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Analyse comparative de la stigmatisation de la schizophrénie chez deux publics de professionnels 两类专业人员对精神分裂症污名化的比较分析
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-11-01 DOI: 10.1016/j.amp.2024.09.008
Annette Burguet , Frédérique Girard , Emmanuel Gallet
<div><h3>Objectives</h3><div>The aim of this study is dual. On the one hand, it aims to compare two groups of professionals working with individuals with schizophrenia in different settings: psychiatric services and social services, in order to examine the stigma of schizophrenia across various indicators. On the other hand, it also seeks to compare explicit measures of stigmatization with more implicit ones. Explicit indicators of stigma were used, such as the scale of discrimination and social distance, as well as stereotypical traits attributed to these individuals. According to the stereotype content model, individuals or groups can be categorized along two dimensions: warmth and competence. Warmth refers to interpersonal intentions and social or moral qualities, while competence concerns individuals’ motivations or abilities to achieve their goals. An indicator of infrahumanization was also employed to measure the implicit stigma of these disorders. The theory of infrahumanization distinguishes between primary and secondary emotions, the latter being specific to humans, and posits that people tend to perceive outgroup members as less human than ingroup members. For example, people attribute fewer specifically human positive or negative emotions to members of certain outgroups compared to ingroup members.</div></div><div><h3>Methods</h3><div>We recruited 91 professionals (nurses, physicians/psychiatrists, social workers, and psychologists) from two types of facilities: psychiatric services and social services, who were randomly asked to complete an online questionnaire on schizophrenia. We used four scales of stigma measuring discrimination and social distance, stereotypes (warmth and competence), and infrahumanization. Sociodemographic variables as well as social dominance orientation were also tested. Social dominance orientation is a concept that refers to an individual's preference for hierarchy in social relations, where certain groups dominate others, and the belief that such inequalities should be maintained and justified. It leads to the adoption of beliefs that legitimize and perpetuate discrimination against people with schizophrenia.</div></div><div><h3>Results</h3><div>First, the descriptive analyses show an overall score for individuals working with people suffering from mental disorders that indicates that individuals with schizophrenia are moderately stigmatized. The competence and warmth scores attributed are also average and suggest that professionals working with people suffering from mental disorders are moderately agree that users with schizophrenia exhibit traits of warmth and competence. On the other hand, the obtained score reveals slight infrahumanization. In other words, participants, regardless of professional context, attributed more specifically human traits to themselves than to individuals with schizophrenia. Furthermore, a significant effect of the type of facility was found for all four discrimination measures.
研究目的本研究具有双重目的。一方面,它旨在比较两组在不同环境下为精神分裂症患者提供服务的专业人员:精神科服务人员和社会服务人员,以考察精神分裂症患者在不同指标上的耻辱感。另一方面,该研究还试图对显性污名化指标和隐性污名化指标进行比较。研究中使用了显性的成见指标,如歧视量表和社会距离,以及对这些人的刻板印象。根据刻板印象内容模型,个人或群体可从两个维度进行分类:温暖和能力。温暖指的是人际交往意图和社会或道德品质,而能力则涉及个人实现目标的动机或能力。此外,还采用了 "非人性化 "指标来衡量这些疾病的隐性耻辱感。非人性化理论区分了初级情感和次级情感,后者是人类特有的情感,并认为人们倾向于认为外群体成员不如内群体成员有人性。例如,与内群体成员相比,人们对某些外群体成员的积极或消极情绪的具体人类化程度较低。方法我们从精神科服务机构和社会服务机构两类机构招募了 91 名专业人士(护士、医生/精神病医生、社会工作者和心理学家),随机要求他们填写一份有关精神分裂症的在线问卷。我们使用了四个成见量表来测量歧视和社会距离、刻板印象(温暖和能力)以及非人性化。此外,我们还测试了社会人口变量以及社会主导取向。社会支配取向是一个概念,指的是个人在社会关系中偏好等级制度,即某些群体支配其他群体,并认为这种不平等应得到维护和合理化。结果首先,描述性分析表明,与精神障碍患者打交道的人的总体得分表明,精神分裂症患者受到中度鄙视。能力和温情的得分也处于平均水平,表明从事精神障碍患者工作的专业人员中度认同精神分裂症患者表现出温情和能力特质。另一方面,所得分数显示出轻微的非人性化。换句话说,无论职业背景如何,受试者都认为自己比精神分裂症患者更具有人性。此外,研究还发现,机构类型对所有四种歧视测量结果都有明显的影响。首先,医院的精神卫生专业人员比社会服务机构的专业人员更歧视精神分裂症患者。此外,他们对在专业安置协会工作的参与者的能力评价明显较低,但对他们的热情评价较高。最后,医院精神卫生专业人员的非人性化得分较高,而其他专业人员的非人性化得分则低得多。最后,歧视度量、温暖度和能力归因是相关的,而非人性化则不相关。社会主导倾向也与歧视和能力相关,但与非人化和温暖无关。这项研究的结果表明,使用不同的指标来衡量与精神障碍相关的成见是有价值的。非人性化的微妙测量方法为心理健康领域的研究开辟了新的途径。
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引用次数: 0
La colère : définition et concepts 愤怒:定义和概念
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2024.03.010
<div><div>Anger is a universal emotion whose daily experience varies in frequency, intensity and duration among individuals. Multiple emotional terms such as “frustrated” or “furious” can characterize it and nuance its experience. It thus encompasses a number of cognitive and behavioral manifestations (directly observable or not), and internal modifications such as physiological activation. It is also associated with facial expressions. As a subjective experience, its expression is therefore multidimensional. It leads, for example, to action tendencies such as shouting or withdrawing from a situation. The latter can extend to aggressive behavior. Several related terms are used to characterize its different facets, such as hostility, irritability and aggressiveness. These aggressive affects are closely related and sometimes overlap, leading to confusion. Rightly so, they are often correlated and mutually supportive. However, they refer either to a state of mood or an attitude, and are distinct from anger as an emotion. Aggression is also to be distinguished from violent acts, which are characterized by the risk of causing significant harm to others. Impulsivity is also mentioned, but is seen more as a personality trait that seems to correlate with the experience of anger. What's more, it's considered by many to be an aversive emotion. Compared to other emotions such as sadness or fear, however, it is more likely to lead to an active approach. It is also triggered in a variety of situations, notably when the individual feels blocked or frustrated in achieving a goal. The question of injustice and the responsibility of others will also be central. In fact, beliefs and evaluations of situations will play a vital role, whether or not they are conscious. The ruminations that provoke and result from it can also play an important role in regulating it. Finally, many social and cultural aspects influence its expression. Anger is a universal human emotion, regardless of culture. However, certain display rules will influence the emotional response of anger to maintain a certain social framework. In other words, anger plays a part in regulating social behavior within groups. What's more, the literature is homogeneous on the effect of gender, but it is acknowledged that there are differences between men and women in the way anger is displayed. The social context and social desirability play a definite role in distinguishing certain reactions according to the gender of the individuals expressing anger. To our knowledge, to date, no French-language journal has presented the concept of anger, despite the fact that it is an emotion that can have harmful consequences on the quality of life of individuals and in the sphere of relationships. Some authors refer to anger as the “unrecognized” emotion that deserves more attention. The aim of this review is therefore to define the emotion of anger and explore related concepts. However, there are certain limitations to t
愤怒是一种普遍情绪,其日常体验在频率、强度和持续时间上因人而异。多种情绪术语(如 "沮丧 "或 "愤怒")可以描述愤怒的特征,并使其体验更加细微。因此,它包括许多认知和行为表现(可直接观察到或观察不到),以及生理激活等内部变化。它还与面部表情有关。因此,作为一种主观体验,其表现形式是多维的。例如,它会导致大喊大叫或退缩等行动倾向。后者可以扩展为攻击行为。有几个相关的术语用来描述其不同的方面,如敌意、易怒和攻击性。这些攻击性情绪密切相关,有时会相互重叠,导致混淆。当然,它们往往是相互关联、相互支持的。然而,它们要么指一种情绪状态,要么指一种态度,与作为情绪的愤怒是不同的。攻击行为也有别于暴力行为,后者的特点是有可能对他人造成重大伤害。冲动也被提及,但它更多地被视为一种人格特质,似乎与愤怒体验相关。更重要的是,许多人认为愤怒是一种厌恶情绪。然而,与悲伤或恐惧等其他情绪相比,它更有可能导致一种积极的方式。它也会在各种情况下被触发,尤其是当个人在实现目标的过程中感到受阻或沮丧时。不公正和他人责任的问题也是核心问题。事实上,无论是否有意识,信念和对情况的评价都会起到至关重要的作用。由此引发和导致的反思也会在调节过程中发挥重要作用。最后,许多社会和文化因素也会影响愤怒的表达。愤怒是一种普遍的人类情绪,与文化无关。然而,某些显示规则会影响愤怒的情绪反应,以维持一定的社会框架。换句话说,愤怒在调节群体内部的社会行为方面发挥着作用。更重要的是,关于性别影响的文献比较单一,但都承认男女在愤怒的表现方式上存在差异。在根据表达愤怒的个体的性别来区分某些反应时,社会环境和社会期望值起到了一定的作用。据我们所知,尽管愤怒这种情绪会对个人的生活质量和人际关系产生有害影响,但迄今为止,还没有一本法语期刊介绍过愤怒的概念。一些作者认为,愤怒是一种 "未被承认 "的情绪,值得更多关注。因此,本综述旨在定义愤怒情绪并探讨相关概念。然而,本综述也有一定的局限性。事实上,文献强调了愤怒与某些心理疾病之间的密切联系。其他因素,如功能失调的愤怒的后果或可用的评估工具,应进行更深入的研究。
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引用次数: 0
Prévalence des lésions cérébrales dans une population de patients hospitalisés en unité pour malades difficiles : réflexions autour de la prévention et des adaptations thérapeutiques à apporter 疑难病症住院患者的脑损伤患病率:关于预防和治疗调整的思考
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2024.07.005
Bluenn Quillerou , Emmanuel Rete , Jean-Pierre Bouchard
Psychiatric high security care units are French psychiatric institutions caring for patients “presenting such a danger to others that they require adapted intensive therapeutic protocols and special safety measures”. In these units the prevalence of neuropsychiatric complications appears high. To evaluate or even validate this impression, a systematic review of the 34 patients of the unit of Plouguernével was carried out on March 1, 2024. It is shown: that half of the patients suffer from severe psychosis, that a third of these patients have an intellectual deficit. Ten patients have acquired neurological symptoms in their history, more or less serious. In addition, 75 % of them are polydrug addicts. The causes of the neurological damages in these patients are multiple: congenital, perinatal, traumatic, toxic, due to serious abuse, etc. These causes are analyzed here. This analysis allows us to consider preventive actions to be implemented, as well as a possible reorganization of the care of these patients with such heterogeneous profiles.
高度戒备精神病护理病房是法国的精神病治疗机构,其护理对象是 "对他人构成威胁,需要调整强化治疗方案并采取特殊安全措施 "的病人。在这些病房中,神经精神并发症的发病率似乎很高。为了评估甚至验证这种印象,我们于 2024 年 3 月 1 日对普鲁格内维尔疗养院的 34 名病人进行了一次系统回顾。结果表明:半数患者患有严重的精神病,其中三分之一的患者存在智力缺陷。有 10 名患者在病史中或多或少出现过严重的神经症状。此外,其中 75% 的人有多种毒瘾。造成这些患者神经系统损伤的原因是多方面的:先天性的、围产期的、外伤性的、中毒性的、严重虐待造成的等等。本文将对这些原因进行分析。通过分析,我们可以考虑采取预防措施,并对这些具有不同特征的患者的护理工作进行可能的重组。
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引用次数: 0
Les enfants : victimes directes des séparations conjugales conflictuelles 儿童:婚姻冲突的直接受害者
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2024.07.007
Olivier Sorel
Marital separations are rarely a formality, and they often represent a significant break in the development of the children affected and in their life balance. In the best cases, the parents manage to maintain co-parenting and continuity in the children's lifestyle. In the worst cases, the children suffer the full force of the marital separation, which can degenerate. The children are then the direct victims of the parents’ rifts, and may be placed in a position of choice. In this article, we present the necessary safeguards and other precautions to be taken to minimise the consequences of parental separation, and to protect the children as much as possible. In this case, it is vital to respect the child's temporality and respond to his or her needs at the time, which vary throughout the transition process. Scientific studies on child development and attachment theory abound in this respect. Finally, we propose a model of the different types of separation and the impact they can have on the child in terms of victimisation. This conceptualisation offers parents guidance in trying to separate well, or at the very least not to separate under bad conditions, always adopting the child's perspective.
婚姻分居很少是一种形式,它往往意味着受影响子女的成长及其生活平衡的重大中断。在最好的情况下,父母设法维持共同抚养和子女生活方式的连续性。而在最糟糕的情况下,孩子们则要承受婚姻分居的全部痛苦,这种痛苦可能会恶化。这样一来,子女就成了父母裂痕的直接受害者,并可能处于被选择的境地。在本文中,我们将介绍必要的保障措施和其他预防措施,以尽量减少父母分居的后果,并尽可能地保护子女。在这种情况下,至关重要的是要尊重儿童的时间性,并满足其当时的需求,因为在整个过渡过程中,儿童的需求会有所不同。在这方面,有关儿童发展和依恋理论的科学研究比比皆是。最后,我们提出了一个关于不同类型的分离及其可能对儿童造成的伤害的模型。这一概念为父母提供了指导,帮助他们努力做好分离工作,或者至少不要在恶劣的条件下分离,并始终从儿童的角度出发。
{"title":"Les enfants : victimes directes des séparations conjugales conflictuelles","authors":"Olivier Sorel","doi":"10.1016/j.amp.2024.07.007","DOIUrl":"10.1016/j.amp.2024.07.007","url":null,"abstract":"<div><div>Marital separations are rarely a formality, and they often represent a significant break in the development of the children affected and in their life balance. In the best cases, the parents manage to maintain co-parenting and continuity in the children's lifestyle. In the worst cases, the children suffer the full force of the marital separation, which can degenerate. The children are then the direct victims of the parents’ rifts, and may be placed in a position of choice. In this article, we present the necessary safeguards and other precautions to be taken to minimise the consequences of parental separation, and to protect the children as much as possible. In this case, it is vital to respect the child's temporality and respond to his or her needs at the time, which vary throughout the transition process. Scientific studies on child development and attachment theory abound in this respect. Finally, we propose a model of the different types of separation and the impact they can have on the child in terms of victimisation. This conceptualisation offers parents guidance in trying to separate well, or at the very least not to separate under bad conditions, always adopting the child's perspective.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 8","pages":"Pages 735-741"},"PeriodicalIF":0.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417465","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}
引用次数: 0
Adrien Rist (1841–1923), membre de la Société Médico-Psychologique (1881) et fondateur d’une maison de santé privée à Versailles « La Châtaigneraie » (1889) (Partie I) 阿德里安-里斯特(Adrien Rist,1841-1923 年),医学心理学协会成员(1881 年),凡尔赛私人疗养院 "La Châtaigneraie "的创始人(1889 年)(第一部分)
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2023.04.019
Denis Tiberghien
<div><div>Professor Edouard Rist (1871–1956), a former president of the Academy of Medicine (1948), wrote an unpublished text entitled “His Memories”. This text allows us to sketch the portrait of his father: Adrien Rist (1841–1923) and to review the professional career of this alienist doctor who always had a deep sense of loyalty and attachment to France and its culture. Coming from a family of surgeons, his grandfather Jean-Louis Rist (1769–1839) was a surgeon of the Grande-Armée like his uncle Côme Damien Rist (1760–1826) and their father Jean Népomucène Sébastien Rist (1725–1798) was too a surgeon in Wissembourg. It was under the July Monarchy that A. Rist (1841–1923) was born in Strasbourg. Raised in a Protestant family, he enrolled at the Military Health Service School in Strasbourg. He left the school after one year to enroll in the medical school of the same city. However, he finished his medical study in Paris. After his externship, he was accepted as an intern on December 26, 1864. Five years later (1869), he was a doctor of medicine and became the first one to make known in France the psychophysical law of Gustav Théodor Fechner (1801–1887), which bridges the gap between psychology and the exact sciences. Then, he returned to Strasbourg where he opened a medical practice and started to prepare for the aggregation in physics at the University of Göttingen (Germany). He stayed there long enough to fall in love with Emma Cornelia Gess (1848–1928), a native of Württemberg, to whom he married on April 5, 1870. Three months after his marriage, the war with Prussia broke out. During the conflict, his wife gave birth in Strasbourg to a boy named Edouard (1871–1956). Thus, his new family life and the Franco-Prussian war and its outcome deterred him from passing the aggregation. But also, A. Rist chooses to leave Alsace so as not to renounce his French nationality. After a brief stay in Le Havre (Normandy), he decided to expatriate to Switzerland. In order to be able to practice in this country, A. Rist passed the examinations in the canton of Vaud where he provided an important memorandum on the legislation of insane persons. In 1867, the Champ de l’Air Hospital for the insane was transferred to the Bois-de-Cery located near Lausanne where six years later (1873) a new hospital called “Asile de Cery” was inaugurated. Authorized to practice in Switzerland, A. Rist became in 1873 the first doctor-director of the Bois-de-Cery. A few years earlier, the first private psychiatric clinic in Romanisch Switzerland opened: La Métairie. In 1877, he became the director of this establishment located not far from the previous one at about forty kilometers away still on the banks of Lake Geneva. Board of Directors of this private establishment composed of a majority of Geneva bankers was able to receive about forty patients of well-to-do condition who came from all over the world. A. Rist lived there with his family and the organization at La Métairie was bas
爱德华-里斯特教授(1871-1956 年)曾任医学科学院院长(1948 年),他撰写了一篇题为 "他的回忆 "的未公开文章。通过这篇文章,我们可以勾勒出他父亲阿德里安-里斯特(1841-1923 年)的肖像:阿德里安-里斯特(1841-1923 年)的肖像,并回顾了这位始终对法国及其文化怀有深深的忠诚和眷恋之情的外来医生的职业生涯。阿德里安-里斯特出身于外科医生世家,祖父让-路易-里斯特(Jean-Louis Rist,1769-1839 年)和叔父科姆-达米安-里斯特(Côme Damien Rist,1760-1826 年)一样都是大军团的外科医生,他们的父亲让-内波穆塞纳-塞巴斯蒂安-里斯特(Jean Népomucène Sébastien Rist,1725-1798 年)也是威斯堡的一名外科医生。在七月君主制时期,A. 里斯特(1841-1923 年)出生在斯特拉斯堡。他成长于一个新教家庭,后进入斯特拉斯堡军事卫生服务学校学习。一年后,他离开学校,进入同城的医学院学习。不过,他在巴黎完成了医学学业。实习结束后,他于 1864 年 12 月 26 日被录取为实习医生。五年后(1869 年),他成为医学博士,并成为第一个在法国宣传古斯塔夫-泰奥多尔-费希纳(1801-1887 年)的心理物理定律的人。随后,他回到斯特拉斯堡,在那里开了一家诊所,并开始准备在哥廷根大学(德国)攻读物理学。1870 年 4 月 5 日,他与符腾堡人埃玛-科妮莉亚-盖斯(Emma Cornelia Gess,1848-1928 年)结婚。婚后三个月,普鲁士战争爆发。冲突期间,他的妻子在斯特拉斯堡生下了一个男孩,取名爱德华(1871-1956 年)。因此,新的家庭生活和普法战争及其结果都阻碍了他通过考试。此外,为了不放弃法国国籍,A. 里斯特选择离开阿尔萨斯。在勒阿弗尔(诺曼底)短暂停留后,他决定移居瑞士。为了能够在瑞士执业,A. Rist 通过了沃州的考试,并在那里提供了一份关于精神病人立法的重要备忘录。1867年,Champ de l'Air精神病院迁至洛桑附近的Bois-de-Cery,六年后(1873年),一家名为 "Asile de Cery "的新医院落成。1873 年,A. 里斯特获得了在瑞士执业的许可,成为了 Bois-de-Cery 的第一任院长。几年前,罗曼蒂克瑞士第一家私人精神病诊所开业:La Métairie。1877 年,他成为这家诊所的院长,该诊所距离前一家诊所不远,约四十公里,仍然位于日内瓦湖畔。这家私人医院的董事会成员大部分是日内瓦的银行家,可以接待来自世界各地的约 40 名富裕病人。A. 里斯特与家人住在那里,La Métairie 的组织以精神病患者参与医生的家庭生活为基础。里斯特的孩子们(爱德华、查尔斯、伊丽莎白和伊夫)成立了 "儿童协会",旨在为梅泰尔的病人举办音乐会和戏剧表演。此外,他们还在病人离家出走时提供帮助。亚历山大-赫尔岑(Alexandrovitch Herzen,1839-1906 年)曾在洛桑医学院担任生理学教授(1881 年),其父亚历山大-伊万诺维奇-赫尔岑(Alexander Ivanovich Herzen,1812-1870 年)是俄国民粹社会主义之父。赫尔岑的父亲亚历山大-伊万诺维奇-赫尔岑(Alexander Ivanovich Herzen,1812-1870 年)是俄国民粹社会主义之父。然而,与在法国求学的子女分离以及女儿伊丽莎白(Elisabeth)在 17 岁时不幸去世这两个因素促使赫尔岑返回法国。1889 年,A. 里斯特和妻子决定离开拉梅泰。鲁道夫-弗里德里希-费舍林(Rudolf Friedreich Fetscherin,1829-1892 年)接替了他的职位,他曾是伯尔尼瓦尔道(Waldau,1859 年)的助理医师。里斯特搬到了巴黎附近的凡尔赛,并在德穆兰街11号开设了一家疗养院:La Châtaigneraie。
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引用次数: 0
Suivi longitudinal des patients psychiatriques médico-légaux : focus sur les taux de récidive et les scores de risque 法医精神病患者的纵向随访:关注累犯率和风险评分
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2024.02.003
Research concerning the follow-up of forensic patients after their release from a high-security facility into the community is scarce. However, results available indicate that revocation rates are rather high. Our research aimed to answer three aspects based on an analysis of court records of 168 patients discharged from a Belgian secure forensic psychiatric hospital between 2014 and 2018: (1) the revocation and recidivism rates during a 3-year follow-up period; (2) the prevalence and motives for revocations of probationary released; (3) the comparison of scores of the Violence Risk Appraisal Guide-Revised (VRAG-R) between three release measures. To our knowledge, our study is the first to compare violent recidivism risk scores between release types. The mean VRAG-R scores were higher among revoked than conditioned released patients. The latter presented higher mean score than definitively released patients. The overall results are congruent with the “good practice” of the risk principle, hence supporting the importance of basing release decisions on risk assessment principles such as the VRAG-R in a longitudinal perspective.
有关法医病人从高度戒备设施释放到社区后的跟踪研究很少。不过,现有结果表明,撤销率相当高。我们的研究旨在根据对 2014 年至 2018 年间从比利时一家安全法医精神病院出院的 168 名患者的法庭记录分析,回答以下三个方面的问题:(1)3 年随访期间的撤销率和再犯率;(2)撤销缓刑释放的普遍性和动机;(3)三种释放措施之间的《暴力风险评估指南-修订版》(VRAG-R)得分比较。据我们所知,我们的研究是首次比较不同释放类型的暴力再犯风险得分。在 VRAG-R 的平均得分中,撤销释放的患者高于条件释放的患者。后者的平均得分高于明确释放的患者。总体结果与风险原则的 "良好做法 "相一致,因此从纵向角度来看,支持根据风险评估原则(如 VRAG-R)做出释放决定的重要性。
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引用次数: 0
Adrien Rist (1841–1923), membre de la Société mdico-psychologique (1881) et fondateur d’une maison de santé privée à Versailles : « La Châtaigneraie » (1889) (Partie II) 阿德里安-里斯特(Adrien Rist,1841-1923 年),医学心理学协会成员(1881 年),凡尔赛私人疗养院 "La Châtaigneraie"(1889 年)的创始人(第二部分)
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2023.04.020
Denis Tiberghien
<div><div>A member of artistic, literary and scientific associations including the Société médico-psychologique (1881), A. Rist opened a private psychiatric clinic in Versailles in the years 1890–1891 called: La Châtaigneraie. This establishment will open its doors shortly before those of the old people's home (1892); they will complete the establishment opened in 1858: the civil hospital. In addition to his work as physician director of La Châtaigneraie, he was a medical expert at the court of Versailles. While practicing in Switzerland, he taught forensic medicine at the Law School of Lausanne. For example, A. Rist assessed Marie Christmann, a spiritualist masseuse, known as “the witch of Versailles”, who was denounced for the illegal practice of medicine and the mummified body of a woman was found in her house or Fernand-Théodore Charlatte, known as “the satyr of Saint-Cloud”, who simulated madness. Being an alienist was not without risk. He was threatened with death by an insane Arthur-Désiré Ferger who had twice escaped from the asylum; inspectors were assigned to protect him. A. Rist was a doctor fighting against alcohol abuse; the head office of the Versailles section of the French Anti-Alcohol Union was located at his home 11 rue des Deux Moulins. The National League against Alcoholism has founded “rooms of the soldier” in different cities of France (Cherbourg and Le Havre). A. Rist had one such room located at 29 rue de Béthune (Versailles). Author of “<em>La philosophie naturelle intégrale les rudiments des sciences exacts”</em> (1904), A. Rist shows us his pronounced taste for mathematics which inclined him more towards the physical sciences and their speculative aspect than towards biology, a discipline of observation and experimentation. In this second part, A. Rist appears to be a man of conviction and opinion. He was Dreyfusard and Republican. He was among the signatories of the “Appel à l’Union” (1899) like his friend Gabriel Monod (1844–1912), a member of the Institute. This founding document aimed to calm the political situation in the middle of the Dreyfus affair in order to save the parliamentary republican regime then in place. He does not hesitate to take up the pen to oppose Ferdinand Brunetière (1849–1906); director of the <em>Revue des Deux Mondes</em>, he was an antidreyfusard but not an antisemite. The latter had declared war on the scientific spirit and on Science which was not the point of view of A. Rist. In a national daily newpapers, he expressed his opposition to the reform of secondary education; this was a measure which had been advocated by the Minister of Public Instruction: Léon Bourgeois (1851–1925). At the end of the 19th century, A. Rist made a political commitment having being elected member of the municipal council of Versailles (1896–1900); he joined the Democratic Republican Alliance party (1901). During his career, A. Rist did not communicate or publish very much. In addition to his imposing work on “
作为艺术、文学和科学协会(包括医学心理学协会,1881 年)的成员,A. 里斯特于 1890-1891 年在凡尔赛开设了一家私人精神病诊所,名为:La Châtaigneraie:La Châtaigneraie。这家诊所的开业时间比养老院(1892年)的开业时间还要早,它们将使1858年开业的民用医院更加完善。除了担任Châtaigneraie医院院长外,他还是凡尔赛宫的医学专家。在瑞士执业期间,他还在洛桑法学院教授法医学。例如,A.里斯特曾对玛丽-克里斯特曼(Marie Christmann)进行过评估,她是一位灵媒按摩师,被称为 "凡尔赛的女巫",曾因非法行医而遭到谴责,并在她的家中发现了一具被制成木乃伊的女尸;他还评估过费尔南-特奥多尔-沙拉特(Fernand-Théodore Charlatte),他被称为 "圣克卢的撒旦",是一位模拟疯子。作为一名异教徒并非没有风险。阿瑟-德西雷-费热(Arthur-Désiré Ferger)曾两次从疯人院逃跑,并以死亡威胁他;他还被指派监察员保护他。里斯特(A. Rist)是一名反对酗酒的医生;法国反酗酒联盟凡尔赛分部的总部就设在他家的德穆兰街 11 号。全国反酗酒联盟在法国不同城市(瑟堡和勒阿弗尔)建立了 "士兵室"。A. 里斯特在凡尔赛的贝松街 29 号就有一间这样的房间。里斯特是《综合自然哲学与精密科学的基础》(1904 年)一书的作者,他向我们展示了他对数学的浓厚兴趣,这使他更倾向于物理科学及其推测方面,而不是生物学这门观察和实验学科。在第二部分中,A. Rist 似乎是一个有信念、有主见的人。他是德雷福斯派和共和党人。他和他的朋友加布里埃尔-莫诺(Gabriel Monod,1844-1912 年)一样,都是 "联盟呼吁书"(1899 年)的签署人,后者也是研究所的一名成员。这份创始文件旨在平息德雷福斯事件中的政治局势,以挽救当时的议会共和制。他毫不犹豫地拿起笔来反对费迪南-布鲁内蒂埃(1849-1906 年);他是《双周刊》(Revue des Deux Mondes)的社长,反德雷福斯主义者,但不是反犹太主义者。后者向科学精神和科学宣战,而这不是 A. Rist 的观点。在一份全国性日报上,他表示反对中学教育改革;这是公共教育部长倡导的一项措施:这是公共教育部长莱昂-布尔乔亚(Léon Bourgeois,1851-1925 年)倡导的一项措施。十九世纪末,里斯特(A. Rist)做出了政治承诺,他当选为凡尔赛市议会议员(1896-1900),并加入了民主共和联盟党(1901)。在他的职业生涯中,A.里斯特没有进行过多的交流,也没有发表过多少作品。除了气势恢宏的《自然哲学》一书外,我们还能在他的作品中发现一篇发表在《Dictionnaire de Dechambre》上的关于膈相学的文章,他认为这是一门缺乏科学依据的科学;一个特发性厌食症病例,他说这是一种直接攻击调节进食需求的神经中枢而导致的精神疾病;一个关于无政府主义者的法医鉴定病例,因为他不适合被关押而被判入狱。他还本应出版他的自然哲学第二卷,但一直未能问世。他于 1923 年 11 月去世,"La Châtaigneraie "也随之关闭。
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引用次数: 0
Modalités d’accompagnement par le jeu d’échecs – du ludique au thérapeutique 国际象棋辅助方法--从游戏到治疗
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2024.07.008
Olivier Sorel , Marie Sebag , Jean-Pierre Bouchard
Recent years have seen the emergence of the concepts of edutainment, edutainment and serious games. The health crisis, and more specifically the successive confinements, have had the effect of bringing games and playtime back into the family, on the one hand, and modifying their play practices, on the other. Today, play can be serious and aimed at adults. It has acquired its letters of nobility, and has found its audience. In this interview with Jean-Pierre Bouchard, Olivier Sorel and Marie Sebag discuss the special status of chess in a toy library. Secondly, they describe both the conditions required to be a good player, and the benefits of trying to become one, in terms of cognitive and emotional skills. Finally, they question the place of play in psychotherapy, describe the motivations for using it with a patient, and list the possible precautions to be taken by the therapist to avoid stepping outside his or her framework.
近年来出现了寓教于乐、寓教于乐和严肃游戏等概念。健康危机,更具体地说是接二连三的禁闭,一方面使游戏和玩耍时间重返家庭,另一方面也改变了他们的游戏习惯。如今,游戏可以是严肃的,也可以以成年人为对象。它已获得了高贵的称号,并找到了自己的受众。在对让-皮埃尔-布沙尔(Jean-Pierre Bouchard)的采访中,奥利维耶-索雷尔(Olivier Sorel)和玛丽-塞巴格(Marie Sebag)讨论了国际象棋在玩具图书馆中的特殊地位。其次,他们阐述了成为一名优秀棋手所需的条件,以及努力成为一名优秀棋手在认知和情感技能方面的益处。最后,他们对游戏在心理治疗中的地位提出了质疑,描述了对病人使用游戏的动机,并列出了治疗师为避免跳出自己的框架而可能采取的预防措施。
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引用次数: 0
URSAVS – histoire et politique d’une intercontenance réussie URSAVS - 成功维护的历史和政策
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2024.07.002
Frédéric Dion, Tiphaine Séguret
The regional unit for the care of perpetrators of sexual violence (URSAVS) was established in Lille in 2009, under to the impetus of Doctor Tiphaine Séguret, and under the aegis of the Regional Health Agency of the department of Hauts-de-France. It is hosted by the University Hospital of Lille. This unit was born out of the urgent need to establish and coordinate specific care services including psycho- and sex-criminological dimensions, at the crossroads of mental health service and judicial entities. Originally destined for those who had been convicted of sexual offences and who were being released from prison, this unit has diversified in many ways, as the many cases and problems entrusted to it were discovered. Operating today in the realms of pediatrics, care of the elderly, and including the National Education system, URSAVS has paved the way for a fundamental reflection on the methods and practices of care specific to perpetrators of sexual violences. Its results in the prevention of recidivism after 5 years (1%), demonstrate the lasting effectiveness of its paradigm of care, especially when compared to national statistics on recidivism over the same period (15% for rape, 11% for sexual assault, 12% for sexual harassment, according to the French Ministry of Justice).
在 Tiphaine Séguret 医生的推动下,上法兰西省地区卫生局于 2009 年在里尔成立了地区性暴 力施暴者护理机构(URSAVS)。它由里尔大学医院主办。成立该机构的初衷,是出于在精神卫生服务机构和司法机构之间建立和协调包括心理和性犯罪在内的特殊护理服务的迫切需要。该机构最初的服务对象是因性犯罪而被判刑的刑满释放人员,但随着委托该机构处理的案件和问题越来越多,其服务内容也越来越多样化。如今,URSAVS 在儿科、老年人护理以及国家教育系统等领域开展工作,为从根本上反思专门针对性暴 力犯罪者的护理方法和做法铺平了道路。5 年后,URSAVS 在预防累犯方面取得的成果(1%)证明了其护理模式的持久有效性,尤其是与同期的全国累犯统计数据(根据法国司法部的数据,强奸累犯率为 15%,性侵犯累犯率为 11%,性骚扰累犯率为 12%)相比。
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引用次数: 0
Construction et validation d’un questionnaire d’évaluation des compétences cognitives et de l’état affectif et émotionnel des personnes polyhandicapées : l’Évaluation–Cognition–Polyhandicap (ECP) 设计并验证用于评估多重残疾人士认知技能和情感情绪状态的问卷:评估-认知-多重障碍(ECP)
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2024-10-01 DOI: 10.1016/j.amp.2021.10.014

Objectives

Assessment of the cognitive skills, affective and emotional state of people with profound intellectual and multiple disabilities (PIMD) is becoming increasingly important as targeted and appropriate care is being offered to them. However, tools specifically adapted are rare. The ECP, presented here, proposes to overcome this lack.

Persons and method

The construction of the ECP was done in three successive stages with 18, 71 and 91 people with PIMD. At each stage, 3 protocols documented in hetero evaluation for each person allowed the elaboration of items and their metrological analysis (correlational and factor analyses in particular).

Results

During the final stage, with a sample of 273 protocols (91 people), age-specific standardizations were performed and metrological analyses (discriminating fineness, reliability and validity) conducted show that the ECP meets the expectations.

Conclusion

The ECP allows the users to build cognitive profiles and to collect clinical data, leading to shared observations. Thus, the ECP offers inter-observer analyses of inter- and intra-individual variability of skills among people with PIMD.
目的:随着为深度智力障碍和多重残疾(PIMD)患者提供有针对性的适当护理,对他们的认知技能、情感和情绪状态进行评估变得越来越重要。然而,专门针对他们的评估工具并不多见。本文介绍的 ECP 就是为了克服这一不足而提出的。人员和方法 ECP 的构建分为三个连续阶段,分别有 18、71 和 91 名深度多重智障人士参与。结果在最后阶段,对 273 份协议样本(91 人)进行了年龄标准化,并进行了计量分析(判别精细度、可靠性和有效性),结果表明 ECP 符合预期。因此,ECP 可对 PIMD 患者技能的个体间和个体内差异进行观察者间分析。
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引用次数: 0
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Annales medico-psychologiques
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