La periode perinatale represente un moment de bouleversement psychique dans la vie d’une femme. L... more La periode perinatale represente un moment de bouleversement psychique dans la vie d’une femme. Les risques de survenue ou de decompensation de pathologies preexistantes sont tels qu’une prise en charge a la fois psychotherapique et medicamenteuse peut s’averer indispensable. Il devient alors necessaire d’evaluer les benefices et les risques d’une prescription medicamenteuse, ou de l’absence de celle-ci, pendant la grossesse et la periode d’allaitement.
MTP. Médecine thérapeutique pédiatrie, May 1, 2011
Apres avoir rappele le processus de developpement de la parentalite, les auteurs proposent un rec... more Apres avoir rappele le processus de developpement de la parentalite, les auteurs proposent un recours par les professionnels a un reperage precoce et une organisation d’interventions en reseau des familles les plus vulnerables. Il est rappele que la parentalite comporte de l’ambivalence naturelle a l’egard du bebe et que les exigences necessaires a ses soins peuvent etre empechees par de multiples facteurs. La psychopathologie et la repetition transgenerationnelle en font partie. Cependant, il est necessaire de ne pas effectuer de parallelisme entre pathologie et maltraitance, tout comme il est imperatif d’observer et de proposer des soins lorsque les risques sont averes. Le deni est toujours l’entrave la plus grande a des prises en charges precoces, dont l’efficacite clinique est aujourd’hui visible.
... La dynamique qui s'instaure entre les deux thérapeutes sert elle-même de compréhension «... more ... La dynamique qui s'instaure entre les deux thérapeutes sert elle-même de compréhension « analogique » à l'interaction mère-bébé. Les conflits et le risque de ruptures sont d'emblée rapidement perceptibles chez ces mères en grande difficulté. ...
International Journal of Social Psychiatry, Aug 31, 2021
Background: There are remarkably high smoking rates in patients living with mental disorders (PLW... more Background: There are remarkably high smoking rates in patients living with mental disorders (PLWMD), and the absence of a specific treatment policy for smoking cessation for these patients worldwide. The present study aimed to (i) investigate the quality of service and commitment to tobacco dependence treatment, and (ii) produce high-quality French versions of the Index of Tobacco Treatment Quality (ITTQ) and Tobacco Treatment Commitment Scale (TTCS). Methods: ITTQ and TTCS were used to assess French mental health professionals ( n = 80). Both scales were translated from their original language following standard procedures (i.e. forward translation). Descriptive analysis for total score, each factor and item were calculated for the entire sample, followed by subgroup analysis by gender, and role of the practitioner. Results: Nurses presented higher levels of both treatment commitment and treatment quality in their mental health care units, compared to psychiatrists, and residents. Overall, counseling offering was low and there was a perception that it is unfair to take tobacco away from PLWMD. In the other hand, there were high levels of smoking assessment and perceptions that nicotine dependence should be included in drug treatment programs. Conclusions: There is a gap in tobacco treatment implementation for French PLWMD. The present pilot study alerts about the problem, and should stimulate larger studies validating such measures for wide use with French-speaking mental health professionals. French nurses presented higher levels of both treatment commitment and quality, and could be in a leadership position for such implementation. Encouraging the implementation of tobacco counseling within conventional mental health treatment is critical to improve cessation rates among this population. There is a potential for the sustainability of tobacco treatment interventions since the levels of commitment observed here were higher than in previous studies conducted abroad.
Early interactions are established in accordance to their own rhythms the tempo of which is set b... more Early interactions are established in accordance to their own rhythms the tempo of which is set by the parent-infant dyad. The adjustment is made by the adult partner, who must be able to ensure this mutual interactive rhythm. It is in fact these initial interactions which form the foundations of a secure attachment.
La periode perinatale represente un moment de bouleversement psychique dans la vie d’une femme. L... more La periode perinatale represente un moment de bouleversement psychique dans la vie d’une femme. Les risques de survenue ou de decompensation de pathologies preexistantes sont tels qu’une prise en charge a la fois psychotherapique et medicamenteuse peut s’averer indispensable. Il devient alors necessaire d’evaluer les benefices et les risques d’une prescription medicamenteuse, ou de l’absence de celle-ci, pendant la grossesse et la periode d’allaitement.
MTP. Médecine thérapeutique pédiatrie, May 1, 2011
Apres avoir rappele le processus de developpement de la parentalite, les auteurs proposent un rec... more Apres avoir rappele le processus de developpement de la parentalite, les auteurs proposent un recours par les professionnels a un reperage precoce et une organisation d’interventions en reseau des familles les plus vulnerables. Il est rappele que la parentalite comporte de l’ambivalence naturelle a l’egard du bebe et que les exigences necessaires a ses soins peuvent etre empechees par de multiples facteurs. La psychopathologie et la repetition transgenerationnelle en font partie. Cependant, il est necessaire de ne pas effectuer de parallelisme entre pathologie et maltraitance, tout comme il est imperatif d’observer et de proposer des soins lorsque les risques sont averes. Le deni est toujours l’entrave la plus grande a des prises en charges precoces, dont l’efficacite clinique est aujourd’hui visible.
... La dynamique qui s'instaure entre les deux thérapeutes sert elle-même de compréhension «... more ... La dynamique qui s'instaure entre les deux thérapeutes sert elle-même de compréhension « analogique » à l'interaction mère-bébé. Les conflits et le risque de ruptures sont d'emblée rapidement perceptibles chez ces mères en grande difficulté. ...
International Journal of Social Psychiatry, Aug 31, 2021
Background: There are remarkably high smoking rates in patients living with mental disorders (PLW... more Background: There are remarkably high smoking rates in patients living with mental disorders (PLWMD), and the absence of a specific treatment policy for smoking cessation for these patients worldwide. The present study aimed to (i) investigate the quality of service and commitment to tobacco dependence treatment, and (ii) produce high-quality French versions of the Index of Tobacco Treatment Quality (ITTQ) and Tobacco Treatment Commitment Scale (TTCS). Methods: ITTQ and TTCS were used to assess French mental health professionals ( n = 80). Both scales were translated from their original language following standard procedures (i.e. forward translation). Descriptive analysis for total score, each factor and item were calculated for the entire sample, followed by subgroup analysis by gender, and role of the practitioner. Results: Nurses presented higher levels of both treatment commitment and treatment quality in their mental health care units, compared to psychiatrists, and residents. Overall, counseling offering was low and there was a perception that it is unfair to take tobacco away from PLWMD. In the other hand, there were high levels of smoking assessment and perceptions that nicotine dependence should be included in drug treatment programs. Conclusions: There is a gap in tobacco treatment implementation for French PLWMD. The present pilot study alerts about the problem, and should stimulate larger studies validating such measures for wide use with French-speaking mental health professionals. French nurses presented higher levels of both treatment commitment and quality, and could be in a leadership position for such implementation. Encouraging the implementation of tobacco counseling within conventional mental health treatment is critical to improve cessation rates among this population. There is a potential for the sustainability of tobacco treatment interventions since the levels of commitment observed here were higher than in previous studies conducted abroad.
Early interactions are established in accordance to their own rhythms the tempo of which is set b... more Early interactions are established in accordance to their own rhythms the tempo of which is set by the parent-infant dyad. The adjustment is made by the adult partner, who must be able to ensure this mutual interactive rhythm. It is in fact these initial interactions which form the foundations of a secure attachment.
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