Background: Racial discrimination in medicine covers topics such as the impact of racism on health, implicit biases, or the history of medicine and the involvement of the healthcare system in maintaining discrimination. However, teaching and training in the French medical curriculum are still relatively nonexistent and nonhomogenized. The aim of this study is therefore to examine the perspective of health professionals and human and social scientists on pedagogy aimed at transforming medical students on the subject of racial discrimination in health.
View Article and Find Full Text PDFObjectives: The main aim of this study is to capture the impact of shared external realities - such as global crises - on the therapeutic process, with particular attention to how these events challenge the traditional structures of psychoanalytic and psychotherapeutic work. More specifically, the study seeks to understand how mental health professionals perceive and experience these disruptions, how they have been compelled to question their clinical frameworks, and how they have adapted their practices to maintain therapeutic continuity in a context marked by uncertainty, instability, and the frequent need for improvisation.
Methods: We conducted a qualitative study among a population consisting of mental health professionals, which were recruited in multiple countries through associations and societies of psychologists, psychotherapists, and psychoanalysts.
Unaccompanied minors are teenagers forced to grow up too fast. In this race to become an adult, some are faced with the challenge of learning a new language and building skills around it, to the detriment of their mother tongue. When it comes to learning a new language, even in adolescence, the mother tongue remains the foundation on which new acquisitions are built.
View Article and Find Full Text PDFEur Child Adolesc Psychiatry
August 2025
Introduction Obesity in adolescents is associated with increased mental distress and psychiatric disorders, both of which are under-diagnosed in clinical practice. Methods We designed a mixed methods study, to explore the practical challenges of this screening and its consequences. The qualitative part interviewed 20 physicians: non psychiatrist physicians and child and adolescent psychiatrists - practicing in various specialized settings.
View Article and Find Full Text PDFThe perinatal period represents a time of vulnerability for migrant families, as it raises questions about the possible transmissions for a baby born between multiple cultures. How can we support the process of psychic construction and family transmission within the mother-child dyad during the transitional phase of motherhood? The use of the transcultural genogram with women during their stay in the maternity ward has several advantages.
View Article and Find Full Text PDFThe genogram is regularly used in transcultural consultations. These are offered as a second line of treatment to migrant families whose care is stagnant or complicated by cultural issues. The contribution of a genogram can be illustrated through the situation of Sandra, a 32-year-old patient of Cape Verdean origin with a chronic anxiety disorder.
View Article and Find Full Text PDFThe transcultural approach is indicated for complex cases where the cultural dimension is useful in fully understanding a problem. The cultural coding of certain symptoms, such as trance or possession, can be difficult to achieve in conventional individual therapy. The clinical case of Aïcha, originally from Morocco, referred by her psychiatrist for a transcultural opinion, illustrates a reflection on diagnostic elaboration in the face of possession by a djinn.
View Article and Find Full Text PDFGynecol Obstet Fertil Senol
March 2025
Objectives: Total pregnancy denial is a phenomenon where the woman does not recognize her pregnancy until a late stage, sometimes just before childbirth. These complex situations raise many questions about the support of the mother-child dyad. This qualitative study aims to describe the experiences and strategies of midwives when dealing with cases of total pregnancy denial, as well as the relational dynamics within these particular dyads, in order to identify avenues for appropriate care.
View Article and Find Full Text PDFBMC Med Educ
October 2024
Introduction: Health inequalities represent a major challenge in contemporary medicine, with some attributed to racial biases. Recently, in the United States, a call to combat discrimination in the field of health has resonated, particularly in the context of the COVID-19 crisis, in which minorities have been disproportionately affected. These calls echo recommendations from the Institute of Medicine dating back to 2001, urging the fight against inequalities in access to health care.
View Article and Find Full Text PDFA qualitative study was carried out with five professionals in a pediatric intensive care unit in 2022. Semi-structured interviews were used to find out how they felt about patients from their own culture, and about the role of their mother tongue in hospital care. Caregivers find it difficult to bring their own culture to the fore when caring for their patients.
View Article and Find Full Text PDFSoins Psychiatr
January 2024
In France, pregnant women or women with children under the age of 18 months, and in exceptional cases 24 months, can serve their prison sentences in specially equipped nurseries or mother-child cells. This situation is likely to have a negative impact on the child's health, and on the quality of the bond with the mother over the longer or shorter term. The benefits of maintaining this bond are indisputable, whatever the setting.
View Article and Find Full Text PDFIntroduction: Parents whom adolescents disclose sexual abuse face both a personal traumatic experience, and the need to support their child who is going through a grueling period and needs them. Many quantitative studies exploring the psychological impact of disclosure on parents have been conducted, but few have used qualitative methods. The objective of this study is to explore parents' experiences of their adolescent's disclosure of sexual abuse during psychiatric care, identify the possible beneficial factors and shortcomings, share this knowledge, and improve interventions for these families.
View Article and Find Full Text PDFHealthcare (Basel)
October 2023
Introduction: Intimate partner violence occurring during pregnancy has a similar prevalence as usual obstetrical disorders that are routinely screened for. Referenced publications insist on the importance of adequate screening, but the proper course of action has yet to be defined.
Aim Of Study: We qualitatively explored the different resources and concepts that emerge from the discourse of maternity staff across professions.
Children (Basel)
September 2023
Introduction: Functional neurological symptom disorder (FNSD) is a common diagnosis among adolescents. However, we feel it is a difficult diagnosis to assess because of the diversity of its clinical manifestations, the rapid changes in its nosography over the years, and its common imbrication with established somatic diagnoses. We would like to illustrate this hypothesis through a case presentation and the original diagnostic process that emerged from it.
View Article and Find Full Text PDFBorderline personality disorders account for 50% of adolescent hospitalization cases in psychiatry. The severity and psychopathological complexity of these symptoms indicate the need for inclusive models of understanding. Adopting a holistic approach allows for the consideration of not only the patient's environment, but also their position within that environment and their life history.
View Article and Find Full Text PDFFront Psychiatry
April 2023
Objectives: Migrant women face an increased risk of adverse obstetrical outcome and Caesarean section. The psychological experience of Caesarean section combines physiological, social, and cultural dimensions. This qualitative study explores the subjective experiences of first-generation migrant women who gave birth by Caesarean section.
View Article and Find Full Text PDFContext: Transcultural skills are especially useful for those involved in the perinatal period, when parents and babies must adapt to one another in a setting of migration a long a focus of transcultural clinical practice.
Objective: The aim of this article is to provide useful transcultural skills for any health care worker (e.g.
Gynecol Obstet Fertil Senol
June 2023
The international literature review highlights higher neonatal morbimortality in migrant patients and their babies. The explanatory hypotheses include late pregnancy follow-up with difficulty accessing care, language barriers, and different cultural representation in pregnancy support. On the one hand, we propose to explain the cultural factors that can impact the caring relationship during the perinatal period.
View Article and Find Full Text PDFGynecol Obstet Fertil Senol
June 2023
Soins Psychiatr
February 2023
Medical termination of pregnancy when decided for maternal psychosocial distress is a new issue facing maternity field teams. Multidisciplinary work is required, as well as respect for the patients' temporality. The decision is collegial, estimating the least traumatic impact possible for them over the long term.
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