Psychodynamic-oriented psychological assessment predicts evolution to schizophrenia at 8-year follow-up in adolescents hospitalized for a manic/mixed episode: Interest of an overall subjective rating

Louët, Estelle; Consoli, Angèle; Lucanto, R.; Duplant, Nicole; Bailly-Salin, Marie-José; Lemoigne, Annie; Martin, Michèle; Mayer, C; Thompson, Caroline; Gollier-Briant, Fanny; Laurent, Claudine; Brunelle, Julie; Bodeau, Nicolas; Cohen, David

doi:10.1016/j.jphysparis.2010.08.004

Cited by 15 publications

(4 citation statements)

References 37 publications

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“…The two scores were CGI-psychosocial risk and CGI-schizophrenia risk. This methodology has been previously described in detail, and it demonstrates a moderate to good inter-rater reliability (kappa = 0.54 and 0.75, respectively) (Louet et al, 2010).…”

Section: Patient' Assessmentmentioning

confidence: 99%

Diagnostic transition towards schizophrenia in adolescents with severe bipolar disorder type I: An 8-year follow-up study

Consoli¹,

Brunelle²,

Bodeau³

et al. 2014

Schizophrenia Research

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Section: Patient' Assessmentmentioning

confidence: 99%

Diagnostic transition towards schizophrenia in adolescents with severe bipolar disorder type I: An 8-year follow-up study

Consoli¹,

Brunelle²,

Bodeau³

et al. 2014

Schizophrenia Research

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“…The psychodynamic perspective can also contribute to early detection of anxiety and, consequently, of potential vulnerability to psychosis. In this respect, we should explore the relevance of psychoanalytical methods and tools with respect to differential diagnosis and clinical prognosis (Louët et al, 2010). Projective techniques notably the Rorschach test, can enable a fine identification of different types of anxiety, and open up hypotheses on risk factors for psychosis (Wood et al, 2000;Kimhy et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Vulnerability to Psychosis: A Psychoanalytical Perspective. The Paradigmatic Example of 22q11.2 Microdeletion Syndrome

2020

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This paper outlines a psychoanalytic contribution to a growing research field in psychiatry: that of psychotic vulnerability, and the related neurogenetic modeling of schizophrenia. We explore this contribution by focusing on recent studies concerning a neurodevelopmental disorder, the 22q11.2 microdeletion syndrome-which comprises DiGeorge syndrome in particular. It is one of the most common rare genetic syndromes, and the patients that it affects present a very high rate of psychotic symptoms (between 30 and 40%). For this reason, it has sparked an increasing number of clinical research projects which give it a paradigmatic status, as much for psychotic vulnerability as for potential neurobiological and genetic markers of schizophrenia. This syndrome illustrates one of the major stakes in contemporary psychopathology: the articulation of clinical, neurocognitive, and genetic approaches in a pluri-disciplinary manner. We seek to show that psychoanalysis, when it participates in this articulation, opens up specific hypotheses and research perspectives. In particular, based on the epidemiological observation of the role of anxiety as a predictor for psychosis, we underline the potential relevance of psychoanalytically oriented differential clinical practice and the psychodynamics of anxiety: they can contribute to studies and clinical follow-up on the 22q11.2 microdeletion syndrome and, more widely, to research on the detection and prevention of psychotic vulnerability.

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“…The reliability of the assessments is primarily empirical: It is based on the experience of clinical psychologists specialized in projective techniques, and on the consistency of results of blind scorings of the same protocols. One of our studies was devoted to a quantitative analysis (univariate analysis) of the validity of interrater scoring and analysis (Louët, Consoli, & Cohen, 2010), based on expert guidelines: two psychodynamic-oriented psychologists scored blindly the same psychological protocols; interrater reliability was high and significant.…”

Section: Discussionmentioning

confidence: 99%

The Dynamics of TAT Process

et al. 2014

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After many years of clinical practice, research and the teaching of projective tests, Shentoub and her colleagues (Debray, Brelet, Chabert & al.) put forward an original and rigorous method of analysis and interpretation of the TAT protocols in terms of psychoanalysis and clinical psychopathology. They developed the TAT process theory in order to understand how the subject builds a narrative. Our article will emphasize the source of the analytical approach developed by V. Shentoub in the 1950s to current research; the necessity of marking the boundary between the manifest and latent content in the cards; the procedure for analyzing the narrative, supported by an analysis sheet for understanding the stories' structure and identifying the defense mechanisms; and how developing hypotheses about how the mental functions are organized, as well as their potential psychopathological characteristics; and the formulation of a diagnosis in psychodynamic terms. In conjunction with the analysis and interpretation of the Rorschach test, this approach allows us to develop an overview of the subject's mental functioning, taking into account both the psychopathological elements that may threaten the subject and the potential for a therapeutic process. We will illustrate this by comparing neurotic, borderline, and psychotic personalities.

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Psychodynamic-oriented psychological assessment predicts evolution to schizophrenia at 8-year follow-up in adolescents hospitalized for a manic/mixed episode: Interest of an overall subjective rating

Cited by 15 publications

References 37 publications

Diagnostic transition towards schizophrenia in adolescents with severe bipolar disorder type I: An 8-year follow-up study

Diagnostic transition towards schizophrenia in adolescents with severe bipolar disorder type I: An 8-year follow-up study

Vulnerability to Psychosis: A Psychoanalytical Perspective. The Paradigmatic Example of 22q11.2 Microdeletion Syndrome

The Dynamics of TAT Process

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