[Feasibility of a psychoeducation group for patients with anorexia nervosa: An open study].

Introduction: Management of anorexia nervosa is difficult and few treatments have shown their effectiveness, justifying the exploration of new therapeutic approaches. Available evidence suggests an interest of psychoeducational groups in a significant number of psychiatric disorders. In patients suffering from anorexia, to date there are few groups or interventions available.

[The Institute Philippe-Pinel and the department of Psychiatry of the University of Montreal: intricate paths].

The Institute Philippe-Pinel (IPPM) and the Département de psychiatrie de l'Université de Montréal, who are both celebrating their 50 years, have intricated paths and a long history of collaboration. Since its conception (1964), the Institute Philippe-Pinel was planned to become a site for training and teaching in the bosom of the Université de Montréal.Unique in its mission to offer state of the art psychiatric care and forensic assessments to patients presenting a high risk of violence, the Institute Philippe-Pinel, throughout the years, was also able to leave its mark by the way of academic teaching to psychiatric residents and trainees of all disciplines, of organizing national and international conferences, of research and by the publication of numerous articles and books in the field of forensic psychiatry.

[Treatment progress scale for violent psychosis patients].

Objectives: The dangerousness of psychiatric patients is related to many well-documented factors in literature. To better document the course of dangerousness in most violent psychotic patients with severe and persistent diseases, we have developed a Treatment Progress Scale (TPS).

Method: The TPS was developed based on the literature research and the expertise of a multidisciplinary team.

[Prosecution of psychiatric patients: elements of reflections and practical applications.].

Among possible solutions in response to violent behaviours of psychiatric patients, prosecution might not be an alternative as well-known. This measure may be potentially beneficial for patients. How can prosecution be chosen as an option when faced with violent patients? When this option is considered, how should it be applied and what are the different steps to follow? To answer these questions, it appeared essential to first proceed to a comprehensive reflection on the recourse of sanction in psychiatry.

[The psychiatrist faced with refusal of treatment : clinical and legal aspects.].

In this article, the authors discuss refusal of treatment by psychiatric patients. Basic clinical principles as well as the process in which the psychiatrist must engage are exposed with the legal aspects. Clinical vignettes concretely illustrate these different aspects.

[An inventory for the evaluation of dangerousness in mental patients].

The authors of the article propose an inventory for the systematic assessment of the dangerousness of psychiatric patients. This clinical tool is qualitative and is helpful in a case-by-case approach. The prediction of violent behaviour is discussed; quantitative and qualitative research perspectives are also mentioned.

[Homicide in the psychotic patient: a study of 24 cases with reference to prediction of short-term outcome].

This research analyses retrospectively a population of 24 psychotic patients, hospitalized in a maximum security institution for the criminality insane and who have committed or attempted to commit murder. The main focus is on finding the clinical elements which are associated with increased homicidal risk, in the short term. With that aim in mind, nine patients that were in contact with a mental health professional, during the month preceding the homicide, were studied more specifically.

[Violent behavior (psychodynamic reflection).].

In this article, the author seeks to distinguish between the notions of aggressivity and violence. He refers to Bergeret's theories and gives clinical illustrations using two patients. This differentiation will improve comprehension of events leading to acts of violence, and will enable better therapeutic interventions.

[Electroencephalography and the confusional syndrome in a hospital center specializing in psychiatry].

In psychiatric hospitals confusional states are frequent and represent about 20% of requests for EEG's. This study, covering a one year period, at S-Jean de Dieu psychiatric hospital in Lyon, revealed among all EEG's carried out for a confusional state the existence of a high proportion of pathological signs (59%). Etiological research demonstrates that a large proportion of these patients is diagnosed as senile dementia.