better support affected children and adolescents. We thus propose a new perspective on this syndrome—one that no longer focuses on deviation from the norm but rather on two key observations: the multiplicity of moderately or partially affected cognitive domains, and the intra-individual performance discrepancies among these domains, particularly verbal and nonverbal. From this standpoint, our clinical experience diverges from a portion of the recent literature that equates NVLD with visuospatial disorder. More than an isolated cognitive deficit, the hallmark of this syndrome seems to lie in the coexistence of subtle impairments across several domains—even at a subclinical level. Though still limited, neuroimaging data tend to support the hypothesis of impaired connectivity among neural networks that jointly contribute to several of the cognitive functions involved.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 304-313"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}