Pub Date : 2025-01-01DOI: 10.1016/j.amp.2024.10.005
Julia Salomé, Gilles Thomas
<div><h3>Context</h3><div>Assessing the medical fitness of military personnel to serve in the armed forces is one of the principal responsibilities of the French Military Health Service. This fitness evaluation is a dynamic process, extending from enlistment to the end of the service member's career. It is reviewed every two years and at certain pivotal periods, such as specialization training or deployment. In certain difficult situations, where a soldier's ability to adapt to their environment is called into question, the general practitioner may ask the military psychiatrist to carry out a medical-psychological assessment in the form of an expert opinion. This assessment, which is a reasoned opinion, explores various aspects: the individual's medical and biographical background, professional motivation, lived experience, clinical examination, awareness of potential disorders and adherence to care, and social interactions, while considering the specificities of the military environment (hierarchical standards, operational missions, access to lethal means, etc.). To support this assessment, the psychiatrist may request a complementary assessment conducted by a psychologist using psychometric tools such as personality tests, diagnostic scales, projective tests and tests of cognitive function.</div></div><div><h3>Objective/method</h3><div>This work aims to explore the benefits and limitations of psychometric tools in assessing an individual's ability to adapt to their environment. Using a clinical example, we will discuss their usefulness by comparing them with other specialty areas, such as forensic psychiatric assessments, and questioning the predictive value of the psychiatric examination. The focus will be on understanding whether psychometric tools can provide additional insights and reduce uncertainty in clinical decision-making.</div></div><div><h3>Results</h3><div>Psychometric tools offer a range of benefits and limitations in the context of military fitness assessments. Personality tests, such as the Minnesota Multiphasic Personality Inventory (MMPI), can provide valuable insights into an individual's personality traits and potential psychopathologies. However, their limitations include the need for high language proficiency, sustained attention, and the potential for intentional response distortion. Diagnostic scales, like the Hospital Anxiety and Depression Scale (HADS), can help identify symptoms of psychiatric disorders but may be influenced by the subject's awareness of the test's purpose, thereby introducing bias. Projective tests, which assess associative processes and reactions to ambiguous stimuli, offer a deeper understanding of personality but are based on theories that may not be universally accepted and can be challenging to interpret. Cognitive function tests provide detailed assessments of cognitive abilities but may be affected by psychiatric conditions or stress, and they do not address social adaptation aspects crucial i
{"title":"Mesurer l’adaptation en milieu militaire ? Intérêts et limites de la psychométrie","authors":"Julia Salomé, Gilles Thomas","doi":"10.1016/j.amp.2024.10.005","DOIUrl":"10.1016/j.amp.2024.10.005","url":null,"abstract":"<div><h3>Context</h3><div>Assessing the medical fitness of military personnel to serve in the armed forces is one of the principal responsibilities of the French Military Health Service. This fitness evaluation is a dynamic process, extending from enlistment to the end of the service member's career. It is reviewed every two years and at certain pivotal periods, such as specialization training or deployment. In certain difficult situations, where a soldier's ability to adapt to their environment is called into question, the general practitioner may ask the military psychiatrist to carry out a medical-psychological assessment in the form of an expert opinion. This assessment, which is a reasoned opinion, explores various aspects: the individual's medical and biographical background, professional motivation, lived experience, clinical examination, awareness of potential disorders and adherence to care, and social interactions, while considering the specificities of the military environment (hierarchical standards, operational missions, access to lethal means, etc.). To support this assessment, the psychiatrist may request a complementary assessment conducted by a psychologist using psychometric tools such as personality tests, diagnostic scales, projective tests and tests of cognitive function.</div></div><div><h3>Objective/method</h3><div>This work aims to explore the benefits and limitations of psychometric tools in assessing an individual's ability to adapt to their environment. Using a clinical example, we will discuss their usefulness by comparing them with other specialty areas, such as forensic psychiatric assessments, and questioning the predictive value of the psychiatric examination. The focus will be on understanding whether psychometric tools can provide additional insights and reduce uncertainty in clinical decision-making.</div></div><div><h3>Results</h3><div>Psychometric tools offer a range of benefits and limitations in the context of military fitness assessments. Personality tests, such as the Minnesota Multiphasic Personality Inventory (MMPI), can provide valuable insights into an individual's personality traits and potential psychopathologies. However, their limitations include the need for high language proficiency, sustained attention, and the potential for intentional response distortion. Diagnostic scales, like the Hospital Anxiety and Depression Scale (HADS), can help identify symptoms of psychiatric disorders but may be influenced by the subject's awareness of the test's purpose, thereby introducing bias. Projective tests, which assess associative processes and reactions to ambiguous stimuli, offer a deeper understanding of personality but are based on theories that may not be universally accepted and can be challenging to interpret. Cognitive function tests provide detailed assessments of cognitive abilities but may be affected by psychiatric conditions or stress, and they do not address social adaptation aspects crucial i","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 80-85"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.amp.2022.08.001
Charlie Renaud, Agnès Lacroix
<div><h3>Objectives</h3><div>Burnout is a new phenomenon that has been the subject of considerable research in recent years, however, the multitude of its causes make it a complex object of study. This review aims to identify the most studied cases of burnout and the role of their interrelations in the development of burnout. This inventory will suggest new avenues of research and constitute a tool for professionals to use for the implementation of innovative and ambitious policies to enhance the quality of life in the workplace. The 11<sup>th</sup> edition of the International Classification of Diseases has updated the definition of burnout by taking up Maslach's work, which defines burnout as emotional exhaustion, cynicism and a decline in work-related personal achievement. However, this definition is far from being a consensus and such studies are problematic due to the complexity created by the large number of causes of burnout. Therefore, the aim of this study is to present an overview of the different causes of burnout in order to determine: (a) what are the most and least studied causes of burnout (b) what links exist between these causes and how they can explain the occurrence of burnout, (c) what is the impact of sociodemographic variables in the occurrence of burnout.</div></div><div><h3>Materials and methods</h3><div>For this purpose, a systematic review of the literature was carried out. The bibliography review has been ongoing since 2014 using data from PsycInfo. The selection criteria for the articles were as follows: The article had to deal with the causes of burnout at work (work demands, work resources, personal resources, personal demands, personality, socio-demographic characteristics). We excluded studies dealing with the physical, social and psychological consequences of burnout, the impact of burnout on the quality of work, other types of burnout (school burnout, associative burnout, in athletes), methods to reduce burnout, and the distinction or comparison between burnout and depression. A total of 119 articles were selected according to predetermined inclusion and exclusion criteria.</div></div><div><h3>Results</h3><div>The results show that work demands are the most studied in the literature and demographic characteristics the least studied. While a few variables have been studied many times and show consistent links with burnout, not all of them have been studied. All the demands studied except emotional and mental demands show a positive relationship with burnout and all the resources demonstrate a negative relationship with the exception of social support. For these variables, the work context influences their effect on burnout. Social support can thus lead to the propagation of negative or positive emotions according to the context. Moreover, the study of the interrelationships between the variables shows that the effect of an antecedent on burnout is often dependent on a more global work and individual context. For e
{"title":"Connaissances actuelles des causes du burnout, importance et relations des différentes variables mises en jeu : une revue critique de la littérature","authors":"Charlie Renaud, Agnès Lacroix","doi":"10.1016/j.amp.2022.08.001","DOIUrl":"10.1016/j.amp.2022.08.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Burnout is a new phenomenon that has been the subject of considerable research in recent years, however, the multitude of its causes make it a complex object of study. This review aims to identify the most studied cases of burnout and the role of their interrelations in the development of burnout. This inventory will suggest new avenues of research and constitute a tool for professionals to use for the implementation of innovative and ambitious policies to enhance the quality of life in the workplace. The 11<sup>th</sup> edition of the International Classification of Diseases has updated the definition of burnout by taking up Maslach's work, which defines burnout as emotional exhaustion, cynicism and a decline in work-related personal achievement. However, this definition is far from being a consensus and such studies are problematic due to the complexity created by the large number of causes of burnout. Therefore, the aim of this study is to present an overview of the different causes of burnout in order to determine: (a) what are the most and least studied causes of burnout (b) what links exist between these causes and how they can explain the occurrence of burnout, (c) what is the impact of sociodemographic variables in the occurrence of burnout.</div></div><div><h3>Materials and methods</h3><div>For this purpose, a systematic review of the literature was carried out. The bibliography review has been ongoing since 2014 using data from PsycInfo. The selection criteria for the articles were as follows: The article had to deal with the causes of burnout at work (work demands, work resources, personal resources, personal demands, personality, socio-demographic characteristics). We excluded studies dealing with the physical, social and psychological consequences of burnout, the impact of burnout on the quality of work, other types of burnout (school burnout, associative burnout, in athletes), methods to reduce burnout, and the distinction or comparison between burnout and depression. A total of 119 articles were selected according to predetermined inclusion and exclusion criteria.</div></div><div><h3>Results</h3><div>The results show that work demands are the most studied in the literature and demographic characteristics the least studied. While a few variables have been studied many times and show consistent links with burnout, not all of them have been studied. All the demands studied except emotional and mental demands show a positive relationship with burnout and all the resources demonstrate a negative relationship with the exception of social support. For these variables, the work context influences their effect on burnout. Social support can thus lead to the propagation of negative or positive emotions according to the context. Moreover, the study of the interrelationships between the variables shows that the effect of an antecedent on burnout is often dependent on a more global work and individual context. For e","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 26-36"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86137013","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 : 2025-01-01DOI: 10.1016/j.amp.2024.03.015
Raven Bureau , Julie Dachez , Marie Riebel , Luisa Weiner , Céline Clément
<div><h3>Introduction</h3><div>Autism-related language preferences are increasingly studied. While there are some guidelines established in international journals and a relatively clear consensus when it comes to the English language, studies in other languages are still rare. When it comes to this conversation, the preferences are often split between person-first language and identity first language (i.e., person with autism or autistic person). Some languages, such as French, have a different grammatical construction: the adjective comes after the noun, which leads to “person” always coming first. However, the presence of the “with” still leads to the same conversation as happens in English when it comes to “separating” the person from their autism. Our study expands on previously published results regarding French-speaking adults’ language preferences when it comes to autism, as well as identifying some factors that could be related to these choices.</div></div><div><h3>Methods</h3><div>While participating in a larger survey regarding autistic masking and mental health, participants were invited to select their language preference amongst four options (autistic person, person with autism, person on the autism spectrum and person with Autism Spectrum Disorder) so that the items would reflect their choice throughout the questionnaires. One thousand seven hundred and fifty-seven responses were collected, split in 4 groups: 689 formally diagnosed autistic persons, 265 persons on a waitlist for autism assessment, 353 persons self-identifying as autistic and 450 non-autistic persons. Chi-square independence tests were conducted to identify potential factors that could influence language preferences.</div></div><div><h3>Results</h3><div>IFL (autistic person) was favored by the formerly diagnosed autistic group (65%), the self-identified group (46.7%) and the waitlist group (49.1%). The non-autistic group was the only one to favor PFL (person with ASD) (39.1%). Age was significantly associated with language preference, with younger people endorsing IFL while people aged 56 and over favored PFL (but IFL was favored when the non-autistic group was excluded from the analysis). Gender was also significantly associated with language preference, with non-binary people overwhelmingly endorsing IFL (71.8% in the total sample, 76.5% when excluding the non-autistic group). Being cisgender was another factor that was significantly associated with language preference, with TGD people also showing a major preference for IFL. Self-stigma was not associated with language preference. Finally, internalized shame was also associated with language preference, with people showing a lower level of internalized shame showing more preference for IFL than those with a higher level of internalized shame.</div></div><div><h3>Discussion</h3><div>Overall, our results confirm a strong preference for IFL in autistic French-speaking adults and highlight some factors such as age, ge
{"title":"« Avec autisme », « autiste », « sur le spectre », « avec un TSA » ? Étude des préférences de dénomination et des facteurs pouvant les influencer auprès de la population française","authors":"Raven Bureau , Julie Dachez , Marie Riebel , Luisa Weiner , Céline Clément","doi":"10.1016/j.amp.2024.03.015","DOIUrl":"10.1016/j.amp.2024.03.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Autism-related language preferences are increasingly studied. While there are some guidelines established in international journals and a relatively clear consensus when it comes to the English language, studies in other languages are still rare. When it comes to this conversation, the preferences are often split between person-first language and identity first language (i.e., person with autism or autistic person). Some languages, such as French, have a different grammatical construction: the adjective comes after the noun, which leads to “person” always coming first. However, the presence of the “with” still leads to the same conversation as happens in English when it comes to “separating” the person from their autism. Our study expands on previously published results regarding French-speaking adults’ language preferences when it comes to autism, as well as identifying some factors that could be related to these choices.</div></div><div><h3>Methods</h3><div>While participating in a larger survey regarding autistic masking and mental health, participants were invited to select their language preference amongst four options (autistic person, person with autism, person on the autism spectrum and person with Autism Spectrum Disorder) so that the items would reflect their choice throughout the questionnaires. One thousand seven hundred and fifty-seven responses were collected, split in 4 groups: 689 formally diagnosed autistic persons, 265 persons on a waitlist for autism assessment, 353 persons self-identifying as autistic and 450 non-autistic persons. Chi-square independence tests were conducted to identify potential factors that could influence language preferences.</div></div><div><h3>Results</h3><div>IFL (autistic person) was favored by the formerly diagnosed autistic group (65%), the self-identified group (46.7%) and the waitlist group (49.1%). The non-autistic group was the only one to favor PFL (person with ASD) (39.1%). Age was significantly associated with language preference, with younger people endorsing IFL while people aged 56 and over favored PFL (but IFL was favored when the non-autistic group was excluded from the analysis). Gender was also significantly associated with language preference, with non-binary people overwhelmingly endorsing IFL (71.8% in the total sample, 76.5% when excluding the non-autistic group). Being cisgender was another factor that was significantly associated with language preference, with TGD people also showing a major preference for IFL. Self-stigma was not associated with language preference. Finally, internalized shame was also associated with language preference, with people showing a lower level of internalized shame showing more preference for IFL than those with a higher level of internalized shame.</div></div><div><h3>Discussion</h3><div>Overall, our results confirm a strong preference for IFL in autistic French-speaking adults and highlight some factors such as age, ge","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 19-25"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.amp.2024.10.006
Véronique Lefebvre des Noëttes
Psychiatry is often criticized because of the excesses inherent in its practice, even if diké (justice) attempts to mitigate it. Since Hippocrates, we have tried to treat patients who are often caught up in the hubris of their pathologies. But social justice struggles to provide the human means to deploy a just, humane practice within the city. We will see how psychiatry, when faced with its limits, we can go beyond the observation and propose ethical avenues to find a balance of forces between diké and hubris.
{"title":"La psychiatrie entre diké et hybris","authors":"Véronique Lefebvre des Noëttes","doi":"10.1016/j.amp.2024.10.006","DOIUrl":"10.1016/j.amp.2024.10.006","url":null,"abstract":"<div><div>Psychiatry is often criticized because of the excesses inherent in its practice, even if <em>diké</em> (justice) attempts to mitigate it. Since Hippocrates, we have tried to treat patients who are often caught up in the <em>hubris</em> of their pathologies. But social justice struggles to provide the human means to deploy a just, humane practice within the city. We will see how psychiatry, when faced with its limits, we can go beyond the observation and propose ethical avenues to find a balance of forces between <em>diké</em> and <em>hubris</em>.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 92-96"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444228","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 : 2025-01-01DOI: 10.1016/j.amp.2024.11.010
Marguerite Brunel-Charazac
Excessiveness in the practice of psychic care has its source in physical and intrapsychic suffering which confronts the caregiver with counter-transferential reactions. Reactions of domination can manifest themselves in the articulation of the diagnosis and prognosis. Excess can be amplified when the body becomes an object of belonging.
{"title":"Entre diagnostic et emprise psychique : quelle éthique pour quel soin face à la démesure ?","authors":"Marguerite Brunel-Charazac","doi":"10.1016/j.amp.2024.11.010","DOIUrl":"10.1016/j.amp.2024.11.010","url":null,"abstract":"<div><div>Excessiveness in the practice of psychic care has its source in physical and intrapsychic suffering which confronts the caregiver with counter-transferential reactions. Reactions of domination can manifest themselves in the articulation of the diagnosis and prognosis. Excess can be amplified when the body becomes an object of belonging.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 86-88"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444886","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 : 2025-01-01DOI: 10.1016/j.amp.2024.11.007
Sami Richa
Confinement in psychiatry is one of the most hotly debated issues in institutional settings worldwide. Isolation and restraint are included in confinement. In this paper, the negative effects of these therapeutic methods are discussed together with their consequences on the patient, on the therapeutic alliance between caregiver and patient, as well as on the nursing staff who practice them. The ethical issues of confinement are also detailed in the texts and recommendations that govern these practices. It is essential to question oneself as an individual practitioner and as a team member concerning any action of confinement and to review the episode with the patient as soon as they have recovered. It is also important above all to know how to question oneself regularly on these practices in order to give them meaning.
{"title":"Contention et isolement : une éthique de la contrainte","authors":"Sami Richa","doi":"10.1016/j.amp.2024.11.007","DOIUrl":"10.1016/j.amp.2024.11.007","url":null,"abstract":"<div><div>Confinement in psychiatry is one of the most hotly debated issues in institutional settings worldwide. Isolation and restraint are included in confinement. In this paper, the negative effects of these therapeutic methods are discussed together with their consequences on the patient, on the therapeutic alliance between caregiver and patient, as well as on the nursing staff who practice them. The ethical issues of confinement are also detailed in the texts and recommendations that govern these practices. It is essential to question oneself as an individual practitioner and as a team member concerning any action of confinement and to review the episode with the patient as soon as they have recovered. It is also important above all to know how to question oneself regularly on these practices in order to give them meaning.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 97-100"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444874","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 : 2025-01-01DOI: 10.1016/j.amp.2024.11.001
Jean-Arthur Micoulaud-Franchi , Vincent P. Martin , François Vialatte , Christophe Gauld , Elodie Gratreau , Clélia Quiles
With this article, we propose to present, for the first time, a graphic, visual, dynamic, hierarchical, and easily managed organization of all the adult clinical uses of semiological terms (clinical manifestations expressions), as proposed by the Association for the Teaching of Psychiatric Semiology (AESP). Our intent is to make it not just a pedagogical and pragmatic tool, but also a reflective and critical one, for the use of psychiatric semiology in medicine. The proposal of this article is motivated more toward a graphical formalization than an elucidation of the theoretical foundations of adult psychiatric semiology. We discuss the interest of the graphical visualization of the semiological structure in maintaining a critical approach and promoting the dynamic evolution of the Thesaurus Semeioticus, through its implications for the teaching of descriptive psychopathology language to students, and its significance for the necessary articulation with nosographic and psychopathological knowledge. The graphic visualization of the semiological apparatus can indeed help to clarify the vocabulary choices made by the psychiatric community and the possibilities for a rigorous evolution based on scientific knowledge and clinical practice.
{"title":"La domestication de la sémiologie : proposition d’une organisation graphique du thesaurus semeioticus psychiatrique chez l’adulte","authors":"Jean-Arthur Micoulaud-Franchi , Vincent P. Martin , François Vialatte , Christophe Gauld , Elodie Gratreau , Clélia Quiles","doi":"10.1016/j.amp.2024.11.001","DOIUrl":"10.1016/j.amp.2024.11.001","url":null,"abstract":"<div><div>With this article, we propose to present, for the first time, a graphic, visual, dynamic, hierarchical, and easily managed organization of all the adult clinical uses of semiological terms (clinical manifestations expressions), as proposed by the Association for the Teaching of Psychiatric Semiology (AESP). Our intent is to make it not just a pedagogical and pragmatic tool, but also a reflective and critical one, for the use of psychiatric semiology in medicine. The proposal of this article is motivated more toward a graphical formalization than an elucidation of the theoretical foundations of adult psychiatric semiology. We discuss the interest of the graphical visualization of the semiological structure in maintaining a critical approach and promoting the dynamic evolution of the <em>Thesaurus Semeioticus</em>, through its implications for the teaching of descriptive psychopathology language to students, and its significance for the necessary articulation with nosographic and psychopathological knowledge. The graphic visualization of the semiological apparatus can indeed help to clarify the vocabulary choices made by the psychiatric community and the possibilities for a rigorous evolution based on scientific knowledge and clinical practice.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 101-111"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444875","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 : 2025-01-01DOI: 10.1016/j.amp.2024.09.021
Cyril Hazif-Thomas
{"title":"« Mesure et démesure en psychiatrie ». Séance de la Société Médico-Psychologique du 21 juin 2024 à Brest","authors":"Cyril Hazif-Thomas","doi":"10.1016/j.amp.2024.09.021","DOIUrl":"10.1016/j.amp.2024.09.021","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Page 1"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444878","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 : 2025-01-01DOI: 10.1016/j.amp.2024.04.006
Anaïs Marmuse , Marion Trousselard
<div><div>Anger is an universal and adaptative emotion. However, it has long been relatively neglected and misunderstood compared to depression and anxiety. However, data show that it can have damaging consequences on individual health, as well as on relationships. In particular, the fact that chronic anger leads to heart problems is well documented. However, it is rarely included in diagnostic manuals and/or in psychology courses. Several hypotheses have been put forward to explain the reluctance of health professionals to assess and treat anger. In particular, anger may be a more difficult and unpleasant emotion to deal with, because of the feelings it provokes in professionals (such as intimidation and fear). This is exacerbated by the fact that patients who suffer from it find it difficult to work on themselves to manage it better, preferring to target external triggers. Aggression management was also mainly targeted by social rather than psychological interventions. Moreover, the difficulty of distinguishing it from other constructs such as hostility, irritability and aggression could also play a role in the difficulty of addressing it. To better understand it, it's important to be able to distinguish between normal and pathological anger. The function, outcome, chronicity, intensity and duration of anger episodes are all criteria that can be used as a basis. Spielberger's work provides a robust theoretical framework for identifying the dimensions of anger. Anger trait, for example, would be an element to assess, as it would be predictive of negative consequences. At the same time, numerous studies have pointed to the presence of significant anger in many psychopathological disorders. It is present in certain mood disorders such as depression and bipolar disorder. It is also observed in certain anxiety disorders and in Post-Traumatic Stress Disorder (PTSD). Anger is found in almost 90% of cases of borderline personality disorder. It is also linked to substance abuse and psychotic disorders. Other disorders, particularly for children and adolescents, could benefit from an anger assessment. There are a number of validated psychometric tools available in French for assessing anger, depending on the context. For example, the STAXI-2 is one of the most widely used tools for identifying the trait, state, expression and control of anger. The DAR-5-F is a recently validated short scale that assesses the experience of anger over the past 4 weeks. There are also other scales that assess anger rumination (ARS), aggression (AQ12) and driving anger (DAX). Over the past few years, a field of research has been developing to suggest ways for improving anger management with moderate effect compared to those targeting depression and anxiety. In addition, there are a number of books available for the general public, as well as a handful of clinical cases. However, the interventions and protocols that would be relevant are not available in French. In short, dys
{"title":"La colère dysfonctionnelle et son évaluation chez l’adulte","authors":"Anaïs Marmuse , Marion Trousselard","doi":"10.1016/j.amp.2024.04.006","DOIUrl":"10.1016/j.amp.2024.04.006","url":null,"abstract":"<div><div>Anger is an universal and adaptative emotion. However, it has long been relatively neglected and misunderstood compared to depression and anxiety. However, data show that it can have damaging consequences on individual health, as well as on relationships. In particular, the fact that chronic anger leads to heart problems is well documented. However, it is rarely included in diagnostic manuals and/or in psychology courses. Several hypotheses have been put forward to explain the reluctance of health professionals to assess and treat anger. In particular, anger may be a more difficult and unpleasant emotion to deal with, because of the feelings it provokes in professionals (such as intimidation and fear). This is exacerbated by the fact that patients who suffer from it find it difficult to work on themselves to manage it better, preferring to target external triggers. Aggression management was also mainly targeted by social rather than psychological interventions. Moreover, the difficulty of distinguishing it from other constructs such as hostility, irritability and aggression could also play a role in the difficulty of addressing it. To better understand it, it's important to be able to distinguish between normal and pathological anger. The function, outcome, chronicity, intensity and duration of anger episodes are all criteria that can be used as a basis. Spielberger's work provides a robust theoretical framework for identifying the dimensions of anger. Anger trait, for example, would be an element to assess, as it would be predictive of negative consequences. At the same time, numerous studies have pointed to the presence of significant anger in many psychopathological disorders. It is present in certain mood disorders such as depression and bipolar disorder. It is also observed in certain anxiety disorders and in Post-Traumatic Stress Disorder (PTSD). Anger is found in almost 90% of cases of borderline personality disorder. It is also linked to substance abuse and psychotic disorders. Other disorders, particularly for children and adolescents, could benefit from an anger assessment. There are a number of validated psychometric tools available in French for assessing anger, depending on the context. For example, the STAXI-2 is one of the most widely used tools for identifying the trait, state, expression and control of anger. The DAR-5-F is a recently validated short scale that assesses the experience of anger over the past 4 weeks. There are also other scales that assess anger rumination (ARS), aggression (AQ12) and driving anger (DAX). Over the past few years, a field of research has been developing to suggest ways for improving anger management with moderate effect compared to those targeting depression and anxiety. In addition, there are a number of books available for the general public, as well as a handful of clinical cases. However, the interventions and protocols that would be relevant are not available in French. In short, dys","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 14-18"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134659","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 : 2025-01-01DOI: 10.1016/j.amp.2024.11.011
Guillaume Bronsard
It is a global and incessant observation that our young people are suffering, that there are more and more disorders and pathologies, and that the professional response is failing. Child and adolescent psychiatry is driven by the population's expectations to combat this state of affairs. But predicting and expecting a tripling or quadrupling of resources is unrealistic. Child psychiatry must be ambitious, and on the other hand in restraint, the time of analysis, and in moderation.
{"title":"Inflations des diagnostics et listes d’attente… Les démesures en psychiatrie de l’enfant et de l’adolescent","authors":"Guillaume Bronsard","doi":"10.1016/j.amp.2024.11.011","DOIUrl":"10.1016/j.amp.2024.11.011","url":null,"abstract":"<div><div>It is a global and incessant observation that our young people are suffering, that there are more and more disorders and pathologies, and that the professional response is failing. Child and adolescent psychiatry is driven by the population's expectations to combat this state of affairs. But predicting and expecting a tripling or quadrupling of resources is unrealistic. Child psychiatry must be ambitious, and on the other hand in restraint, the time of analysis, and in moderation.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 1","pages":"Pages 77-79"},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444884","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}
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