Un atelier de chant choral pour permettre l’émergence du sujet et sa rencontre avec l’altérité

Ce texte constitue l’observation clinique d’un atelier de chant choral mis en place au sein de deux structures de soins ambulatoires en psychiatrie. L’atelier vise avant tout la possibilité pour les patients suivis en psychiatrie de pouvoir s’inscrire dans une vie citoyenne et de lutter contre la déstigmatisation liée à la maladie psychique. Il est dit non thérapeutique par les soignantes elles-mêmes puisqu’il se revendique avant tout comme une activité de loisirs. Mais au-delà de la « simple » activité socialisante du chant choral, nous mettrons en lumière la dimension thérapeutique qui apparaît de surcroît dans cet atelier à médiation artistique. En effet, différentes conceptions des soins, notamment celle de la psychothérapie institutionnelle défendue par Oury et Tosquelles, montrent que cet atelier de chant choral privilégie la rencontre avec soi-même et avec l’autre. En outre, le concept d’illusion groupale défini par Freud, de même que l’esprit des soins décrit par Racamier se retrouvent dans cet atelier artistique dont les vertus thérapeutiques apparaissent alors. Ainsi, par l’intermédiaire de l’atelier de chant choral le sujet psychotique retrouve une forme de créativité qui lui permet de mettre fin à son enfermement

Validation comportementale d'un modèle animal neuro-développemental original de schizophrénie (altération de la neurogenèse par administration anté-natale d'un anti-mitotique chez le rat)

PARIS-BIUSJ-Thèses (751052125) / SudocPARIS-BIUSJ-Physique recherche (751052113) / SudocSudocFranceF

Modèles animaux de schizophrénie (revue critique)

PARIS5-BU Méd.Cochin (751142101) / SudocPARIS-BIUM (751062103) / SudocCentre Technique Livre Ens. Sup. (774682301) / SudocSudocFranceF

Mental Health and Service Use of Migrants in Contact with the Public Psychiatry System in Paris

Background: Migrants, and particularly asylum seekers, are at increased risk of psychiatric disorders in comparison with natives. At the same time, inequalities in access to mental health care are observed. Methods: In order to evaluate whether the Parisian public psychiatric system is optimally structured to meet the needs of this population, we examined data on mental health and service use considering three different levels: the global system treatment level, a psychiatric reception center, and mobile teams specializing in access to psychiatric care for asylum seekers. Results: We found higher treatment rates among migrants than among natives (p < 0.001) but inequalities in pathways to care: more mandatory admissions (OR = 1.36, 95% CI: 1.02–1.80) and fewer specialized consultations (OR = 0.56, 95% CI: 0.38–0.81). We observed a mismatch between increased need and provision of care among migrants without stable housing or seeking asylum. Conclusions: Inequalities in the provision of care for migrants are observed in the Parisian public psychiatric system, particularly for those experiencing poor social and economic conditions. There is a need to facilitate access to mental health care and develop more tailored interventions to reduce discontinuity of care

Data_Sheet_1_Characteristics of older patients in the largest French psychiatric emergency centre.pdf

Despite an increasing number of adults older than 60 years with psychiatric disorders, there are few studies on older patients in psychiatric emergencies and no European data. We aimed to describe the population of patients aged 60 years and older who presented to the main French psychiatric emergency centre and identify predictors of psychiatric hospitalization. This monocentric study included 300 consecutive patients aged 60 years and older. Patients presenting because of psychiatric emergencies were frequently female and lived autonomously. More than 40% had a history of at least one psychiatric hospitalization and 44% had consulted a psychiatrist in the previous 6 months. The most common reasons for consultation were depression, anxiety, sleep disorders and suicidal thoughts. Psychiatric disorders were mainly mood disorders; neurotic, stress-related and somatoform disorders; and schizophrenic, schizotypal and delusional disorders. Only 10% had a diagnosis of organic mental disorders. Overall, 39% of the patients were admitted to the psychiatric hospital. Factors predicting hospitalization were a history of psychiatric hospitalization, suicidal thoughts and a diagnosis of a mood disorder or schizophrenia/schizotypal/delusional disorder. In conclusion, among people aged 60 years and older who consulted for psychiatric emergencies, 39% had to be hospitalized in psychiatry and only psychiatric factors influenced the decision to hospitalize. Our study highlights the need for further studies of older people in psychiatric emergencies in Europe, to anticipate the needs of this specific population and adapt multidisciplinary mental health care.</p

Dramatic reduction of psychiatric emergency consultations during lockdown linked to COVID ‐19 in Paris and suburbs

International audienc