[Care programmes, to respond to the breakdown of care and lack of consent in psychiatry].

We need to go back to the time of alienist doctors to understand the interest of the care programme established in 2011. In fact, the psychiatric clinic requires professionals to accompany the patient over time, while accepting the variability of suffering. In this context, this system proposes an alternative to full in-patient care while preserving the aspect of compulsory treatments.

[The latest best practice guidelines relating to seclusion and restraint].

Several measures relating to seclusion and restraint are included in the French public health code. The best practice guidelines of the French National Health Authority, published in 2017, define these two notions and advise on the behaviour to adopt with regard to their implementation and monitoring. Likewise, informing and supporting the patient when these measures are lifted are critical moments which the teams must also be able to manage correctly.

[Preventing violence during hospitalisations in psychiatry].

Over recent years, the psychiatric sector has endeavoured to develop community-based care. Paradoxically, the number of compulsory hospitalisations is increasing. At the same time, the legal framework is evolving and measures relating to the deprivation of liberty in the context of psychiatric care have given rise to extensive guidelines.

[Organization of mental health care: the role of general practitioners].

Organization of mental health care: the role of general practitioners. In the evaluation of the National French Psychiatry / Mental Health plan 2011-2015, as carried out by the High Public Health Council, some points concern the role of general practitioners and the difficulties they encounter regarding their patients suffering from psychiatric disorders ; are mentioned access to urgent or planned specialized psychiatric care, their role in the management of the physical health of their patients suffering from psychiatric disorders, the vigilance that they must exercise with regard to the over prescription of psychotropic drugs, the announcement of an experiment in the reimbursement of psychotherapies conducted by psychologists and the importance of initial and continuing training of general practitioners in adult and infant-juvenile psychiatry. The regard on psychiatric patients must be changed and the role of general practitioners in this change is important.

[Impairments of empathic process in sexual offenders].

The review of literature devoted to empathy deficits of sexual offenders shows that they have difficulties in identifying specific emotions in specific situations. Their perspective taking abilities range from weak to normal. Face to their victims suffering, their emotional replication would be inhibited.

The new French mental health law regarding psychiatric involuntary treatment.

The French Republic has had four laws governing the detention of people with a mental illness. The first dates from 1838 and remained in place until 1990. The most recent one was issued on 27 September 2013; it confirmed the role of the judge and strengthened the legal procedures.

Personality disorders, but not cancer severity or treatment type, are risk factors for later generalised anxiety disorder and major depressive disorder in non metastatic breast cancer patients.

This study aimed to determine whether personality disorders were associated with later Major Depressive Disorder (MDD) or Generalised Anxiety Disorder (GAD) in breast cancer patients. This longitudinal and multicentric study included 120 French non-metastatic breast cancer patients. After cancer diagnosis (T1) and 7 months after diagnosis (T3), we assessed MDD and GAD (Mini International Neuropsychiatric Interview 5.

Major depressive disorder, personality disorders, and coping strategies are independent risk factors for lower quality of life in non-metastatic breast cancer patients.

Objective: Our aim was to identify risk factors for lower quality of life (QOL) in non-metastatic breast cancer patients.

Methods: Our study included 120 patients from the University Hospital Centers of Tours and Poitiers. This cross-sectional study was conducted 7 months after patients' breast cancer diagnosis and assessed QOL (Quality of Life Questionnaire Core 30 = QLQ-C30), socio-demographic characteristics, coping strategies (Brief-COPE), physiological and biological variables (e.

Comorbidity between personality disorders and depressive symptomatology in women: A cross-sectional study of three different transitional life stages.

This study assessed the prevalence of personality disorders (PDs), according to DSM-IV criteria, in relation to depressive symptomatology at three different periods of life in female subjects. Depressive symptoms and personality disorders were assessed in a sample of 568 women from three different transitional stages: 134 students, 314 primiparous women after childbirth and 120 women diagnosed with breast cancer. Depressive symptoms were assessed by the Hospital Depression and Anxiety Scale in the first and third groups and by the Edinburgh Post-natal Depression Scale in the second group, whereas PDs were assessed by the French version of the Vragenlijst voor Kenmerken van de Persoonlijkheid.

Obsessive compulsive disorder in a patient with twiddler's syndrome.

Twiddler's or twist syndrome is the twisting of pulse generators around themselves. It may result from mechanical manipulation that can induce the malfunction of the device. In this case, twiddler's syndrome resulted from compulsive checking of the device.