Annales medico-psychologiques最新文献

Parenthood can be a source of stress, especially for parents with young children. For migrants, the task is made more complex by cultural differences and the child's integration into a psychic filiation. Traditionally, parents rely on a social group to help them cope with the demands of parenthood. However, this support may be lacking in migratory situations. The literature in psychology has little data available on the composition of social support networks, particularly for transnational networks. The aim of this study is therefore to explore both the local and transnational support networks for migrant parents with respect to a sense of stress for parents. The sample consisted of 62 migrant parents living in Switzerland, and a quantitative and qualitative methodology was used to analyze the data. The results revealed that migrant parents maintain both local and transnational social networks to cope with the challenges of parenting. First-time arrivals have a less well-developed local support network and a corresponding higher level of parental stress. The density of the local support network increases with the duration of residency in Switzerland.

Context

This article is based on research exploring the impact of external reality, including multiple global crises such as the COVID-19 pandemic, social movements, and political crises, on the therapeutic relationship and the analytical framework. This collaborative study, carried out by researchers from different countries, took shape in response to the COVID-19 health crisis. It aims to understand how psychoanalysts and psychotherapists have had to adapt their practices in the face of these crises, highlighting the importance of improvisation and creativity in maintaining the continuity of the therapeutic process.

Objectives

The principal objective of the study is to identify the impact of shared external realities on the therapeutic process, highlighting the challenges faced by practitioners in a context of multiple crises. The researchers also seek to explore how psychoanalysts and psychotherapists have had to call into question and adapt their practices and frameworks in order to continue working with their patients in an environment marked by uncertainty and the need to improvise.

Methodology

The research is based on qualitative interviews with psychoanalysts and psychotherapists from different countries facing various crises. The researchers analyzed the participants’ responses to identify emerging themes and understand how practitioners navigated these challenges, highlighting coping strategies and adjustments to the therapeutic framework.

Results

The findings confirm the profound impact of external crises on therapeutic practice, particularly in terms of challenging practitioners’ professional identities and the need to adapt therapeutic frameworks to maintain the continuity of the analytical process. Participants expressed a sense of insecurity, frustration and a loss of rituals associated with the move to working online. However, they also showed great creativity in designing their workplace and exploring new therapeutic approaches.

Discussion and conclusion

The discussion underlines the importance of recognizing and addressing the challenges posed by external crises in therapeutic practice, while also highlighting the crucial role of improvisation and creativity in maintaining the continuity of the analytical process. Practitioners must be prepared to rethink and adapt their therapeutic framework to meet the changing needs of their patients, while preserving the fundamental principles of therapy. Ultimately, the study highlights the importance of collaboration and ongoing development between practitioners in overcoming the challenges posed by external crises in order to ensure the quality of therapeutic care.

Hergé’s “Adventures of Tintin” is a renowned Belgian comic book series. The twenty-four albums are rich in psychological and psychiatric elements, intricately woven into a smartly written and complex storyline. These elements have, however, seldom been studied systematically from a psychiatric point of view. In the current paper, we propose a systematic review of the series and of the medical literature concerning the psychiatric semiology and phenomenology found in the work of Hergé. The search terms used in the Pubmed database were “Tintin”, “medicine”, “medical”, “health”, “mental”, and “psychiatry”. Upon reading the integrality of the twenty-four albums, the most recurrent themes found were delusions and psychosis, personality disorders, and alcohol and other psychoactive substance use disorders. We then conduct a chronological analysis of the evolution of the representations of asylums and psychiatric hospitals, psychiatrists and the “mad man” throughout the albums. Finally, we present the psychoanalysis of the “Adventures of Tintin”, as developed by the psychiatrist and psychoanalyst Serge Tisseron, who, upon reading Hergé’s work, suspected the existence of a family secret that the author might have concealed in his albums.

In recent years, technological advancements have led to significant transformations in relational dynamics, particularly regarding surveillance mechanisms and abuse within marital relationships. These technological developments have simplified and expanded the possibilities of control in marital relationships, giving rise to the emergence of new forms of coercion, notably cyber sexual violence. In this interview with Jean-Pierre Bouchard, Alexandre Gauthier, Andréanne Lapierre, Tamsin Higgs, and Marina Sorochinski explore this new form of coercion by addressing its definition, scope, motivations, and characteristics of the perpetrators of such violence, the consequences of this form of violence on victims, as well as the legal aspects surrounding these acts. The researchers conclude by proposing some preventive measures that may reduce the frequency of cyber sexual violence within intimate relationships and protect victims.

Objectives

Assessing of Impact of Event, depression, anxiety and stress levels in the Senegalese general population during the COVID19 pandemic and identifying associated factors.

Methods

Socio-demographic data, psychological impact of the pandemic, and mental health status of participants were collected using an online questionnaire administered to the general population of Senegal between April 1st and April 30th 2021. Psychological impact and mental health status were assessed, respectively, by the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale 21 (DASS21). The data were analyzed by Jamovi software, version 1.6.23. Logistic regression in univariate and multivariate analyses were used to determine statistically significant associations with a significance level of P < 0.05.

Results

We enrolled 447 respondents with 19% reporting a moderate to severe psychological impact of the outbreak. Respectively 13.4%, 5.1% and 15.2% had moderate to extremely severe symptoms of depression, anxiety and stress. Statistically significant associations with higher odds of severe levels of psychological impact of the event, depression, anxiety, and stress were represented by five characteristics: Living in Dakar, no formal education, a personal medical chronic disease, a close family member with a chronic medical disease and poor to very poor self-reported health status.

Conclusion

This study determined the prevalence of post-traumatic stress disorder, depression, anxiety, and stress in the Senegalese general population during the COVID19 pandemic. Our study assessed the prevalence of post-traumatic stress disorder, depression, anxiety, and stress in the general population of Senegal during the COVID pandemic19. It confirms that the pandemic has truly an impact on the mental health of the Senegalese population. This impact is strongly influenced by geographic area and level of education.

We will try to identify what lies behind the creation of two artists, born in two northern countries, Fiodor Dostoyevsky (1821–1881) in Russia, and Anna-Eva Bergman (1909–1987) in Norway. Among their works, we will focus on The Brothers Karamazov, a work that summarizes all the questions of its author, and on the evolution of Bergman's paintings. They each appeal to an instinctual desire to create a library of memories, written for one, painted for the other. What underpins this instinctual desire? We hypothesize that this is the form that their pleasure takes. This enjoyment is developed differently in their work, circumscribed in a character for Dostoyevsky, diffused in Bergman's paintings. It appears gendered in the product of their creation but not in their creative process. These are the hypotheses applied in this article.

EMI-ECO is a mobile team working with children under the age of 12 entrusted to the Children's Social Welfare Agency (Aide Sociale à l’Enfance). Its aim is to identify and assess developmental or mental disorders, organize care for these children and work in partnership with all the teams caring for these youngsters (Child Welfare Agency, Maternal and Child Protection, Centre médico-psychologique/Centre médico-psycho pédagogique). Intervention takes place across a geographical area corresponding to the intersectors of the two hospitals that created the team (AP–HM and CHS Valvert), i.e. the south and east of Marseille, La Ciotat, Aubagne and Cassis. This territory was defined to be coherent and to enable more effective interventions. In this work, we present the implementation and initial results of an innovative system, namely a mobile team working as close as possible to the living environment and ecosystem of children entrusted to the child welfare system. We will also illustrate our remarks with two clinical cases of children cared for by our unit. Caring for these children involves a real investment on the part of the professional and a major partnership effort. We hope that the presentation of our system will enable other teams to adopt it and adapt it to the particularities of their field of intervention.

Objectives

Our study aimed to assess anxiety, depression, and post-traumatic stress disorder in post coronavirus disease 2019 (COVID-19) and identify associated factors.

Patients and methods

Our study is a descriptive and analytical cross-sectional study carried out during the period from March 1 to May 15th 2021 on patients who were hospitalized and discharged from the COVID-19 unit in the pneumology department at the Hédi Chaker hospital in Sfax (Tunisia). Patients who met all of the following criteria were included: aged 18 and over; having a diagnosis of COVID-19 by polymerase chain reaction (PCR) and/or by CT scan; monitored at the COVID-19 unit and who their clinical conditions did not require intensive care; survivors after 3 months of discharge; and having given their informed and informal consent to participate in the study.

Results

Our study included 154 patients. The prevalence of anxiety, depression and post-traumatic stress disorder was 24.7%, 11% and 13.6% respectively. We found an association between depression and female gender (P = 0.025), gastrointestinal involvement (P = 0.002) and stigma (P = 0.002). We found an association between anxiety and grade level (P = 0.034), and between anxiety and asthenia (P = 0.032).

Conclusions

Anxiety, depression, and post-traumatic stress disorder were independent of the majority of disease characteristics including the severity of COVID-19.