Pub Date : 2025-05-01DOI: 10.1016/j.amp.2025.03.013
Josué Masson , Karine Mintoff , Émilie Philippe , Mélanie Hermand , Jean-Pierre Bouchard
Assize court jurors, as lay citizens in the judicial system, are exposed to intense stress due to their participation in criminal trials. Given this specific context, the Emergency Medical-Psychological Unit of the Marne (CUMP 51) has implemented an innovative support system aimed at preventing and addressing potential psychopathological reactions. This article describes the foundations, structure, and clinical evaluation of this three-component system: a preventive and psychoeducational intervention, immediate psychological support in the form of debriefing, and post-immediate follow-up for jurors presenting with persistent symptoms. Clinical observations confirm the psychological impact of the juror's role and highlight the relevance of such a support system, while also identifying areas for improvement.
In this interview with Jean-Pierre Bouchard, Josué Masson, Karine Mintoff, Émilie Philippe, and Mélanie Hermand discuss the development and implementation of the support psychological system for assize court jurors, its perception by jurors, and its future perspectives. They present the system, its benefits, limitations, and the challenges they have encountered throughout their experience.
{"title":"Dispositif de soutien psychologique aux jurés d’assises","authors":"Josué Masson , Karine Mintoff , Émilie Philippe , Mélanie Hermand , Jean-Pierre Bouchard","doi":"10.1016/j.amp.2025.03.013","DOIUrl":"10.1016/j.amp.2025.03.013","url":null,"abstract":"<div><div>Assize court jurors, as lay citizens in the judicial system, are exposed to intense stress due to their participation in criminal trials. Given this specific context, the Emergency Medical-Psychological Unit of the Marne (CUMP 51) has implemented an innovative support system aimed at preventing and addressing potential psychopathological reactions. This article describes the foundations, structure, and clinical evaluation of this three-component system: a preventive and psychoeducational intervention, immediate psychological support in the form of debriefing, and post-immediate follow-up for jurors presenting with persistent symptoms. Clinical observations confirm the psychological impact of the juror's role and highlight the relevance of such a support system, while also identifying areas for improvement.</div><div>In this interview with Jean-Pierre Bouchard, Josué Masson, Karine Mintoff, Émilie Philippe, and Mélanie Hermand discuss the development and implementation of the support psychological system for assize court jurors, its perception by jurors, and its future perspectives. They present the system, its benefits, limitations, and the challenges they have encountered throughout their experience.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 563-568"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117012","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 : 2025-05-01DOI: 10.1016/j.amp.2025.03.001
Arthur Becquignon , Zeev Maoz , Jean-Luc Sudres
<div><h3>Background</h3><div>The literature and clinical practice in the field demonstrate that conventional evaluations of psychotherapy fluctuate between restricting psychotherapeutic efficacy to changes in symptomatology/quality of life and pointing out the absence of major differences between the various approaches. Clinical practice indicates that it is patients’ expectations that define the effectiveness of psychotherapies. All this raises yet another question about the effectiveness of psychotherapy, which needs to be explored in a new way: an examination of the unexpected effects (i.e. therapeutic experiences that surprise patients’ expectations). 2. <em>An attempt to define the “psychotherapeutically unexpected”.–</em>Current international scientific terminology has not yet reached a consensus, and terms such as adverse effects or events, negative effects, risks, or side effects can be found in the literature. This results in confusion, pejorative representations of therapeutic effects, and serves as an impediment in research. The unexpected effects (UEs) of psychotherapy are those effects that exceed or differ from patients’ expectations and desires regarding their psychotherapeutic care. They can be beneficial or harmful and are rarely considered or explored in the field or in research. Exploring the unexpected effects of psychotherapeutic care enables us to study the full scope, consequences and impact of psychotherapy on the individual in their ecological context. 3. <em>An original and prototypical study of unexpected effects in hypnotherapy.</em></div></div><div><h3>Aims</h3><div>To identify the frequency and scope of UEs, develop a typology of UEs, identify UE recurrences, and assess the prevalence of beneficial UEs. The study population: 164 subjects (92 women, 72 men, mean age 40) who had received hypnotherapy.</div></div><div><h3>Tool and procedure</h3><div>A Dimensional Exploration of Hypnotherapeutic Unexpected Effects Questionnaire (DEHUEQ) that evaluates patients’ experiences of treatment and the UEs experienced (naming, categorization, dimensionalities). The questionnaires were collected via social networks.</div></div><div><h3>Results</h3><div>Sixty-four people reported UEs (39% of the population), and they identified an average of two each, occurring in the hours following their last hypnotherapy session, and that exerted a strong impact on daily life and lasted for from several months to years. Hypnotherapy UEs fall into three main categories: emotional (calmness, emotional sensitivity), self-image (self-confidence, letting go) and outlook on life (hope, ability to put things into perspective). The UEs reported were interpreted as beneficial (75.4%).</div></div><div><h3>Discussion</h3><div>It would seem necessary to inform subjects and therapists, families and institutions about the place for and impact of UEs in hypnotherapy. Going beyond the initial therapeutic objectives represents a paradigm shift.</div></div><div><
{"title":"Les effets inattendus des psychothérapies : de notions en concepts et applications. Une approche exploratoire par l’hypnothérapie","authors":"Arthur Becquignon , Zeev Maoz , Jean-Luc Sudres","doi":"10.1016/j.amp.2025.03.001","DOIUrl":"10.1016/j.amp.2025.03.001","url":null,"abstract":"<div><h3>Background</h3><div>The literature and clinical practice in the field demonstrate that conventional evaluations of psychotherapy fluctuate between restricting psychotherapeutic efficacy to changes in symptomatology/quality of life and pointing out the absence of major differences between the various approaches. Clinical practice indicates that it is patients’ expectations that define the effectiveness of psychotherapies. All this raises yet another question about the effectiveness of psychotherapy, which needs to be explored in a new way: an examination of the unexpected effects (i.e. therapeutic experiences that surprise patients’ expectations). 2. <em>An attempt to define the “psychotherapeutically unexpected”.–</em>Current international scientific terminology has not yet reached a consensus, and terms such as adverse effects or events, negative effects, risks, or side effects can be found in the literature. This results in confusion, pejorative representations of therapeutic effects, and serves as an impediment in research. The unexpected effects (UEs) of psychotherapy are those effects that exceed or differ from patients’ expectations and desires regarding their psychotherapeutic care. They can be beneficial or harmful and are rarely considered or explored in the field or in research. Exploring the unexpected effects of psychotherapeutic care enables us to study the full scope, consequences and impact of psychotherapy on the individual in their ecological context. 3. <em>An original and prototypical study of unexpected effects in hypnotherapy.</em></div></div><div><h3>Aims</h3><div>To identify the frequency and scope of UEs, develop a typology of UEs, identify UE recurrences, and assess the prevalence of beneficial UEs. The study population: 164 subjects (92 women, 72 men, mean age 40) who had received hypnotherapy.</div></div><div><h3>Tool and procedure</h3><div>A Dimensional Exploration of Hypnotherapeutic Unexpected Effects Questionnaire (DEHUEQ) that evaluates patients’ experiences of treatment and the UEs experienced (naming, categorization, dimensionalities). The questionnaires were collected via social networks.</div></div><div><h3>Results</h3><div>Sixty-four people reported UEs (39% of the population), and they identified an average of two each, occurring in the hours following their last hypnotherapy session, and that exerted a strong impact on daily life and lasted for from several months to years. Hypnotherapy UEs fall into three main categories: emotional (calmness, emotional sensitivity), self-image (self-confidence, letting go) and outlook on life (hope, ability to put things into perspective). The UEs reported were interpreted as beneficial (75.4%).</div></div><div><h3>Discussion</h3><div>It would seem necessary to inform subjects and therapists, families and institutions about the place for and impact of UEs in hypnotherapy. Going beyond the initial therapeutic objectives represents a paradigm shift.</div></div><div><","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 532-537"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117013","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 : 2025-05-01DOI: 10.1016/j.amp.2023.04.018
Jack René Foucher , Clément de Crespin de Billy , Benoît Schorr , Ludovic C. Dormegny-Jeanjean , Olivier Mainberger , Ilia Humbert , Julie M.E. Clauss-Kobayashi , Julien Elowe , Sébastien Weibel , Amaury Mengin , Arnaud Ledoux , Nelly Doligez , Efflam Bregeon , Fabrice Berna
While the correlation between the phenotype of periodic catatonia and two biomarkers, one genetic and the other brain imaging, has attracted the attention of international psychiatry, there has been little clinical or etiopathological research on this phenotype. The main reason is probably that this phenotype described by the Wernicke-Kleist-Leonhard (WKL) school has been defined in a paradigmatic framework so far removed from that of the ICD or DSM, and that even its name is problematic. Here, ‘periodic catatonia’ has nothing to do with a simple recurrence of relapsing-remitting ICD-catatonia. Hence, we will refer to it as ‘periodic catatonia by progressive access’ (PCPA) to distinguish it from remitting forms. In PCPA, catatonic manifestations are often inconspicuous, and more than half of the patients advance in a step-like progression towards a kind of disabling ‘deficit schizophrenia’. Preliminary results indicate that this symptomatology, which is usually resistant to psychopharmacological treatments, could respond to a personalized neuromodulation treatment specific to PCPA. This is what a national study seeks to confirm in France. In this context, this two-part article aims to make those psychiatrists who have been trained in ICD/DSM psychopathology aware of PCPA and to enable them to diagnose it correctly. The objective of this article is therefore twofold. In the first part, it seems essential to present the problem. PCPA is a product of systems neuropsychiatry, whose diagnostic approach is at odds with the atheoretical and polythetic approach of the international classifications. This first part is intended to present an idea of the diagnostic procedure and to stress the impossibility of diagnosing ‘periodic catatonia’ without reference to its conceptual framework. This is emphasized by changing the name: PCPA is not periodic catatonia, but an operationalization of the original concept. PCPA is intended to be sharable without recourse to a theoretical corpus which is not universally accepted. Therefore, we will describe PCPA using ICD-11 terminology to present an overall picture of the symptomatology and to introduce the elements on which it will be possible to rely when performing the probabilistic diagnosis that will be presented in part II.
{"title":"La catatonie progressive par accès périodiques ou « catatonie périodique » de Karl Leonhard. 1er partie. Description du phénotype et diagnostic neuropsychiatrique","authors":"Jack René Foucher , Clément de Crespin de Billy , Benoît Schorr , Ludovic C. Dormegny-Jeanjean , Olivier Mainberger , Ilia Humbert , Julie M.E. Clauss-Kobayashi , Julien Elowe , Sébastien Weibel , Amaury Mengin , Arnaud Ledoux , Nelly Doligez , Efflam Bregeon , Fabrice Berna","doi":"10.1016/j.amp.2023.04.018","DOIUrl":"10.1016/j.amp.2023.04.018","url":null,"abstract":"<div><div>While the correlation between the phenotype of periodic catatonia and two biomarkers, one genetic and the other brain imaging, has attracted the attention of international psychiatry, there has been little clinical or etiopathological research on this phenotype. The main reason is probably that this phenotype described by the Wernicke-Kleist-Leonhard (WKL) school has been defined in a paradigmatic framework so far removed from that of the ICD or DSM, and that even its name is problematic. Here, ‘periodic catatonia’ has nothing to do with a simple recurrence of relapsing-remitting ICD-catatonia. Hence, we will refer to it as ‘periodic catatonia by progressive access’ (PCPA) to distinguish it from remitting forms. In PCPA, catatonic manifestations are often inconspicuous, and more than half of the patients advance in a step-like progression towards a kind of disabling ‘deficit schizophrenia’. Preliminary results indicate that this symptomatology, which is usually resistant to psychopharmacological treatments, could respond to a personalized neuromodulation treatment specific to PCPA. This is what a national study seeks to confirm in France. In this context, this two-part article aims to make those psychiatrists who have been trained in ICD/DSM psychopathology aware of PCPA and to enable them to diagnose it correctly. The objective of this article is therefore twofold. In the first part, it seems essential to present the problem. PCPA is a product of systems neuropsychiatry, whose diagnostic approach is at odds with the atheoretical and polythetic approach of the international classifications. This first part is intended to present an idea of the diagnostic procedure and to stress the impossibility of diagnosing ‘periodic catatonia’ without reference to its conceptual framework. This is emphasized by changing the name: PCPA is not periodic catatonia, but an operationalization of the original concept. PCPA is intended to be sharable without recourse to a theoretical corpus which is not universally accepted. Therefore, we will describe PCPA using ICD-11 terminology to present an overall picture of the symptomatology and to introduce the elements on which it will be possible to rely when performing the probabilistic diagnosis that will be presented in part II.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 538-551"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117014","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 : 2025-05-01DOI: 10.1016/j.amp.2025.02.014
Emmanuel Drouin , Gilles Fenelon , Marion Hendrickx
Purpose
Discussing Marian apparitions in the light of current knowledge in neuroscience is a challenge: the testimonies are often old and indirect, and the “visionaries” could not be questioned or even examined according to current neurological or psychiatric standards.
Methods
In doing so, we are not unaware of the heterogeneity of seers and the facts they reported: there is not necessarily a single hypothesis. In 1947, four young children reported that they had seen the Virgin in the St Gilles Church in the Loire Valley in France, on Ile Bouchard. These appearances will be discussed here in the light of current knowledge in both neuropsychiatry and sociology.
Findings
Our interpretation calls on two non-exclusive “mechanisms”: on the one hand, mental imagery, which we know can be unconscious and is modulated or generated by frontal “top-down” mechanisms; on the other hand, the sociological consideration of events, using the concept of enchantment.
Conclusion
It is quite possible that Jacqueline, the leader of the group, impregnated by the dogma of the Immaculate Conception and the apparitions in Lourdes, was duped and a victim: she was not aware of the work of her mind, nor of the particular framework in which this experience took place. Her mind was both active because it produced the phenomenon but also passive because she was not aware of her cooperation in its production.
{"title":"Marian apparitions: A multidisciplinary approach. The case of Ile Bouchard","authors":"Emmanuel Drouin , Gilles Fenelon , Marion Hendrickx","doi":"10.1016/j.amp.2025.02.014","DOIUrl":"10.1016/j.amp.2025.02.014","url":null,"abstract":"<div><h3>Purpose</h3><div>Discussing Marian apparitions in the light of current knowledge in neuroscience is a challenge: the testimonies are often old and indirect, and the “visionaries” could not be questioned or even examined according to current neurological or psychiatric standards.</div></div><div><h3>Methods</h3><div>In doing so, we are not unaware of the heterogeneity of seers and the facts they reported: there is not necessarily a single hypothesis. In 1947, four young children reported that they had seen the Virgin in the St Gilles Church in the Loire Valley in France, on Ile Bouchard. These appearances will be discussed here in the light of current knowledge in both neuropsychiatry and sociology.</div></div><div><h3>Findings</h3><div>Our interpretation calls on two non-exclusive “mechanisms”: on the one hand, mental imagery, which we know can be unconscious and is modulated or generated by frontal “top-down” mechanisms; on the other hand, the sociological consideration of events, using the concept of enchantment.</div></div><div><h3>Conclusion</h3><div>It is quite possible that Jacqueline, the leader of the group, impregnated by the dogma of the Immaculate Conception and the apparitions in Lourdes, was duped and a victim: she was not aware of the work of her mind, nor of the particular framework in which this experience took place. Her mind was both active because it produced the phenomenon but also passive because she was not aware of her cooperation in its production.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 569-576"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115610","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 : 2025-05-01DOI: 10.1016/j.amp.2024.01.001
Barbara Smaniotto, Marion Mauran-Mignorat, Tamara Guénoun
Background
This article is the result of an innovative research project in France: DEFIParent – Intellectual Disability and Parenthood; alternative support services for adults. It is a qualitative study in psychology and the social sciences. This research focuses on the parenting desires of adults with intellectual disabilities living in care homes in France. While every individual, no matter their intellectual disability, should be able to choose for themselves, the desire to become a parent seems to be marginalized within this population. The objectives of the research project were: 1. To understand the desires of people with intellectual disabilities living in medical-social establishments concerning their emotional and sexual life and their desire for children, as well as their need for support in this area; 2. To identify the representations of those working with these individuals regarding their emotional and sexual lives, and their desire for parenthood; 3. To develop specific training courses for professionals and alternative approaches to supporting users’ affective and sexual lives and plans for parenthood.
Objective
This article concerns the second research focus: it explores the representations of families and professionals concerning the amorous, sexual, conjugal and parental desires of people with intellectual disabilities residing in medico-social care homes. The principle objective of this study is to evaluate the support offered by the support network available to residents of care establishments. How do they adapt their accompaniment to the diversity of the situations they encounter? Do they accept and respect the possibility of a reasoned choice on the part of the residents?
Method
Two distinct approaches were used: interviews to determine life history were carried out with seven family caregivers (a parent or sister). Then, two focus groups using an analysis of photo-expressions was conducted with professionals working in care homes. Both were analyzed with a narrative analysis method.
Result
The main observations from the interviews with the families were that they were quite surprised to be asked to talk about their child's or brother's emotional life and desires, especially sexual desires. In their view, their now-adult child or brother has no such desires, especially when it comes to the desire to have a child. For example, the families we met had never discussed the desire for a child with their now-adult children. Similarly, the desire to live as a couple or get married is sometimes acknowledged, but quickly brushed aside. The families reported that they have sometimes had to explain to their child that he or she could not marry, notably because of his or her lack of autonomy. On the whole, they perceived their now-adult child as asexual. They were more concerned about the possibility of some sort of sexual aggression
{"title":"Désirs et représentations des désirs des personnes avec déficience intellectuelle","authors":"Barbara Smaniotto, Marion Mauran-Mignorat, Tamara Guénoun","doi":"10.1016/j.amp.2024.01.001","DOIUrl":"10.1016/j.amp.2024.01.001","url":null,"abstract":"<div><h3>Background</h3><div>This article is the result of an innovative research project in France: DEFIParent – Intellectual Disability and Parenthood; alternative support services for adults. It is a qualitative study in psychology and the social sciences. This research focuses on the parenting desires of adults with intellectual disabilities living in care homes in France. While every individual, no matter their intellectual disability, should be able to choose for themselves, the desire to become a parent seems to be marginalized within this population. The objectives of the research project were: 1. To understand the desires of people with intellectual disabilities living in medical-social establishments concerning their emotional and sexual life and their desire for children, as well as their need for support in this area; 2. To identify the representations of those working with these individuals regarding their emotional and sexual lives, and their desire for parenthood; 3. To develop specific training courses for professionals and alternative approaches to supporting users’ affective and sexual lives and plans for parenthood.</div></div><div><h3>Objective</h3><div>This article concerns the second research focus: it explores the representations of families and professionals concerning the amorous, sexual, conjugal and parental desires of people with intellectual disabilities residing in medico-social care homes. The principle objective of this study is to evaluate the support offered by the support network available to residents of care establishments. How do they adapt their accompaniment to the diversity of the situations they encounter? Do they accept and respect the possibility of a reasoned choice on the part of the residents?</div></div><div><h3>Method</h3><div>Two distinct approaches were used: interviews to determine life history were carried out with seven family caregivers (a parent or sister). Then, two focus groups using an analysis of photo-expressions was conducted with professionals working in care homes. Both were analyzed with a narrative analysis method.</div></div><div><h3>Result</h3><div>The main observations from the interviews with the families were that they were quite surprised to be asked to talk about their child's or brother's emotional life and desires, especially sexual desires. In their view, their now-adult child or brother has no such desires, especially when it comes to the desire to have a child. For example, the families we met had never discussed the desire for a child with their now-adult children. Similarly, the desire to live as a couple or get married is sometimes acknowledged, but quickly brushed aside. The families reported that they have sometimes had to explain to their child that he or she could not marry, notably because of his or her lack of autonomy. On the whole, they perceived their now-adult child as asexual. They were more concerned about the possibility of some sort of sexual aggression","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 473-480"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872547","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}
Our study aimed to describe profiles of female victims of domestic violence and their aggressors.
Methods
Our study was a descriptive cross-sectional study, carried out during the period from April 2021 to January 2022, among women victims of domestic violence who consulted the psychiatric emergency room of the Hedi Chaker university hospital in Sfax (Tunisia) in the context of a medical expertise following domestic violence.
Results
Our study included 122 women with an average age of 35.66 years. The majority of them had a secondary (44.3%) or university (31.1%) educational level. They suffered from a psychiatric illness in 25.4% of cases, and 4.9% had a history of suicide attempts. The average age of the aggressors was 41.68 years. Alcohol consumption was found in 54.1% of them. Cannabis use was found in 20.5% of spouses. Cocaine use was noted in 0.8%, as well as for ecstasy. Among them, 28.7% had forensic history. The majority of the children of the women surveyed (89.4%, n = 93) had witnessed violence; 39.4% (n = 41) of whom had been beaten with their mothers.
Conclusion
There is no a typical profile of woman who may be victim of domestic violence, nor a typical portrait of husband who may behave violently towards their partner, notably because of the great diversity of the phenomenon of domestic violence and the underlying factors.
{"title":"Profil global de la femme tunisienne victime de violence conjugale et de son agresseur","authors":"Rabeb Jbir, Lobna Aribi, Mariem Turki, Neila Messeddi, Imen Chaari, Fadwa Charfeddine, Jihen Aloulou","doi":"10.1016/j.amp.2024.08.019","DOIUrl":"10.1016/j.amp.2024.08.019","url":null,"abstract":"<div><h3>Objectives</h3><div>Our study aimed to describe profiles of female victims of domestic violence and their aggressors.</div></div><div><h3>Methods</h3><div>Our study was a descriptive cross-sectional study, carried out during the period from April 2021 to January 2022, among women victims of domestic violence who consulted the psychiatric emergency room of the Hedi Chaker university hospital in Sfax (Tunisia) in the context of a medical expertise following domestic violence.</div></div><div><h3>Results</h3><div>Our study included 122 women with an average age of 35.66 years. The majority of them had a secondary (44.3%) or university (31.1%) educational level. They suffered from a psychiatric illness in 25.4% of cases, and 4.9% had a history of suicide attempts. The average age of the aggressors was 41.68 years. Alcohol consumption was found in 54.1% of them. Cannabis use was found in 20.5% of spouses. Cocaine use was noted in 0.8%, as well as for ecstasy. Among them, 28.7% had forensic history. The majority of the children of the women surveyed (89.4%, <em>n</em> <!-->=<!--> <!-->93) had witnessed violence; 39.4% (<em>n</em> <!-->=<!--> <!-->41) of whom had been beaten with their mothers.</div></div><div><h3>Conclusion</h3><div>There is no a typical profile of woman who may be victim of domestic violence, nor a typical portrait of husband who may behave violently towards their partner, notably because of the great diversity of the phenomenon of domestic violence and the underlying factors.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 502-508"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115651","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 : 2025-05-01DOI: 10.1016/j.amp.2023.03.017
Jack René Foucher , Benoît Schorr , Clément de Billy , Ludovic C. Dormegny-Jeanjean , Olivier Mainberger , Ilia Humbert , Julie M.E. Clauss-Kobayashi , Julien Elowe , Sébastien Weibel , Amaury Mengin , Arnaud Ledoux , Nelly Doligez , Efflam Bregeon , Nicolas Meyer , Fabrice Berna
In this second part of the study, we propose an implementation of Karl Leonhard's phenotype of periodic catatonia for ICD-10/11-trained psychiatrists. If the goal is to identify the same subgroup of patients within the schizophrenia spectrum disorders (SSD), we will refer to it as “progressive periodic catatonia” or PPC to emphasize the difference with the classical diagnostic procedure which only makes sense in the context of systems neuropsychiatry. This attempt differs from the previous ones in that we use criteria accessible to practitioners trained in ICD-10/11 and by the replacement of the Boolean polythetic logic by a more integrative Bayesian logic. The principle is simple and consists of using the characteristics whose probability of occurrence is conditioned by the PPC vs non-PPC diagnosis (nPPC). If neither of them is discriminating in isolation, the combination of their likelihood ratios allows us, from a determined prevalence of PPC, to estimate an a posteriori probability of diagnosis. The procedure, named “Bayes-PPC”, requires the evaluation of nine criteria: two concern the evolutionary course, six the residual syndrome (two psychomotor distortions, two negative symptoms, and the absence of two positive symptoms), and the family aggregation. A feasibility study was conducted on 38 PPC and 21 nPPC individuals. Starting from the SSD populations or restricting to SSD with deficit schizophrenia (80% of the population), Bayes-PPC allows for a correct classification of 69 and 67% of the patients respectively. For a posteriori probability higher than 95%, the sensitivity for PPC is 82 and 77% respectively, and the specificity is 100% in all cases. For a posteriori probability less than 5%, the sensitivity for nPPC is 48 and 47% respectively and the specificity is 100% in both cases. These results are encouraging and must now be confirmed in a study involving a larger population and by researchers not trained in the neuropsychiatric diagnostic procedure. They nevertheless suggest the possibility of allowing these same untrained psychiatrists to study the PPC phenotype.
{"title":"La catatonie progressive par accès périodiques ou « catatonie périodique » de Karl Leonhard 2e partie. Diagnostic probabiliste par Bayes-CPAP, opérationnalisation et preuve de concept","authors":"Jack René Foucher , Benoît Schorr , Clément de Billy , Ludovic C. Dormegny-Jeanjean , Olivier Mainberger , Ilia Humbert , Julie M.E. Clauss-Kobayashi , Julien Elowe , Sébastien Weibel , Amaury Mengin , Arnaud Ledoux , Nelly Doligez , Efflam Bregeon , Nicolas Meyer , Fabrice Berna","doi":"10.1016/j.amp.2023.03.017","DOIUrl":"10.1016/j.amp.2023.03.017","url":null,"abstract":"<div><div>In this second part of the study, we propose an implementation of Karl Leonhard's phenotype of periodic catatonia for ICD-10/11-trained psychiatrists. If the goal is to identify the same subgroup of patients within the schizophrenia spectrum disorders (SSD), we will refer to it as “progressive periodic catatonia” or PPC to emphasize the difference with the classical diagnostic procedure which only makes sense in the context of systems neuropsychiatry. This attempt differs from the previous ones in that we use criteria accessible to practitioners trained in ICD-10/11 and by the replacement of the Boolean polythetic logic by a more integrative Bayesian logic. The principle is simple and consists of using the characteristics whose probability of occurrence is conditioned by the PPC <em>vs</em> non-PPC diagnosis (nPPC). If neither of them is discriminating in isolation, the combination of their likelihood ratios allows us, from a determined prevalence of PPC, to estimate an <em>a posteriori</em> probability of diagnosis. The procedure, named “<em>Bayes-PPC</em>”, requires the evaluation of nine criteria: two concern the evolutionary course, six the residual syndrome (two psychomotor distortions, two negative symptoms, and the absence of two positive symptoms), and the family aggregation. A feasibility study was conducted on 38 PPC and 21 nPPC individuals. Starting from the SSD populations or restricting to SSD with deficit schizophrenia (80% of the population), <em>Bayes-PPC</em> allows for a correct classification of 69 and 67% of the patients respectively. For <em>a posteriori</em> probability higher than 95%, the sensitivity for PPC is 82 and 77% respectively, and the specificity is 100% in all cases. For <em>a posteriori</em> probability less than 5%, the sensitivity for nPPC is 48 and 47% respectively and the specificity is 100% in both cases. These results are encouraging and must now be confirmed in a study involving a larger population and by researchers not trained in the neuropsychiatric diagnostic procedure. They nevertheless suggest the possibility of allowing these same untrained psychiatrists to study the PPC phenotype.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 552-562"},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117015","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 : 2025-04-01DOI: 10.1016/j.amp.2024.10.008
Joëlle Skriabine
Van Gogh's letters to his brother Theo written in august 1872, he was 19 years old, until his death, testify to the detours he took before devoting to painting. Not to give up, to enter posterity, to offer to the eyes his paintings, to transmit, this is what arms, barricades his morale. Hence, the idea of bringing another look on Vincent Van Gogh described cursed, crazy, suicidal.
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