Creativity has been widely studied and closely linked to psychiatric pathology. However, modern approaches have focused on the psychological components, present in any individual that may be the source of the link between creativity and psychopathology, namely affective temperament, and personality dimensions.
Aims
The aims of the study were to establish the link between creativity, temperament, and the different dimensions of personality in a population of amateur artists.
Settings and design
This study is a cross-sectional, analytical, and descriptive conducted on a sample of amateur artists met and randomly selected at different art manifestations. Participants completed a form following explanations given by the examiner and after having acquired their oral consent. The data collected was entered and analyzed using the computer software Statistical Package for Social Sciences (SPSS) in its 20th version.
Results
The average age of the artist participants in our sample was 26.9 years, the sex ratio was 0.78 with 22 men and 28 women. Eight percent (8%) of artists were amateur writers, 34% musicians, 16% performative artists and 42% had visual arts productions. Regarding affective temperament, we found that our sample presented the highest scores for cyclothymic temperament. As for the personality dimensions according to the Big 5 model, we found that the O dimension (openness, originality, and open-mindedness) had the highest score, and the N dimension had the lowest score.
Conclusion
Our study demonstrates a certain intricacy between creativity, affective temperament, and personality dimensions. This led us to draw up a specific temperamental profile and personality dimensions allowing the identification of creative traits that would predispose the individual to creativity and the practice of creative activities.
{"title":"The psyche of the artist: Link between creativity, temperament and personality","authors":"Rim Sellami , Mariem Bouhamed , Sirine Yazidi , Taoufik Fourati , Ines Feki , Jawaher Masmoudi","doi":"10.1016/j.amp.2025.05.006","DOIUrl":"10.1016/j.amp.2025.05.006","url":null,"abstract":"<div><h3>Context</h3><div>Creativity has been widely studied and closely linked to psychiatric pathology. However, modern approaches have focused on the psychological components, present in any individual that may be the source of the link between creativity and psychopathology, namely affective temperament, and personality dimensions.</div></div><div><h3>Aims</h3><div>The aims of the study were to establish the link between creativity, temperament, and the different dimensions of personality in a population of amateur artists.</div></div><div><h3>Settings and design</h3><div>This study is a cross-sectional, analytical, and descriptive conducted on a sample of amateur artists met and randomly selected at different art manifestations. Participants completed a form following explanations given by the examiner and after having acquired their oral consent. The data collected was entered and analyzed using the computer software Statistical Package for Social Sciences (SPSS) in its 20th version.</div></div><div><h3>Results</h3><div>The average age of the artist participants in our sample was 26.9 years, the sex ratio was 0.78 with 22 men and 28 women. Eight percent (8%) of artists were amateur writers, 34% musicians, 16% performative artists and 42% had visual arts productions. Regarding affective temperament, we found that our sample presented the highest scores for cyclothymic temperament. As for the personality dimensions according to the Big 5 model, we found that the O dimension (openness, originality, and open-mindedness) had the highest score, and the N dimension had the lowest score.</div></div><div><h3>Conclusion</h3><div>Our study demonstrates a certain intricacy between creativity, affective temperament, and personality dimensions. This led us to draw up a specific temperamental profile and personality dimensions allowing the identification of creative traits that would predispose the individual to creativity and the practice of creative activities.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 1003-1008"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712423","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 : 2025-12-01DOI: 10.1016/j.amp.2023.11.011
Murielle Jacquet-Smailovic , Charles Martin-Krumm , Cyril Tarquinio
<div><div>Myocardial infarction (MI) is a particularly frequent coronary disease: the number of new cases of MI recorded each year amounts to nearly 90,000 in France and nearly 790,000 in the United States. Over the past 15 years, the number of people who can survive this major cardiac event has substantially increased, as a result of advances in medical treatment and a reduction in delay to intervention. However, patients often report a decrease in their health-related quality of life following myocardial infarction. In other words, some patients perceive that the disease negatively affects various aspects of their daily lives, including physical functioning, emotional state, social relationships, and overall well-being. Furthermore, studies have shown that health-related quality of life is a prognostic indicator of the evolution of patients’ health status: the more health-related quality of life is reduced, the greater the risk of all-cause mortality, recurrence of cardiovascular events, and re-hospitalization for heart disease. In view of these elements, the identification of potentially modifiable factors, and in particular psychological factors, having an impact on health-related quality of life is particularly relevant. More specifically, insecure attachment, post-traumatic stress symptomatology and somatoform dissociation symptoms could have an impact on the health related-quality of life of people who have experienced a major cardiac event.</div></div><div><h3>Objectives</h3><div>The objective of this study was to investigate the mediating role of posttraumatic stress symptoms and somatoform dissociative symptomatology in the relationship between insecure attachment and health related-quality of life after a myocardial infarction.</div></div><div><h3>Materials and methods</h3><div>A total of 73 participants, having suffered a myocardial infarction and participating in a cardiovascular rehabilitation program, completed questionnaires to assess the degree of insecurity of their attachment (Experiences in Close Relationship Scale-12; ECR-12), the severity of post-traumatic stress symptoms (Post-Traumatic Stress Disorder Checklist Scale; PCL-5) and somatoform dissociation symptoms (Somatoform Dissociation Questionnaire; SDQ-20), and their health related-quality of life (MacNew Heart Disease-Health Related Quality of Life; MacNew). Mediation analyses were conducted according to the recommendations formulated by Baron and Kenny.</div></div><div><h3>Results</h3><div>Our results showed that only anxious attachment was positively and significantly associated with the severity of posttraumatic stress symptomatology, whereas such a link was not observed for avoidant attachment. The importance of posttraumatic symptomatology fully explained why individuals with high levels of fear of abandonment also have the poorest emotional, physical, and social quality of life after myocardial infarction. The importance of dissociative somatoform symptomatology p
心肌梗死（MI）是一种特别常见的冠状动脉疾病：法国每年记录的心肌梗死新病例数接近9万例，美国接近79万例。在过去的15年里，由于医疗技术的进步和干预延误的减少，能够在这一重大心脏事件中存活下来的人数大大增加。然而，患者经常报告心肌梗死后与健康相关的生活质量下降。换句话说，一些患者认为这种疾病对他们日常生活的各个方面产生了负面影响，包括身体功能、情绪状态、社会关系和整体幸福感。此外，研究表明，与健康相关的生活质量是患者健康状况演变的预后指标：与健康相关的生活质量越低，全因死亡、心血管事件复发和心脏病再次住院的风险越大。鉴于这些因素，查明对与健康有关的生活质量有影响的潜在可改变因素，特别是心理因素尤为重要。更具体地说，不安全依恋、创伤后应激症状和躯体形式分离症状可能对经历过重大心脏病事件的人的健康相关生活质量产生影响。目的探讨创伤后应激症状和躯体形式分离症状在心肌梗死后不安全依恋与健康相关生活质量关系中的中介作用。材料与方法共73例心肌梗死患者，参与心血管康复项目，完成依恋不安全感程度（亲密关系体验量表-12；ECR-12）、创伤后应激症状严重程度（创伤后应激障碍检查表量表；PCL-5）和躯体形式分离症状(躯体形式分离问卷；SDQ-20)和他们的健康相关生活质量（MacNew Heart Disease-Health Related Quality of life; MacNew）。调解分析是根据Baron和Kenny提出的建议进行的。结果发现，只有焦虑型依恋与创伤后应激症状的严重程度呈正相关，而回避型依恋与创伤后应激症状的严重程度无显著相关。创伤后症状学的重要性充分解释了为什么高度害怕被遗弃的个体在心肌梗死后的情感、身体和社会生活质量也最差。解离躯体症状学的重要性部分解释了为什么不安全依恋类型的个体以高水平的抛弃为特征，同时也是心肌梗死后健康相关生活质量最差的个体。结论本研究的结果倾向于表明，在旨在改善心肌梗死后患者健康相关生活质量的干预措施中，考虑依恋、创伤后应激症状和躯体形式分离现象的特殊性是非常重要的。由于安全依恋似乎是防止创伤后应激障碍风险的保护因素，旨在促进这种形式的依恋的心理治疗方法似乎是合理的。具体来说，为患者提供一个考虑到他们的依恋经历的心理治疗框架，让他们改变对自己和他人的信念，同时帮助他们制定适合压力的应对策略，可能会有所帮助。旨在增加依恋安全程度和减少创伤后应激和躯体形式分离症状的心理治疗干预可能与改善心肌梗死后与健康相关的生活质量有关。
{"title":"Effets médiateurs de la symptomatologie de stress post-traumatique et des symptômes de dissociation somatoforme sur la relation entre l’attachement et la qualité de vie liée à la santé après un infarctus du myocarde","authors":"Murielle Jacquet-Smailovic , Charles Martin-Krumm , Cyril Tarquinio","doi":"10.1016/j.amp.2023.11.011","DOIUrl":"10.1016/j.amp.2023.11.011","url":null,"abstract":"<div><div>Myocardial infarction (MI) is a particularly frequent coronary disease: the number of new cases of MI recorded each year amounts to nearly 90,000 in France and nearly 790,000 in the United States. Over the past 15 years, the number of people who can survive this major cardiac event has substantially increased, as a result of advances in medical treatment and a reduction in delay to intervention. However, patients often report a decrease in their health-related quality of life following myocardial infarction. In other words, some patients perceive that the disease negatively affects various aspects of their daily lives, including physical functioning, emotional state, social relationships, and overall well-being. Furthermore, studies have shown that health-related quality of life is a prognostic indicator of the evolution of patients’ health status: the more health-related quality of life is reduced, the greater the risk of all-cause mortality, recurrence of cardiovascular events, and re-hospitalization for heart disease. In view of these elements, the identification of potentially modifiable factors, and in particular psychological factors, having an impact on health-related quality of life is particularly relevant. More specifically, insecure attachment, post-traumatic stress symptomatology and somatoform dissociation symptoms could have an impact on the health related-quality of life of people who have experienced a major cardiac event.</div></div><div><h3>Objectives</h3><div>The objective of this study was to investigate the mediating role of posttraumatic stress symptoms and somatoform dissociative symptomatology in the relationship between insecure attachment and health related-quality of life after a myocardial infarction.</div></div><div><h3>Materials and methods</h3><div>A total of 73 participants, having suffered a myocardial infarction and participating in a cardiovascular rehabilitation program, completed questionnaires to assess the degree of insecurity of their attachment (Experiences in Close Relationship Scale-12; ECR-12), the severity of post-traumatic stress symptoms (Post-Traumatic Stress Disorder Checklist Scale; PCL-5) and somatoform dissociation symptoms (Somatoform Dissociation Questionnaire; SDQ-20), and their health related-quality of life (MacNew Heart Disease-Health Related Quality of Life; MacNew). Mediation analyses were conducted according to the recommendations formulated by Baron and Kenny.</div></div><div><h3>Results</h3><div>Our results showed that only anxious attachment was positively and significantly associated with the severity of posttraumatic stress symptomatology, whereas such a link was not observed for avoidant attachment. The importance of posttraumatic symptomatology fully explained why individuals with high levels of fear of abandonment also have the poorest emotional, physical, and social quality of life after myocardial infarction. The importance of dissociative somatoform symptomatology p","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 10","pages":"Pages 943-952"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469892","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 : 2025-11-01DOI: 10.1016/j.amp.2025.06.011
Benoît Schneider , Lise Haddouk , Philippe Drewski
Reflecting on the plural identities of psychologists today requires that we take into account the technological and social changes that are altering and challenging their practices. The introduction of telepsychology and teleconsultation in e-health is one of the most striking aspects of these changes. This article presents an approach to these issues from three perspectives: the ways in which the ethical and deontological questions that frame practices can and should be questioned; the approach to the use of teleconsultation in the context of supporting expatriate patients as a long-term experience that has informed more current reflections arising from the expansion of these practices following the COVID-19 pandemic; a summary of partial data contributing to the empirical evaluation of the extension of these practices, which in turn takes us back to the deontological issues addressed above.
{"title":"Téléconsultation et e-santé : évolution des pratiques, évolution de la clinique, évolution des identités ?","authors":"Benoît Schneider , Lise Haddouk , Philippe Drewski","doi":"10.1016/j.amp.2025.06.011","DOIUrl":"10.1016/j.amp.2025.06.011","url":null,"abstract":"<div><div>Reflecting on the plural identities of psychologists today requires that we take into account the technological and social changes that are altering and challenging their practices. The introduction of telepsychology and teleconsultation in e-health is one of the most striking aspects of these changes. This article presents an approach to these issues from three perspectives: the ways in which the ethical and deontological questions that frame practices can and should be questioned; the approach to the use of teleconsultation in the context of supporting expatriate patients as a long-term experience that has informed more current reflections arising from the expansion of these practices following the COVID-19 pandemic; a summary of partial data contributing to the empirical evaluation of the extension of these practices, which in turn takes us back to the deontological issues addressed above.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 867-871"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435308","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 : 2025-11-01DOI: 10.1016/j.amp.2025.06.013
Patrick Ange Raoult
Numerous debates crowd the scene of psychological praxis and within the profession, giving rise to contradictory views. Psychological expertise, through its specific challenges, illustrates many epistemological, methodological and statutory issues. The question of the role of validated tests in this mission expresses this tension. It calls into question the autonomy of psychological expertise. After reviewing the mission and functions of the expert psychologist, we will discuss the clinical and epistemological issues prevalent in criminal and civil expert situations. The expert's position is sandwiched between contradictory expectations that deposes him from his usual functions. In addition, he is confronted with destabilizing situations. He finds himself in the grip of a singular tension between judicial truth (police and legal), narrative truth (the subject's account) and the subject's truth, i.e. what drives the subject psychologically. We will address the training problems raised in the light of the remarks made. We will rely on the existing literature. The recognition of a lack of training in expertise calls for a fundamental reform in this area. We will conclude with the necessary recommendations regarding the exercise of expert opinions. In view of the very issues at stake in the expertise and ethics inherent in the practice of the profession of psychologist, it is crucial to base the practice on objective knowledge, on a reflective experience of the intersubjective encounter, an understanding of psychopathology, and a well-established clinical praxis.
{"title":"La scène de l’expertise : vérité psychique, vérité narrative et vérité judiciaire – La fonction clinique de l’expertise psychologique","authors":"Patrick Ange Raoult","doi":"10.1016/j.amp.2025.06.013","DOIUrl":"10.1016/j.amp.2025.06.013","url":null,"abstract":"<div><div>Numerous debates crowd the scene of psychological praxis and within the profession, giving rise to contradictory views. Psychological expertise, through its specific challenges, illustrates many epistemological, methodological and statutory issues. The question of the role of validated tests in this mission expresses this tension. It calls into question the autonomy of psychological expertise. After reviewing the mission and functions of the expert psychologist, we will discuss the clinical and epistemological issues prevalent in criminal and civil expert situations. The expert's position is sandwiched between contradictory expectations that deposes him from his usual functions. In addition, he is confronted with destabilizing situations. He finds himself in the grip of a singular tension between judicial truth (police and legal), narrative truth (the subject's account) and the subject's truth, i.e. what drives the subject psychologically. We will address the training problems raised in the light of the remarks made. We will rely on the existing literature. The recognition of a lack of training in expertise calls for a fundamental reform in this area. We will conclude with the necessary recommendations regarding the exercise of expert opinions. In view of the very issues at stake in the expertise and ethics inherent in the practice of the profession of psychologist, it is crucial to base the practice on objective knowledge, on a reflective experience of the intersubjective encounter, an understanding of psychopathology, and a well-established clinical praxis.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 878-884"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435383","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 : 2025-11-01DOI: 10.1016/j.amp.2025.06.014
Conrad Lecomte
The scope of this debate is considerable, as the findings of these studies directly influence the training of psychotherapists and their clinical practice. When it comes to adopting therapeutic approaches based on research findings, it is essential to ensure that the methods used to measure treatment efficacy are valid and reliable. This raises crucial questions : what do we really know about the efficacy of treatments described as “empirically supported”? Do the available data allow us to declare certain treatments superior to others? What are the key variables that explain therapeutic outcomes? Few topics in clinical psychology and psychotherapy generate as much debate as that of evidence-based practice. Professional associations and mental health governing bodies in many countries advocate an approach based on the integration of the best available research evidence, the psychotherapist's clinical expertise and the patient's preferences. This approach aims to ensure that interventions are both relevant and rigorous. However, a key question remains: what reliable data can psychotherapists rely on to guide their clinical choices in an informed manner? A thorough re-analysis of the research reveals that the determining factor in the variability of therapeutic outcomes is not so much the treatment itself as is the role of the psychotherapist. The therapist's skills, empathy and ability to establish a solid therapeutic alliance have a far more significant impact on outcomes than the choice of a specific approach. This finding calls into question the idea that one therapeutic model might be more effective or superior to another. The implications of this perspective are far-reaching. From the point of view of practice, the training of psychotherapists needs to be reoriented to place greater emphasis on the development of relational and interpersonal skills. In terms of research, more nuanced studies are needed, studies that explore not only therapeutic models but also the complex interactions between therapist, patient and care context.
{"title":"La pratique des psychologues à l’ère des données probantes. État des lieux d’une crise paradigmatique","authors":"Conrad Lecomte","doi":"10.1016/j.amp.2025.06.014","DOIUrl":"10.1016/j.amp.2025.06.014","url":null,"abstract":"<div><div>The scope of this debate is considerable, as the findings of these studies directly influence the training of psychotherapists and their clinical practice. When it comes to adopting therapeutic approaches based on research findings, it is essential to ensure that the methods used to measure treatment efficacy are valid and reliable. This raises crucial questions : what do we really know about the efficacy of treatments described as “empirically supported”? Do the available data allow us to declare certain treatments superior to others? What are the key variables that explain therapeutic outcomes? Few topics in clinical psychology and psychotherapy generate as much debate as that of evidence-based practice. Professional associations and mental health governing bodies in many countries advocate an approach based on the integration of the best available research evidence, the psychotherapist's clinical expertise and the patient's preferences. This approach aims to ensure that interventions are both relevant and rigorous. However, a key question remains: what reliable data can psychotherapists rely on to guide their clinical choices in an informed manner? A thorough re-analysis of the research reveals that the determining factor in the variability of therapeutic outcomes is not so much the treatment itself as is the role of the psychotherapist. The therapist's skills, empathy and ability to establish a solid therapeutic alliance have a far more significant impact on outcomes than the choice of a specific approach. This finding calls into question the idea that one therapeutic model might be more effective or superior to another. The implications of this perspective are far-reaching. From the point of view of practice, the training of psychotherapists needs to be reoriented to place greater emphasis on the development of relational and interpersonal skills. In terms of research, more nuanced studies are needed, studies that explore not only therapeutic models but also the complex interactions between therapist, patient and care context.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 885-890"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435385","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 : 2025-11-01DOI: 10.1016/j.amp.2024.08.017
Barbara Le Roy , Yann Delas , Charles Martin-Krumm , Charlotte Poupon , Alexandre Vannier , Cécile Mercier , Marion Trousselard , Anne Plantade-Gipch
A large body of research shows that hope is an important psychological resource for coping with aversive events. The pandemic that the whole planet has just experienced is part of this type of event likely to impact the quality of life and health of people, which was particularly acute during the successive phases of sanitary containment. Indeed, many people developed depressive episodes following these phases of isolation. The number of hospitalizations in psychiatry in teenagers has exploded. Should we therefore consider that confinement will have de facto deleterious consequences in terms of health and well-being? Does hope represent an essential resource to protect oneself from it, whatever the type of confinement, whether it is chosen or imposed? The purpose of the present research is to test the effects of hope on the quality of life of individuals, particularly their emotions, depending on whether they are in the context of sanitary confinement as decided in the context of public health policies or the context of a chosen confinement as are submariners during their missions. At their core, the results reveal that hope influences the nature of the emotions felt. It does play a protective role in terms of negative and positive emotions in the case of sanitary confinement but has no effect in the case of chosen confinement.
{"title":"What role can hope play in sanitary containment versus chosen isolated environments?","authors":"Barbara Le Roy , Yann Delas , Charles Martin-Krumm , Charlotte Poupon , Alexandre Vannier , Cécile Mercier , Marion Trousselard , Anne Plantade-Gipch","doi":"10.1016/j.amp.2024.08.017","DOIUrl":"10.1016/j.amp.2024.08.017","url":null,"abstract":"<div><div>A large body of research shows that hope is an important psychological resource for coping with aversive events. The pandemic that the whole planet has just experienced is part of this type of event likely to impact the quality of life and health of people, which was particularly acute during the successive phases of sanitary containment. Indeed, many people developed depressive episodes following these phases of isolation. The number of hospitalizations in psychiatry in teenagers has exploded. Should we therefore consider that confinement will have de facto deleterious consequences in terms of health and well-being? Does hope represent an essential resource to protect oneself from it, whatever the type of confinement, whether it is chosen or imposed? The purpose of the present research is to test the effects of hope on the quality of life of individuals, particularly their emotions, depending on whether they are in the context of sanitary confinement as decided in the context of public health policies or the context of a chosen confinement as are submariners during their missions. At their core, the results reveal that hope influences the nature of the emotions felt. It does play a protective role in terms of negative and positive emotions in the case of sanitary confinement but has no effect in the case of chosen confinement.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 921-927"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435390","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 : 2025-11-01DOI: 10.1016/j.amp.2025.06.015
Christian Heslon
This chapter takes up the introductory remarks and the final prospective synthesis delivered at the Colloquium The Plural Identities of Today's Psychologists organized by the School of Practicing Psychologists, which was held in Lyon on June 6 and 7, 2024. He reminds us of the extent to which plural identities constitute a major anthropological issue in the face of the double risk of identity withdrawal and blurring of identities. Recalling that identity is the result of a dynamic process that articulates ipseity and otherness, he proposes to think about the “pluriversity” of contemporary psychology in order to invite us to create the psychology of the day after tomorrow by training the psychologists of tomorrow. He reminds us that the scientific challenge specific to psychology is one of objectification or, at least, of description, of intersubjective interactions, and then succinctly recalls the resulting issues for psychology in the twenty-first century, confronted on the one hand withperspectives recently opened up by environmental psychology, epigenetics, existential psychology or that of guidance at all ages of life, on the other hand to the challenges of Artificial Intelligence which, perhaps, marks the end of the author and the subsequent end of the subject as understood by the psychology of the last century… So many avenues for reconfiguring the “pluriversal” psychology that is beginning, between “psychology applied” to the human concerns of the time and “psychology involved” in the major political questions that our time is going through.
{"title":"Former les psychologues de demain pour fabriquer la psychologie d’après-demain","authors":"Christian Heslon","doi":"10.1016/j.amp.2025.06.015","DOIUrl":"10.1016/j.amp.2025.06.015","url":null,"abstract":"<div><div>This chapter takes up the introductory remarks and the final prospective synthesis delivered at the Colloquium The Plural Identities of Today's Psychologists organized by the School of Practicing Psychologists, which was held in Lyon on June 6 and 7, 2024. He reminds us of the extent to which plural identities constitute a major anthropological issue in the face of the double risk of identity withdrawal and blurring of identities. Recalling that identity is the result of a dynamic process that articulates ipseity and otherness, he proposes to think about the “pluriversity” of contemporary psychology in order to invite us to create the psychology of the day after tomorrow by training the psychologists of tomorrow. He reminds us that the scientific challenge specific to psychology is one of objectification or, at least, of description, of intersubjective interactions, and then succinctly recalls the resulting issues for psychology in the twenty-first century, confronted on the one hand withperspectives recently opened up by environmental psychology, epigenetics, existential psychology or that of guidance at all ages of life, on the other hand to the challenges of Artificial Intelligence which, perhaps, marks the end of the author and the subsequent end of the subject as understood by the psychology of the last century… So many avenues for reconfiguring the “pluriversal” psychology that is beginning, between “psychology applied” to the human concerns of the time and “psychology involved” in the major political questions that our time is going through.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 891-894"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435384","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}
<div><div>In France, approximately 600,000 people die each year, affecting a far greater number of relatives and loved ones who are then directly confronted with the experience of grief. Behind each death, several individuals — partners, children, friends, caregivers — must come to terms with an irreversible loss. Living with a serious, progressive, and potentially life-threatening illness represents one of the most challenging experiences a person and their loved ones can face, affecting them psychologically, physically, socially, and existentially. It is now widely acknowledged that the circumstances surrounding the end of life profoundly influence the grieving process: they can either support its elaboration or, conversely, make it more difficult, potentially leading to complicated or pathological grief. In this context, palliative care offers an appropriate response to the complexity of such situations. However, despite being enshrined in French law since 1999 as a right for all individuals suffering from serious illness, its implementation remains uneven and largely misunderstood. Too often, palliative care is associated with last-minute interventions, limited to the final days of life, and perceived as a form of therapeutic abandonment. These reductive representations hinder its comprehension and integration, both by healthcare professionals and by patients and their families. It is essential to remember that palliative care does not oppose curative treatment: it follows a logic of comprehensive support aimed at preserving quality of life, relieving symptoms, supporting the person through their journey, and, where possible, enabling the expression of their wishes. Over the past decade, efforts have been made to better incorporate this approach into the training of healthcare professionals. Medical students, nurses, and care assistants are gradually being introduced to palliative care principles through specific courses or clinical placements. Complementary training programs, such as the University Diploma in Palliative Care (DUSP) or the Inter-University Diploma (DIUSP), also offer opportunities for further specialization. However, these programs remain optional, vary widely in availability depending on the region, and are still undervalued in professional development pathways. As a result, the dissemination of palliative care continues to suffer from a lack of structured training, institutional recognition, time, and adequate human and logistical resources. The situation is even more concerning for psychologists. To date, there is no compulsory module on palliative or end-of-life care within initial psychology training. This represents a significant gap, considering the specific demands of this clinical field. While psychologists are increasingly recognized within healthcare and social institutions, their involvement in palliative care settings requires particular cross-disciplinary skills. These include the ability to receive and work wit
{"title":"La dimension psychologique des soins palliatifs","authors":"Nicolas Nieuviarts , Isabelle Triol , Romain Jallet , Camille Baussant-Crenn , Carole Carnémolla Cousin , Jean-Pierre Bouchard","doi":"10.1016/j.amp.2025.05.002","DOIUrl":"10.1016/j.amp.2025.05.002","url":null,"abstract":"<div><div>In France, approximately 600,000 people die each year, affecting a far greater number of relatives and loved ones who are then directly confronted with the experience of grief. Behind each death, several individuals — partners, children, friends, caregivers — must come to terms with an irreversible loss. Living with a serious, progressive, and potentially life-threatening illness represents one of the most challenging experiences a person and their loved ones can face, affecting them psychologically, physically, socially, and existentially. It is now widely acknowledged that the circumstances surrounding the end of life profoundly influence the grieving process: they can either support its elaboration or, conversely, make it more difficult, potentially leading to complicated or pathological grief. In this context, palliative care offers an appropriate response to the complexity of such situations. However, despite being enshrined in French law since 1999 as a right for all individuals suffering from serious illness, its implementation remains uneven and largely misunderstood. Too often, palliative care is associated with last-minute interventions, limited to the final days of life, and perceived as a form of therapeutic abandonment. These reductive representations hinder its comprehension and integration, both by healthcare professionals and by patients and their families. It is essential to remember that palliative care does not oppose curative treatment: it follows a logic of comprehensive support aimed at preserving quality of life, relieving symptoms, supporting the person through their journey, and, where possible, enabling the expression of their wishes. Over the past decade, efforts have been made to better incorporate this approach into the training of healthcare professionals. Medical students, nurses, and care assistants are gradually being introduced to palliative care principles through specific courses or clinical placements. Complementary training programs, such as the University Diploma in Palliative Care (DUSP) or the Inter-University Diploma (DIUSP), also offer opportunities for further specialization. However, these programs remain optional, vary widely in availability depending on the region, and are still undervalued in professional development pathways. As a result, the dissemination of palliative care continues to suffer from a lack of structured training, institutional recognition, time, and adequate human and logistical resources. The situation is even more concerning for psychologists. To date, there is no compulsory module on palliative or end-of-life care within initial psychology training. This represents a significant gap, considering the specific demands of this clinical field. While psychologists are increasingly recognized within healthcare and social institutions, their involvement in palliative care settings requires particular cross-disciplinary skills. These include the ability to receive and work wit","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 928-941"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435391","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}
The therapeutic alliance is well-known to be a key factor in the effectiveness of therapy. It is a concept that is widely accepted in the world of research, and is defined by the establishment of an emotional bond that the psychologist forms with their patient, as well as the collaboration between the two partners allowing the definition of relevant goals and tasks recognized as effective to allow the best therapeutic progress for the patient. Previous studies have highlighted that the nature of the alliance varies according to the care context, the therapeutic approach, and the characteristics of the patient and the therapist. How is the therapeutic alliance established in an intensive care unit where the life or death nature of the situation intensifies the extreme somatic distress of the patients, disrupts their autonomy and the decision-making process, and marks the therapeutic relationship? The aim of this article is to define the therapeutic alliance in the context of intensive care unit, taking into account the temporality of the emergency, the plurality of actors involved in the care process: patient, relatives and healthcare workers, and the need to maintain the autonomy of a patient who is sometimes psychologically absent from the relationship. The hospitalized patients's state of health leads to fluctuations of their state of consciousness, on a continuum ranging from coma to wakefulness, passing through phases of confusion. However, essential decisions are taken on their behalf, affecting both their life and their future. Those involved in the patient's care (carers, close relations) provide information to help inform decisions. The trusted support person testifies to what the patient may wish. Exchanges with all those involved in the situation are a prerequisite for the emergence and recognition of the patient's autonomy and subjectivity. A weaving therapeutic alliance is lead through the building of emotional bond of trust with all those involved (patient, family and carers), and by discussing the patient's state of health, experience and therapeutic project with those involved in the intensive care unit, in order to guarantee consent to care. This relational weaving also enables caregivers to gradually gain a more holistic view of their patients, supporting their thinking and the setting up of the best possible therapeutic strategy. Therapeutic objectives and techniques are regularly redefined to ensure that they remain relevant as the patient's state of health evolves. This weaving of the alliance engages an ethical conflictuality, in which each person expresses his or her point of view, centered on the patient, and his or her singular experience with him or her, participating in a dynamic of adjustment to a common objective: optimal care for the patient, taking into account his or her opinion as far as possible. The therapeutic alliance that the psychologist establishes in the intensive care setting seems vital to prese
{"title":"Le tissage de l’alliance thérapeutique en service de soins aigus","authors":"Fanny Marteau-Chasserieau , Anne-Laure Poujol , Victoire Deltour , Jacques Arènes","doi":"10.1016/j.amp.2024.06.011","DOIUrl":"10.1016/j.amp.2024.06.011","url":null,"abstract":"<div><div>The therapeutic alliance is well-known to be a key factor in the effectiveness of therapy. It is a concept that is widely accepted in the world of research, and is defined by the establishment of an emotional bond that the psychologist forms with their patient, as well as the collaboration between the two partners allowing the definition of relevant goals and tasks recognized as effective to allow the best therapeutic progress for the patient. Previous studies have highlighted that the nature of the alliance varies according to the care context, the therapeutic approach, and the characteristics of the patient and the therapist. How is the therapeutic alliance established in an intensive care unit where the life or death nature of the situation intensifies the extreme somatic distress of the patients, disrupts their autonomy and the decision-making process, and marks the therapeutic relationship? The aim of this article is to define the therapeutic alliance in the context of intensive care unit, taking into account the temporality of the emergency, the plurality of actors involved in the care process: patient, relatives and healthcare workers, and the need to maintain the autonomy of a patient who is sometimes psychologically absent from the relationship. The hospitalized patients's state of health leads to fluctuations of their state of consciousness, on a continuum ranging from coma to wakefulness, passing through phases of confusion. However, essential decisions are taken on their behalf, affecting both their life and their future. Those involved in the patient's care (carers, close relations) provide information to help inform decisions. The trusted support person testifies to what the patient may wish. Exchanges with all those involved in the situation are a prerequisite for the emergence and recognition of the patient's autonomy and subjectivity. A weaving therapeutic alliance is lead through the building of emotional bond of trust with all those involved (patient, family and carers), and by discussing the patient's state of health, experience and therapeutic project with those involved in the intensive care unit, in order to guarantee consent to care. This relational weaving also enables caregivers to gradually gain a more holistic view of their patients, supporting their thinking and the setting up of the best possible therapeutic strategy. Therapeutic objectives and techniques are regularly redefined to ensure that they remain relevant as the patient's state of health evolves. This weaving of the alliance engages an ethical conflictuality, in which each person expresses his or her point of view, centered on the patient, and his or her singular experience with him or her, participating in a dynamic of adjustment to a common objective: optimal care for the patient, taking into account his or her opinion as far as possible. The therapeutic alliance that the psychologist establishes in the intensive care setting seems vital to prese","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 916-920"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435386","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 : 2025-11-01DOI: 10.1016/j.amp.2025.06.012
Albert Ciccone
Psychology is diverse and multifaceted, and its practices are varied. This is due, among other things, to the recent emergence of psychology as a discipline and of the profession of psychologist. While it is true that Lagache advanced the concept of the “unity” of psychology, it came at the cost of conceptual distortions that fail to minimize its diversity. And the reference to psychology as a “science” does not serve as a unifying element of the disparate discourses. Other attempts to unify psychology have emerged, such as the establishment of the “code of deontology”. But the latter must inevitably consider divergent conceptions, if only with regard, for example, to respect for the “psychic dimension” that it postulates in its preamble: not all psychologists have the same representation of the “psychic dimension”. References and practices are extremely varied, even within each sub-discipline or “specialty” within psychology. As a result, psychology is in an uncomfortable position, always fragile, and always threatened by every attempt to assert control over the profession and to adapt authoritarian domination by public authorities, such as those we are currently witnessing. The invariants of psychology have to be defined or constructed. The first is its rightful place in the humanities. It is transversal and fundamental. Psychology has always resisted attempts at annexation by medicine, for example, and must continue to do so. Another invariant is the legally protected title of psychologist. This is both a protection and a complication. If a qualifier is not added to the noun “psychologist”, there is a great risk that cases of imposture will develop, such as the idea that any psychologist could be therapeutic as long as he or she is a psychologist. Another invariant can be circumscribed or constructed by considering a “psychological position”: an internal position that would cut across all psychology's specialties and sub-specialties. This position would be “transdisciplinary” within psychology. Transdisciplinarity concerns that which is essential and exceeds the specificity of each discipline. It is opposed to pluridisciplinarity, complementarism or integrative approaches. It does not simply juxtapose or even articulate disciplines but strives toward the essential that cuts across all disciplines. The “transdisciplinary position” is an internal position that in no way requires expertise in, or even knowledge of, all disciplines, for it is the opposite of an omnipotent, omniscient position. It requires humility and humanism. Transdisciplinarity concerns the invariant in all variations. The “psychological position” would be based on the essential, the very heart of psychology, the common denominator of psychologies. This kind of identification could also be made for each of psychology's sub-disciplines or specialties. Another constant is the social and political function of psychology. Psychology attracts a considerable number of stude
{"title":"La psychologie, ses invariants, sa fonction sociale et politique","authors":"Albert Ciccone","doi":"10.1016/j.amp.2025.06.012","DOIUrl":"10.1016/j.amp.2025.06.012","url":null,"abstract":"<div><div>Psychology is diverse and multifaceted, and its practices are varied. This is due, among other things, to the recent emergence of psychology as a discipline and of the profession of psychologist. While it is true that Lagache advanced the concept of the “unity” of psychology, it came at the cost of conceptual distortions that fail to minimize its diversity. And the reference to psychology as a “science” does not serve as a unifying element of the disparate discourses. Other attempts to unify psychology have emerged, such as the establishment of the “code of deontology”. But the latter must inevitably consider divergent conceptions, if only with regard, for example, to respect for the “psychic dimension” that it postulates in its preamble: not all psychologists have the same representation of the “psychic dimension”. References and practices are extremely varied, even within each sub-discipline or “specialty” within psychology. As a result, psychology is in an uncomfortable position, always fragile, and always threatened by every attempt to assert control over the profession and to adapt authoritarian domination by public authorities, such as those we are currently witnessing. The invariants of psychology have to be defined or constructed. The first is its rightful place in the humanities. It is transversal and fundamental. Psychology has always resisted attempts at annexation by medicine, for example, and must continue to do so. Another invariant is the legally protected title of psychologist. This is both a protection and a complication. If a qualifier is not added to the noun “psychologist”, there is a great risk that cases of imposture will develop, such as the idea that any psychologist could be therapeutic as long as he or she is a psychologist. Another invariant can be circumscribed or constructed by considering a “psychological position”: an internal position that would cut across all psychology's specialties and sub-specialties. This position would be “transdisciplinary” within psychology. Transdisciplinarity concerns that which is essential and exceeds the specificity of each discipline. It is opposed to pluridisciplinarity, complementarism or integrative approaches. It does not simply juxtapose or even articulate disciplines but strives toward the essential that cuts across all disciplines. The “transdisciplinary position” is an internal position that in no way requires expertise in, or even knowledge of, all disciplines, for it is the opposite of an omnipotent, omniscient position. It requires humility and humanism. Transdisciplinarity concerns the invariant in all variations. The “psychological position” would be based on the essential, the very heart of psychology, the common denominator of psychologies. This kind of identification could also be made for each of psychology's sub-disciplines or specialties. Another constant is the social and political function of psychology. Psychology attracts a considerable number of stude","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 872-877"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435382","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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