Pub Date : 2025-09-06DOI: 10.1016/j.evopsy.2025.08.001
Alexandre Dubuis (Chercheur associé)
Objective
This research explored various aspects of the hidden body of people who have experienced severe burns from an accident. Severe burns break through the skin, revealing the hidden body and the organs and flesh that are usually concealed. This breakage requires a person to be hospitalized in a specialized medical center. Because of the severity of the injury, treatment takes place behind closed doors, and the patient's body is hidden under bandages and behind machines that keep the person alive. This work also focused on a new phenomenon, which is the use of social media to put oneself on display. The person shares unknown or previously hidden aspects of their experience as a severe burn victim without having to face the viewers’ responses directly.
Methodology
This article is a continuation of previous work (Grands brûlés de la face) and utilized 19 in-person and 9 online qualitative interviews with severe burn victims who have permanently visible sequelae. It also drew upon numerous written and audiovisual first-hand accounts and upon exchanges among severe burn victims (more than 1000 individuals) in online discussion groups.
Results
The results highlight aspects of the experience that are often overlooked because the focus is usually on the more noticeable facets of severe burns. However, these unheeded aspects are of significant importance when people undertake the process of reappropriating a body transformed by severe burns. This article also reveals another underexplored issue: severe burn victims displaying their bodies, whether amputated, mutilated, marked, or scarred, on social media platforms.
Discussion
This research discusses a paradox: the display of highly visible sequelae, an act that conceals certain aspects of the traumatic experience associated with severe burns. It also highlights attempts to counter this concealment while raising questions about the effectiveness of these attempts.
Conclusion
When an accident results in severe burn sequelae, a major challenge for victims is undoubtfully to reduce the discomfort that may occur during interpersonal interactions. This challenge involves striking a balance between a degree of visibility that is tolerable for others and an acknowledgement of the lived experience. In other words, it is a subtle balancing act between showing too much and not enough, with a view to feeling like oneself again, in a living body, and continuing to live a normal life.
{"title":"Brûlure grave : la peau, comme vitrine d’un corps caché","authors":"Alexandre Dubuis (Chercheur associé)","doi":"10.1016/j.evopsy.2025.08.001","DOIUrl":"10.1016/j.evopsy.2025.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>This research explored various aspects of the hidden body of people who have experienced severe burns from an accident. Severe burns break through the skin, revealing the hidden body and the organs and flesh that are usually concealed. This breakage requires a person to be hospitalized in a specialized medical center. Because of the severity of the injury, treatment takes place behind closed doors, and the patient's body is hidden under bandages and behind machines that keep the person alive. This work also focused on a new phenomenon, which is the use of social media to put oneself on display. The person shares unknown or previously hidden aspects of their experience as a severe burn victim without having to face the viewers’ responses directly.</div></div><div><h3>Methodology</h3><div>This article is a continuation of previous work (<em>Grands brûlés de la face</em>) and utilized 19 in-person and 9 online qualitative interviews with severe burn victims who have permanently visible sequelae. It also drew upon numerous written and audiovisual first-hand accounts and upon exchanges among severe burn victims (more than 1000 individuals) in online discussion groups.</div></div><div><h3>Results</h3><div>The results highlight aspects of the experience that are often overlooked because the focus is usually on the more noticeable facets of severe burns. However, these unheeded aspects are of significant importance when people undertake the process of reappropriating a body transformed by severe burns. This article also reveals another underexplored issue: severe burn victims displaying their bodies, whether amputated, mutilated, marked, or scarred, on social media platforms.</div></div><div><h3>Discussion</h3><div>This research discusses a paradox: the display of highly visible sequelae, an act that conceals certain aspects of the traumatic experience associated with severe burns. It also highlights attempts to counter this concealment while raising questions about the effectiveness of these attempts.</div></div><div><h3>Conclusion</h3><div>When an accident results in severe burn sequelae, a major challenge for victims is undoubtfully to reduce the discomfort that may occur during interpersonal interactions. This challenge involves striking a balance between a degree of visibility that is tolerable for others and an acknowledgement of the lived experience. In other words, it is a subtle balancing act between showing too much and not enough, with a view to feeling like oneself again, in a living body, and continuing to live a normal life.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 4","pages":"Pages 667-678"},"PeriodicalIF":0.6,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610456","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}
Pub Date : 2025-08-26DOI: 10.1016/j.evopsy.2025.07.004
Erwann Jacquot (Ostéopathe, Ingénieur pédagogique, Doctorant I3SP) , Aline Paintendre (Maîtresse de conférences) , Bernard Andrieu (Professeur des universités)
Objective
Osteopathy is the most popular alternative healthcare practice in France. To update and improve this practice, which is already part of patient care pathways, it is necessary to explore and understand bodily damage via a central idea in osteopathy: somatic dysfunction.
Methods
First-person data were collected using a consciousness drawing approach followed by explanatory interviews. During their first two years of osteopathic studies, students engage in a reflective practice around somatic dysfunction. This study utilized a qualitative method with a thematic analysis of the above interviews and drawings.
Results
The thematic analysis identified the existence of four axes: the reading of the bodily injury, the materialization of the bodily injury, the transition from local bodily injury to global bodily injury, and the impact of the bodily injury on the osteopath in the context of emerging intercorporeality. There were three categories of drawings: (drawings) of consciousness, drawings (of) consciousness, and drawings of (consciousness).
Discussion
Exploring knowledge about somatic dysfunction has highlighted that mixed epistemology is needed to propose a model of osteopathic clinical practice that incorporates elements of a biopsychosocial approach. Touch seems to allow the identification of intercorporeality in the experiences of the therapist and patient, thanks to an emersive clinical experience of the body.
Conclusion
This study explores the knowledge and theories of osteopathic students in early training. Their conception of somatic dysfunction was expressed through several drawings of consciousness and through a narrative arising from bodily reflexivity. This work seems conducive to the better integration of psychosocial criteria and a holistic understanding of the body, with a view to enhancing the contribution of osteopathic touch as care within a patient-centered approach.
{"title":"Le dessin ostéopathique des atteintes corporelles : une clinique émersive","authors":"Erwann Jacquot (Ostéopathe, Ingénieur pédagogique, Doctorant I3SP) , Aline Paintendre (Maîtresse de conférences) , Bernard Andrieu (Professeur des universités)","doi":"10.1016/j.evopsy.2025.07.004","DOIUrl":"10.1016/j.evopsy.2025.07.004","url":null,"abstract":"<div><h3>Objective</h3><div>Osteopathy is the most popular alternative healthcare practice in France. To update and improve this practice, which is already part of patient care pathways, it is necessary to explore and understand bodily damage via a central idea in osteopathy: somatic dysfunction.</div></div><div><h3>Methods</h3><div>First-person data were collected using a consciousness drawing approach followed by explanatory interviews. During their first two years of osteopathic studies, students engage in a reflective practice around somatic dysfunction. This study utilized a qualitative method with a thematic analysis of the above interviews and drawings.</div></div><div><h3>Results</h3><div>The thematic analysis identified the existence of four axes: the reading of the bodily injury, the materialization of the bodily injury, the transition from local bodily injury to global bodily injury, and the impact of the bodily injury on the osteopath in the context of emerging intercorporeality. There were three categories of drawings: (drawings) of consciousness, drawings (of) consciousness, and drawings of (consciousness).</div></div><div><h3>Discussion</h3><div>Exploring knowledge about somatic dysfunction has highlighted that mixed epistemology is needed to propose a model of osteopathic clinical practice that incorporates elements of a biopsychosocial approach. Touch seems to allow the identification of intercorporeality in the experiences of the therapist and patient, thanks to an emersive clinical experience of the body.</div></div><div><h3>Conclusion</h3><div>This study explores the knowledge and theories of osteopathic students in early training. Their conception of somatic dysfunction was expressed through several drawings of consciousness and through a narrative arising from bodily reflexivity. This work seems conducive to the better integration of psychosocial criteria and a holistic understanding of the body, with a view to enhancing the contribution of osteopathic touch as care within a patient-centered approach.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 4","pages":"Pages 635-665"},"PeriodicalIF":0.6,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610455","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}
Pub Date : 2025-08-05DOI: 10.1016/j.evopsy.2025.07.002
Marie Agostinucci (Maitresse de conférences, psychomotricienne et chercheuse) , Sylvain Hanneton (Maitre de conférences) , Bernard Andrieu (Professeur des universités, directeur)
Introduction
This study focused on body image after a moderate-to-severe traumatic brain injury (TBI), several years after the accident. It explored body representation by examining body dissatisfaction, body appreciation, and self-discrepancy. A particular emphasis was placed on body functionality. The aim was to determine how people reappropriate and rediscover their bodies after an accident causing TBI.
Methods
The design of the study was qualitative. We used the Body Appreciation Scale-2 (BAS-2) to assess positive body image and conducted a semi-structured interview asking about global body image and physical abilities. We recruited 15 people with moderate-to-severe TBI who are disabled according to the Glasgow Outcome Scale (GOS; score of 2–3). Their accident had to have occurred at least 2 years ago.
Results
Motor impairments were associated with dissatisfaction related to unfavorable comparisons with the previous self or normative ideals. However, such dissatisfaction could coexist with a positive body image. Participants also experienced body acceptance and appreciation in association with preserved or reacquired abilities. When this positive body image was present, abilities were compared with those of the post-TBI self in the earliest stages of recovery, with those in a situation where there was a worse prognosis, or with those of people with a greater level of disability; in some cases, there was no comparison. The individuals’ knowledge of their own limits and capacities was based both on their search for physical experiences and their dynamics of introspection.
Discussion
Body image dissatisfaction after TBI may be characterized by the loss of functional abilities. Dissatisfaction appears to mainly result from comparisons with the previous self or ableist standards. However, a form of body acceptance may occur, characterized by satisfaction with functional recovery and the preservation of autonomy.
Conclusion
Over the course of their lives, individuals rely on a wide variety of bodily experiences to update their opinions and knowledge of themselves. These processes contribute to a positive body image.
{"title":"Image du corps après un traumatisme crânien : une (re)découverte du corps après l’accident ?","authors":"Marie Agostinucci (Maitresse de conférences, psychomotricienne et chercheuse) , Sylvain Hanneton (Maitre de conférences) , Bernard Andrieu (Professeur des universités, directeur)","doi":"10.1016/j.evopsy.2025.07.002","DOIUrl":"10.1016/j.evopsy.2025.07.002","url":null,"abstract":"<div><h3>Introduction</h3><div>This study focused on body image after a moderate-to-severe traumatic brain injury (TBI), several years after the accident. It explored body representation by examining body dissatisfaction, body appreciation, and self-discrepancy. A particular emphasis was placed on body functionality. The aim was to determine how people reappropriate and rediscover their bodies after an accident causing TBI.</div></div><div><h3>Methods</h3><div>The design of the study was qualitative. We used the Body Appreciation Scale-2 (BAS-2) to assess positive body image and conducted a semi-structured interview asking about global body image and physical abilities. We recruited 15 people with moderate-to-severe TBI who are disabled according to the Glasgow Outcome Scale (GOS; score of 2–3). Their accident had to have occurred at least 2 years ago.</div></div><div><h3>Results</h3><div>Motor impairments were associated with dissatisfaction related to unfavorable comparisons with the previous self or normative ideals. However, such dissatisfaction could coexist with a positive body image. Participants also experienced body acceptance and appreciation in association with preserved or reacquired abilities. When this positive body image was present, abilities were compared with those of the post-TBI self in the earliest stages of recovery, with those in a situation where there was a worse prognosis, or with those of people with a greater level of disability; in some cases, there was no comparison. The individuals’ knowledge of their own limits and capacities was based both on their search for physical experiences and their dynamics of introspection.</div></div><div><h3>Discussion</h3><div>Body image dissatisfaction after TBI may be characterized by the loss of functional abilities. Dissatisfaction appears to mainly result from comparisons with the previous self or ableist standards. However, a form of body acceptance may occur, characterized by satisfaction with functional recovery and the preservation of autonomy.</div></div><div><h3>Conclusion</h3><div>Over the course of their lives, individuals rely on a wide variety of bodily experiences to update their opinions and knowledge of themselves. These processes contribute to a positive body image.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 4","pages":"Pages 619-634"},"PeriodicalIF":0.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610454","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}
Pub Date : 2025-07-22DOI: 10.1016/j.evopsy.2025.06.006
Y. Craus (Psychiatre), O. Soulié (Psychiatre), M. Dugert (Psychologue), F. Kimmel (Psychologue), M. Rodriguez Cortina (Psychologue), B. Yoon (Psychologue)
Objective
In this article, we examined the specific bodily damage associated with cancer surgery.
Methods
We constructed a detailed synthesis by drawing on clinical cases and institutional development work, focusing on the discourse of health care personnel who work closely with patients and listen to patients as part of their day-to-day clinical practice of psycho-oncology.
Results
Cancer surgery has obvious aims (is medically recommended, has therapeutic objectives) and also has subjective and intimate consequences for patients (representations, bodily experiences, psychological repercussions, subconscious echoes) that can be monitored. We sought to track the psychological damage associated with the physical damage caused by cancer surgery, and we successively examined what is removed, measures of alleviation, and the potential extent of healing.
Discussion
The medical, surgical, diagnostic, and therapeutic conditions associated with cancer treatment are part of a long sequence of announcements and interventions that most often occur in hospital settings. Given the frequency of cancer and the recognized need for supportive care in the context of curative medical procedures, greater light should be shed on somatopsychological approaches.
Conclusion
The physical and psychological damage caused by cancer surgery highlights numerous important clinical and research issues whose examination should help clarify the interface between medical treatment of the body and psychological care.
{"title":"Enlever, pallier, cicatriser : les atteintes corporelles et psychiques de la chirurgie oncologique","authors":"Y. Craus (Psychiatre), O. Soulié (Psychiatre), M. Dugert (Psychologue), F. Kimmel (Psychologue), M. Rodriguez Cortina (Psychologue), B. Yoon (Psychologue)","doi":"10.1016/j.evopsy.2025.06.006","DOIUrl":"10.1016/j.evopsy.2025.06.006","url":null,"abstract":"<div><h3>Objective</h3><div>In this article, we examined the specific bodily damage associated with cancer surgery.</div></div><div><h3>Methods</h3><div>We constructed a detailed synthesis by drawing on clinical cases and institutional development work, focusing on the discourse of health care personnel who work closely with patients and listen to patients as part of their day-to-day clinical practice of psycho-oncology.</div></div><div><h3>Results</h3><div>Cancer surgery has obvious aims (is medically recommended, has therapeutic objectives) and also has subjective and intimate consequences for patients (representations, bodily experiences, psychological repercussions, subconscious echoes) that can be monitored. We sought to track the psychological damage associated with the physical damage caused by cancer surgery, and we successively examined what is removed, measures of alleviation, and the potential extent of healing.</div></div><div><h3>Discussion</h3><div>The medical, surgical, diagnostic, and therapeutic conditions associated with cancer treatment are part of a long sequence of announcements and interventions that most often occur in hospital settings. Given the frequency of cancer and the recognized need for supportive care in the context of curative medical procedures, greater light should be shed on somatopsychological approaches.</div></div><div><h3>Conclusion</h3><div>The physical and psychological damage caused by cancer surgery highlights numerous important clinical and research issues whose examination should help clarify the interface between medical treatment of the body and psychological care.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 4","pages":"Pages 601-618"},"PeriodicalIF":0.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610453","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}
Pub Date : 2025-07-11DOI: 10.1016/j.evopsy.2025.06.004
Delphine Jacobs (Psychiatre infanto-juvénile, Chef de clinique, Professeur) , Jean Steyaert (Psychiatre infanto-juvénile, Chef de clinique, Professeur) , Kris Dierickx (Ethicien, Professeur ordinaire) , Kristien Hens (Ethicien, Professeur de recherche)
<div><h3>Goal</h3><div>After three quarters of a century of research and clinical experience, autism spectrum disorder (ASD) turns out to be surprisingly heterogeneous in its presentations, causes and cognitive mechanisms. In light of the miscellaneous nature of this diagnosis, it is unclear how the array of (predominantly “basic”) research findings on ASD is translated into information that is meaningful and valuable to parents and clinicians. Few studies are dedicated to detect the views and experiences of an ASD diagnosis of a child by parents and clinicians, and make an ethical reflection on their personal perspectives. An ethical reflection on the results of the empirical studies with parents and physicians lead to the formulation of clinical-ethical considerations towards both policy makers and clinicians concerning the diagnostic care related to ASD in young children.</div></div><div><h3>Method</h3><div>We conducted in-depth interviews on how parents and physicians view and experience a young child's ASD diagnosis. Parents were queried longitudinally: before the start of the diagnostic ASD assessment, right after the feedback session at the end of the assessment, and 12 months later. The interviews were analysed in Nvivo 11 according to the guidelines of Interpretative Phenomenological Analysis.</div></div><div><h3>Results</h3><div>The interviewed parents and physicians addressed ‘psycho-relational’ implications of an ASD diagnosis as much as ‘treatment-oriented’ implications. The psycho-relational ‘exculpatory’ effect was particularly appreciated, which consists in both parents and child being able to exonerate themselves with regard to the child's unusual behavior towards both the parents and other adults. The interviewed parents and physicians often came to view the ASD diagnosis in a pragmatic way, in the light of its usefulness for child, parents, and to a lesser extent, professionals. Twelve months after their child got an ASD diagnosis, the interviewed parents mainly had come to value the ASD diagnosis for two reasons: the entitlements it ensured, and them and some others adapting their interactions with the child because of the ASD diagnosis. The interviewed physicians from their side needed an ASD diagnosis to be useful in their clinical practice, particularly to describe the child toward parents and teachers as “he wants to do what is expected from him but is not able to”, and to provide entitlements to adapted care. Clinicians expressed some doubts about the use of and need for a formal diagnosis. They preferred to establish a descriptive and treatment-oriented profile of the child, profile of which an ASD diagnosis was sometimes considered to be a useful part.</div></div><div><h3>Discussion</h3><div>Based on an ethical analysis and reflection, we formulate 4 clinical-ethical considerations in relations to policy, and 4 in relation to the clinic. Towards policy makers, this study's findings sustain an argument for continuity-in-
{"title":"The diagnosis of Autism spectrum disorder in young children: A clinical-ethical study of parents' and physicians' experiences","authors":"Delphine Jacobs (Psychiatre infanto-juvénile, Chef de clinique, Professeur) , Jean Steyaert (Psychiatre infanto-juvénile, Chef de clinique, Professeur) , Kris Dierickx (Ethicien, Professeur ordinaire) , Kristien Hens (Ethicien, Professeur de recherche)","doi":"10.1016/j.evopsy.2025.06.004","DOIUrl":"10.1016/j.evopsy.2025.06.004","url":null,"abstract":"<div><h3>Goal</h3><div>After three quarters of a century of research and clinical experience, autism spectrum disorder (ASD) turns out to be surprisingly heterogeneous in its presentations, causes and cognitive mechanisms. In light of the miscellaneous nature of this diagnosis, it is unclear how the array of (predominantly “basic”) research findings on ASD is translated into information that is meaningful and valuable to parents and clinicians. Few studies are dedicated to detect the views and experiences of an ASD diagnosis of a child by parents and clinicians, and make an ethical reflection on their personal perspectives. An ethical reflection on the results of the empirical studies with parents and physicians lead to the formulation of clinical-ethical considerations towards both policy makers and clinicians concerning the diagnostic care related to ASD in young children.</div></div><div><h3>Method</h3><div>We conducted in-depth interviews on how parents and physicians view and experience a young child's ASD diagnosis. Parents were queried longitudinally: before the start of the diagnostic ASD assessment, right after the feedback session at the end of the assessment, and 12 months later. The interviews were analysed in Nvivo 11 according to the guidelines of Interpretative Phenomenological Analysis.</div></div><div><h3>Results</h3><div>The interviewed parents and physicians addressed ‘psycho-relational’ implications of an ASD diagnosis as much as ‘treatment-oriented’ implications. The psycho-relational ‘exculpatory’ effect was particularly appreciated, which consists in both parents and child being able to exonerate themselves with regard to the child's unusual behavior towards both the parents and other adults. The interviewed parents and physicians often came to view the ASD diagnosis in a pragmatic way, in the light of its usefulness for child, parents, and to a lesser extent, professionals. Twelve months after their child got an ASD diagnosis, the interviewed parents mainly had come to value the ASD diagnosis for two reasons: the entitlements it ensured, and them and some others adapting their interactions with the child because of the ASD diagnosis. The interviewed physicians from their side needed an ASD diagnosis to be useful in their clinical practice, particularly to describe the child toward parents and teachers as “he wants to do what is expected from him but is not able to”, and to provide entitlements to adapted care. Clinicians expressed some doubts about the use of and need for a formal diagnosis. They preferred to establish a descriptive and treatment-oriented profile of the child, profile of which an ASD diagnosis was sometimes considered to be a useful part.</div></div><div><h3>Discussion</h3><div>Based on an ethical analysis and reflection, we formulate 4 clinical-ethical considerations in relations to policy, and 4 in relation to the clinic. Towards policy makers, this study's findings sustain an argument for continuity-in-","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 3","pages":"Pages e1-e10"},"PeriodicalIF":0.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144779275","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}
Pub Date : 2025-07-10DOI: 10.1016/j.evopsy.2025.06.003
Jacques D. Marleau , Mélissa Généreux
Objectives
The objective of this study was to evaluate the unidimensionality and certain metric qualities of the short-form Flexible Inventory of Conspiracy Suspicions (FICS) questionnaire administered to the adult population of Quebec.
Materials and methods
Two online surveys were carried out in May/June and October 2021 and sampled 11,321 and 10,368 adults residing in the province of Quebec, respectively. In both cases, the short-form of the FICS was used to measure conspiracy suspicions regarding COVID-19 and climate change. Exploratory factor analysis was employed to verify the presence of unidimensional structure. Other indices were also utilized to assess unidimensionality, namely the congruence coefficient and explained common variance. The reliability of the ordinal scores was estimated using standardized alpha and omega coefficients.
Results
The results of the exploratory factor analysis revealed the presence of a unidimensional structure for the survey data on COVID-19 and climate change conspiracy suspicions collected using the short-form FICS. The values of the congruence coefficient and explained common variance also suggested the presence of unidimensionality. The reliability of the ordinal scores was excellent. These results were similar for the two surveys.
Discussion
Overall, the results supported the presence of unidimensional structure in the survey data collected using the COVID-19 version and the climate change version of the short-form FICS, suggesting that the total score can be used to quantify suspicion levels. In addition, the consistency of the findings over the two sampling periods provided additional credibility regarding the relevance of using these scales.
Conclusion
The findings highlight the utility of the short-form FICS for assessing conspiracy suspicions among the adult population of Quebec.
{"title":"Évaluation factorielle de la version courte de l’Inventaire Flexible de Soupçons Conspirationnistes parmi la population québécoise","authors":"Jacques D. Marleau , Mélissa Généreux","doi":"10.1016/j.evopsy.2025.06.003","DOIUrl":"10.1016/j.evopsy.2025.06.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The objective of this study was to evaluate the unidimensionality and certain metric qualities of the short-form Flexible Inventory of Conspiracy Suspicions (FICS) questionnaire administered to the adult population of Quebec.</div></div><div><h3>Materials and methods</h3><div>Two online surveys were carried out in May/June and October 2021 and sampled 11,321 and 10,368 adults residing in the province of Quebec, respectively. In both cases, the short-form of the FICS was used to measure conspiracy suspicions regarding COVID-19 and climate change. Exploratory factor analysis was employed to verify the presence of unidimensional structure. Other indices were also utilized to assess unidimensionality, namely the congruence coefficient and explained common variance. The reliability of the ordinal scores was estimated using standardized alpha and omega coefficients.</div></div><div><h3>Results</h3><div>The results of the exploratory factor analysis revealed the presence of a unidimensional structure for the survey data on COVID-19 and climate change conspiracy suspicions collected using the short-form FICS. The values of the congruence coefficient and explained common variance also suggested the presence of unidimensionality. The reliability of the ordinal scores was excellent. These results were similar for the two surveys.</div></div><div><h3>Discussion</h3><div>Overall, the results supported the presence of unidimensional structure in the survey data collected using the COVID-19 version and the climate change version of the short-form FICS, suggesting that the total score can be used to quantify suspicion levels. In addition, the consistency of the findings over the two sampling periods provided additional credibility regarding the relevance of using these scales.</div></div><div><h3>Conclusion</h3><div>The findings highlight the utility of the short-form FICS for assessing conspiracy suspicions among the adult population of Quebec.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 3","pages":"Pages 469-479"},"PeriodicalIF":0.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144779274","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}
Pub Date : 2025-07-10DOI: 10.1016/j.evopsy.2025.06.005
Dario Alparone (Docteur en Psychopathologie et Docteur européen en criminologie, Maître de Conférences en Psychologie Clinique et Psychopathologie) , Giorgia Tiscini (Professeure de psychopathologie clinique)
Objective
The objective of our article was to explore and clarify the psychoanalytic concept of the death drive from the perspective of clinical practice and certain discoveries in contemporary neuroscience.
Methods
Drawing on the classical Freudian concept of the death drive and the field of affective neuroscience, including neuropsychoanalysis and its most recent discoveries, it is possible to reinterpret certain clinical phenomena such as addiction and masochism, including those associated with neurotic symptoms.
Results
Our objective was to offer an original interpretation of these clinical manifestations by establishing a novel dialogue between the fields of psychoanalysis and neuroscience, underscoring the central role of affectivity in individual development.
Discussion
Trauma in primary relationships can influence individual development by inducing neurophysiological needs that may push people to adopt addictive behaviors. Emotional trauma and primary relationship issues seem to be linked to a somewhat paradoxical search for instinctual satisfaction, as exemplified by addictions or even certain forms of masochism.
Conclusion
The dialogue established between the fields of psychoanalysis and neuroscience appeared to be quite fruitful, allowing for a unique understanding of clinical phenomena such as addiction. Drawing on affective neuroscience, we arrived at a new understanding and a new use of the epistemologically problematic Freudian concept of the death drive.
{"title":"La pulsion de mort à la lumière des neurosciences affectives : actuelles sur l’addiction entre neurosciences et psychanalyse","authors":"Dario Alparone (Docteur en Psychopathologie et Docteur européen en criminologie, Maître de Conférences en Psychologie Clinique et Psychopathologie) , Giorgia Tiscini (Professeure de psychopathologie clinique)","doi":"10.1016/j.evopsy.2025.06.005","DOIUrl":"10.1016/j.evopsy.2025.06.005","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of our article was to explore and clarify the psychoanalytic concept of the death drive from the perspective of clinical practice and certain discoveries in contemporary neuroscience.</div></div><div><h3>Methods</h3><div>Drawing on the classical Freudian concept of the death drive and the field of affective neuroscience, including neuropsychoanalysis and its most recent discoveries, it is possible to reinterpret certain clinical phenomena such as addiction and masochism, including those associated with neurotic symptoms.</div></div><div><h3>Results</h3><div>Our objective was to offer an original interpretation of these clinical manifestations by establishing a novel dialogue between the fields of psychoanalysis and neuroscience, underscoring the central role of affectivity in individual development.</div></div><div><h3>Discussion</h3><div>Trauma in primary relationships can influence individual development by inducing neurophysiological needs that may push people to adopt addictive behaviors. Emotional trauma and primary relationship issues seem to be linked to a somewhat paradoxical search for instinctual satisfaction, as exemplified by addictions or even certain forms of masochism.</div></div><div><h3>Conclusion</h3><div>The dialogue established between the fields of psychoanalysis and neuroscience appeared to be quite fruitful, allowing for a unique understanding of clinical phenomena such as addiction. Drawing on affective neuroscience, we arrived at a new understanding and a new use of the epistemologically problematic Freudian concept of the death drive.</div></div>","PeriodicalId":45007,"journal":{"name":"Evolution Psychiatrique","volume":"90 4","pages":"Pages 729-747"},"PeriodicalIF":0.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610566","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号