Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial... more Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial, social, and professional functioning. Although stimulant treatments can be effective in adult ADHD, some patients will respond poorly or not at all to medication. Previous studies demonstrated that cognitive behavioural therapy- (CBT) and dialectical behavior therapy- (DBT) oriented interventions are effective in reducing the burden of the disease, which is mainly marked by depression, interpersonal difficulties, low self-esteem, and low quality of life. In order to determine the effectiveness of this intervention, we assessed the benefits of a CBT/DBT programme to reduce residual symptoms and help patients improve their quality of life. 49 ADHD-patients, poor responders to medication, were enrolled in a one-year programme where they received individual therapy, associated with weekly sessions of group therapy with different modules: Mindfulness, Emotion Regulation, Interpersonal Effec...
In the past few years, there has been an increased and widespread interest for Mentalization-Base... more In the past few years, there has been an increased and widespread interest for Mentalization-Based Therapies (MBTs). Although originally developed by Anthony Bateman and Peter Fonagy for the treatment of Borderline Personality Disorder (BPD), the scope of MBTs has now been broadened and is relevant in liaison psychiatry, not only to cope with personality disorders or phenomena such as emotional dysregulation and suicidal behaviours, but also because being ill and expericencieng a dependency-laden relationship with health workers tend to reduce mentalization capacities, thereby increasing the probability of misunderstandings, conflicts, treatment drop-outs or medical errors. We provide clinicians with clues to identify failures and reboot the mentalization process among their patients and colleagues.
In the past few years, there has been an increased and widespread interest for Mentalization-Base... more In the past few years, there has been an increased and widespread interest for Mentalization-Based Therapies (MBTs). Although originally developed by Anthony Bateman and Peter Fonagy for the treatment of Borderline Personality Disorder (BPD), the scope of MBTs has now been broadened and is relevant in liaison psychiatry, not only to cope with personality disorders or phenomena such as emotional dysregulation and suicidal behaviours, but also because being ill and expericencieng a dependency-laden relationship with health workers tend to reduce mentalization capacities, thereby increasing the probability of misunderstandings, conflicts, treatment drop-outs or medical errors. We provide clinicians with clues to identify failures and reboot the mentalization process among their patients and colleagues.
In the past few years, there has been an increased and widespread interest for Mentalization-Base... more In the past few years, there has been an increased and widespread interest for Mentalization-Based Therapies (MBTs). Although originally developed by Anthony Bateman and Peter Fonagy for the treatment of Borderline Personality Disorder (BPD), the scope of MBTs has now been broadened and is relevant in liaison psychiatry, not only to cope with personality disorders or phenomena such as emotional dysregulation and suicidal behaviours, but also because being ill and expericencieng a dependency-laden relationship with health workers tend to reduce mentalization capacities, thereby increasing the probability of misunderstandings, conflicts, treatment drop-outs or medical errors. We provide clinicians with clues to identify failures and reboot the mentalization process among their patients and colleagues.
The management of pregnancy with a bipolar patient represents a special case of medical care wher... more The management of pregnancy with a bipolar patient represents a special case of medical care where collaboration is needed among different clinicians, general practitioners, obstetricians and psychiatrists. During pregnancy, practitioners, on the one hand, must weigh the effect (both short - and long-term) associated with various medications used in the stabilization and treatment of acute phases of illness, on the other hand, they should take into account the risks inherent to the interruption of drug treatment. This paper reviews recent literature focusing on key risks, monitoring to put in place during different stages of pregnancy and possible therapeutic abstentions.
Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial... more Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial, social, and professional functioning. Although stimulant treatments can be effective in adult ADHD, some patients will respond poorly or not at all to medication. Previous studies demonstrated that cognitive behavioural therapy- (CBT) and dialectical behavior therapy- (DBT) oriented interventions are effective in reducing the burden of the disease, which is mainly marked by depression, interpersonal difficulties, low self-esteem, and low quality of life. In order to determine the effectiveness of this intervention, we assessed the benefits of a CBT/DBT programme to reduce residual symptoms and help patients improve their quality of life. 49 ADHD-patients, poor responders to medication, were enrolled in a one-year programme where they received individual therapy, associated with weekly sessions of group therapy with different modules: Mindfulness, Emotion Regulation, Interpersonal Effec...
ABSTRACT Les expériences hallucinatoires ne sont pas spécifiques des troubles psychotiques et on ... more ABSTRACT Les expériences hallucinatoires ne sont pas spécifiques des troubles psychotiques et on les observe dans d’autres situations, notamment dans le cadre des déprivations sensorielles auditives. La proportion des gens ayant des hallucinations auditives est sous-estimée en raison du stigmate associé, d’où la constatation clinique d’une réticence des gens à se confier. Des hallucinations auditives en association avec une perte auditive sont décrites soit de manière isolée, soit en associa- tion avec des problèmes cérébraux (lésions du tronc cérébral,lésions corticales et maladies neurologiques). Le plus souvent, ces hallucinations se manifestent sous forme musicale chez des personnes âgées présentant une surdité acquise progressive, de longue date et souvent d’un degré modéré à sévère. Des rares cas ont été décrits chez des personnes sourdes pré-linguales. Des facteurs tel un bruit faible ambiant et une période d’acti- vité réduite sont des facteurs associés à une aggravation des hallucinations. Par ailleurs, l’usage de drogue augmente le risque hallucinatoire. Des paramètres telles les attentes de la personne, sa suggestibilité ou la qualité du signal (ratio signal bruit) décrit comme favorisant le déclenchement d’hallucinations chez les personnes schizophrènes ne semblent pas présents chez les personnes déficientes auditives présentant des phénomènes hallucinatoires en dehors d’un trouble psychiatrique. Aucun modèle explicatif ne démontre clairement ce qui amène certaines personnes ayant un problème auditif à développer des hallucinations. Plusieurs hypothèses existent, d’une part au niveau périphérique (problèmes d’hydrops endolymphatique dans l’oreille interne provoquant un syndrome d’oreille hyperactive) ou au niveau central (modèle de désafférentation). La présence d’hallucinations auditives en cas de déprivations auditive est un modèle intéressant d’étude des phénomènes hallucinatoires.
This article aims to examine data on Psychiatric diagnoses among deaf people in comparison with h... more This article aims to examine data on Psychiatric diagnoses among deaf people in comparison with hearing people in the psychiatric hospital in Beau-Vallon. This work proposes to study the diagnostic data from the Summary Psychiatric Minimum (Résumé psychiatrique minimum: RPM) from the years 2000 until 2009 from the psychiatric hospital Beau Vallon and for which a hearing problem has been highlighted on Axis III. The sample data of the deaf population will be compared with the sample of the total population represented by all patients for the year 2008. Both samples were found to be equivalent after a Mann-Whitney test to study the relationship between two independent samples with quantitative data. The results show an overrepresentation of the diagnosis of psychotic disorders (40.7% against 29.3%), an equivalence of depressive disorders (18.5% against 18%) but bipolar disorders were absent in the deaf while they were found in 5.7% of patients with normal hearing, an overrepresentatio...
This work aims to study the relationship between psychopathology and deafness. These results show... more This work aims to study the relationship between psychopathology and deafness. These results show that the most frequent diagnosis among the deaf are disorders of mood and post-traumatic syndrome. Psychotic disorders and mental retardation, once widely diagnosed among deaf populations, are less frequent. The accuracy of these findings results from studies conducted by a team that is specialized in the care of the deaf and that also masters the socio-linguistic aspects of the deaf culture. The high prevalence of erroneous diagnosis posed by non-specialist teams in support of deaf persons, shows the need for the establishment of a bio-psycho-socio-specific language for the deaf.
Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial... more Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial, social, and professional functioning. Although stimulant treatments can be effective in adult ADHD, some patients will respond poorly or not at all to medication. Previous studies demonstrated that cognitive behavioural therapy- (CBT) and dialectical behavior therapy- (DBT) oriented interventions are effective in reducing the burden of the disease, which is mainly marked by depression, interpersonal difficulties, low self-esteem, and low quality of life. In order to determine the effectiveness of this intervention, we assessed the benefits of a CBT/DBT programme to reduce residual symptoms and help patients improve their quality of life. 49 ADHD-patients, poor responders to medication, were enrolled in a one-year programme where they received individual therapy, associated with weekly sessions of group therapy with different modules: Mindfulness, Emotion Regulation, Interpersonal Effec...
In the past few years, there has been an increased and widespread interest for Mentalization-Base... more In the past few years, there has been an increased and widespread interest for Mentalization-Based Therapies (MBTs). Although originally developed by Anthony Bateman and Peter Fonagy for the treatment of Borderline Personality Disorder (BPD), the scope of MBTs has now been broadened and is relevant in liaison psychiatry, not only to cope with personality disorders or phenomena such as emotional dysregulation and suicidal behaviours, but also because being ill and expericencieng a dependency-laden relationship with health workers tend to reduce mentalization capacities, thereby increasing the probability of misunderstandings, conflicts, treatment drop-outs or medical errors. We provide clinicians with clues to identify failures and reboot the mentalization process among their patients and colleagues.
In the past few years, there has been an increased and widespread interest for Mentalization-Base... more In the past few years, there has been an increased and widespread interest for Mentalization-Based Therapies (MBTs). Although originally developed by Anthony Bateman and Peter Fonagy for the treatment of Borderline Personality Disorder (BPD), the scope of MBTs has now been broadened and is relevant in liaison psychiatry, not only to cope with personality disorders or phenomena such as emotional dysregulation and suicidal behaviours, but also because being ill and expericencieng a dependency-laden relationship with health workers tend to reduce mentalization capacities, thereby increasing the probability of misunderstandings, conflicts, treatment drop-outs or medical errors. We provide clinicians with clues to identify failures and reboot the mentalization process among their patients and colleagues.
In the past few years, there has been an increased and widespread interest for Mentalization-Base... more In the past few years, there has been an increased and widespread interest for Mentalization-Based Therapies (MBTs). Although originally developed by Anthony Bateman and Peter Fonagy for the treatment of Borderline Personality Disorder (BPD), the scope of MBTs has now been broadened and is relevant in liaison psychiatry, not only to cope with personality disorders or phenomena such as emotional dysregulation and suicidal behaviours, but also because being ill and expericencieng a dependency-laden relationship with health workers tend to reduce mentalization capacities, thereby increasing the probability of misunderstandings, conflicts, treatment drop-outs or medical errors. We provide clinicians with clues to identify failures and reboot the mentalization process among their patients and colleagues.
The management of pregnancy with a bipolar patient represents a special case of medical care wher... more The management of pregnancy with a bipolar patient represents a special case of medical care where collaboration is needed among different clinicians, general practitioners, obstetricians and psychiatrists. During pregnancy, practitioners, on the one hand, must weigh the effect (both short - and long-term) associated with various medications used in the stabilization and treatment of acute phases of illness, on the other hand, they should take into account the risks inherent to the interruption of drug treatment. This paper reviews recent literature focusing on key risks, monitoring to put in place during different stages of pregnancy and possible therapeutic abstentions.
Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial... more Attention deficit hyperactivity disorder (ADHD) is associated with marked impairments in familial, social, and professional functioning. Although stimulant treatments can be effective in adult ADHD, some patients will respond poorly or not at all to medication. Previous studies demonstrated that cognitive behavioural therapy- (CBT) and dialectical behavior therapy- (DBT) oriented interventions are effective in reducing the burden of the disease, which is mainly marked by depression, interpersonal difficulties, low self-esteem, and low quality of life. In order to determine the effectiveness of this intervention, we assessed the benefits of a CBT/DBT programme to reduce residual symptoms and help patients improve their quality of life. 49 ADHD-patients, poor responders to medication, were enrolled in a one-year programme where they received individual therapy, associated with weekly sessions of group therapy with different modules: Mindfulness, Emotion Regulation, Interpersonal Effec...
ABSTRACT Les expériences hallucinatoires ne sont pas spécifiques des troubles psychotiques et on ... more ABSTRACT Les expériences hallucinatoires ne sont pas spécifiques des troubles psychotiques et on les observe dans d’autres situations, notamment dans le cadre des déprivations sensorielles auditives. La proportion des gens ayant des hallucinations auditives est sous-estimée en raison du stigmate associé, d’où la constatation clinique d’une réticence des gens à se confier. Des hallucinations auditives en association avec une perte auditive sont décrites soit de manière isolée, soit en associa- tion avec des problèmes cérébraux (lésions du tronc cérébral,lésions corticales et maladies neurologiques). Le plus souvent, ces hallucinations se manifestent sous forme musicale chez des personnes âgées présentant une surdité acquise progressive, de longue date et souvent d’un degré modéré à sévère. Des rares cas ont été décrits chez des personnes sourdes pré-linguales. Des facteurs tel un bruit faible ambiant et une période d’acti- vité réduite sont des facteurs associés à une aggravation des hallucinations. Par ailleurs, l’usage de drogue augmente le risque hallucinatoire. Des paramètres telles les attentes de la personne, sa suggestibilité ou la qualité du signal (ratio signal bruit) décrit comme favorisant le déclenchement d’hallucinations chez les personnes schizophrènes ne semblent pas présents chez les personnes déficientes auditives présentant des phénomènes hallucinatoires en dehors d’un trouble psychiatrique. Aucun modèle explicatif ne démontre clairement ce qui amène certaines personnes ayant un problème auditif à développer des hallucinations. Plusieurs hypothèses existent, d’une part au niveau périphérique (problèmes d’hydrops endolymphatique dans l’oreille interne provoquant un syndrome d’oreille hyperactive) ou au niveau central (modèle de désafférentation). La présence d’hallucinations auditives en cas de déprivations auditive est un modèle intéressant d’étude des phénomènes hallucinatoires.
This article aims to examine data on Psychiatric diagnoses among deaf people in comparison with h... more This article aims to examine data on Psychiatric diagnoses among deaf people in comparison with hearing people in the psychiatric hospital in Beau-Vallon. This work proposes to study the diagnostic data from the Summary Psychiatric Minimum (Résumé psychiatrique minimum: RPM) from the years 2000 until 2009 from the psychiatric hospital Beau Vallon and for which a hearing problem has been highlighted on Axis III. The sample data of the deaf population will be compared with the sample of the total population represented by all patients for the year 2008. Both samples were found to be equivalent after a Mann-Whitney test to study the relationship between two independent samples with quantitative data. The results show an overrepresentation of the diagnosis of psychotic disorders (40.7% against 29.3%), an equivalence of depressive disorders (18.5% against 18%) but bipolar disorders were absent in the deaf while they were found in 5.7% of patients with normal hearing, an overrepresentatio...
This work aims to study the relationship between psychopathology and deafness. These results show... more This work aims to study the relationship between psychopathology and deafness. These results show that the most frequent diagnosis among the deaf are disorders of mood and post-traumatic syndrome. Psychotic disorders and mental retardation, once widely diagnosed among deaf populations, are less frequent. The accuracy of these findings results from studies conducted by a team that is specialized in the care of the deaf and that also masters the socio-linguistic aspects of the deaf culture. The high prevalence of erroneous diagnosis posed by non-specialist teams in support of deaf persons, shows the need for the establishment of a bio-psycho-socio-specific language for the deaf.
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