[The nurse and psychotic disorders in neurocognitive diseases]. / L'infirmière face aux troubles psychotiques au cours de maladies neurocognitives.

Psychotic disorders, such as delusions and hallucinations, cause stress for individuals, their caregivers and healthcare professionals. Attitudes, perceived as behavioral tendencies, in the presence of these symptoms, can either alleviate or exacerbate them. How should we position ourselves in the presence of these disorders? What are the most effective attitudes for calming day-to-day situations?

[For a rehabilitation of the delusional faculty]. / Pour une réhabilitation de la faculté délirante.

From ordinary beliefs to delusions, we're all susceptible to misguidance. In search of meaning, we tell ourselves stories that resonate with our feelings, and we unconsciously adhere to them. These subjective truths become pathological when the circumstances and terrain lend themselves to it. The causes are manifold and go beyond the realms of psychiatry and medicine. In rehabilitation, we explain the delusional faculty as a failed narrative attempt by the subject in response to uncertainty and confusion. This combats stigmatization while promoting critical thinking as a protective factor.

[Radical imagination and the poetic approach to delusion]. / Imaginaire radical et abord poétique du délire.

A poetic look at delusional disorders. Drawing on Castoriadis' considerations of the radical imaginary, we can show that contemporary objectivist nosography is not sufficient to grasp the full complexity of this disorder. Two of Baudelaire's poems, L'Albatros and Elevation, seem to illustrate what poetry can say about human imaginary productions.

[Talking about delusion, what delusion?] / Parler du délire, quel délire ?

When we talk about the clinic of delusional symptoms, we are first and foremost affirming that delusions exist. Professionals working in psychiatry know that delusions can be listened to, that they give meaning to suffering and are part of the history of the subject. Taking the time to reflect on this type of symptom allows us to invest in the clinical field specific to psychiatry, and only makes sense if the clinical approach is based on work referring to the patient's individual history. Maintaining and developing these attitudes to care is essential to the survival of psychiatry as a discipline. Focusing on the clinic of delusion is neither a luxury nor a waste of time.

[Child psychiatry chronicles, psychology in brief]. / Chroniques de pédopsychiatrie, brèves de psy.

To work in a hospital is to believe in poetry, to grasp with wonder all the details that tie each person to an existence. However far-fetched they may be, they also contribute to enriching our belief in a world that can always be rewritten beyond the determinisms that would claim to assign tragedy.

[Les demoiselles de Rochefort, or a clinical illustration of madness in pairs]. / Les demoiselles de Rochefort, ou une illustration clinique de folie à deux.

Although folie à deux is a confidential entity that has disappeared from psychiatric textbooks and is disguised in current international classifications of mental disorders, which tend to obscure the fundamental notion of the dyad, recent case reports highlight the topicality of the disorder. The richness of the clinical encounter with twin sisters, presenting a common delusion of parasitic infestation, may prompt us to question the disorder differently, guided in particular by ancient writings and the analytic compass.

[Isolation and restraint in psychiatry: practice and feedback from professional experiences]. / Isolement et contention en psychiatrie : pratique et retours d'expériences professionnelles.

A psychiatric nurse since 2013, who became a clinical psychologist in 2022, I have had the opportunity, on numerous occasions, to use isolation and therapeutic restraint as part of my nursing practice, mainly in a closed psychiatric admissions service. These therapeutic tools, specific to psychiatry, are used in a very specific theoretical and legislative framework. Their use always leads to reflection, both individually and as a team. Indeed, their use must remain the last therapeutic bulwark to be used because it can be experienced with difficulty or even in a traumatic way by the patient, which can damage the relationship of trust with the carers. Thus, it is important that this practice be supervised and discussed with the patient and the team in order to be as appropriate as possible.

[Isolation and restraint in units for difficult patients and in psychiatric intensive care units]. / Isolement et contention en unités pour malades difficiles et en unités de soins intensifs psychiatriques.

The units for difficult patients (UMD) and the intensive psychiatric care units (Usip) are psychiatric services that are not successively sectorized, created to meet the needs of intensive care in a closed environment and sometimes of a forensic nature. These two systems are used to care for patients whose clinical condition often makes it too complex to maintain them in sector psychiatric units, and many of their operating rules differ. This is not the case for seclusion and restraint measures and the application of the law governing these measures.

[Soothing in units for difficult patients and in psychiatric intensive care units]. / Apaisement en unités pour malades difficiles et en unités de soins intensifs psychiatriques.

In the units for difficult patients (UMD) and the intensive psychiatric care units (Usip), patients whose mental pathologies have or could generate violent acts which can go as far as committing homicide are taken care of. If, during the psychiatric care of these patients, isolation and restraint measures can be put in place as a last resort, in general it is the symptomatological and behavioral appeasement of these persons that is sought in an alternative way.

[Polypharmacy and Delirium in the Elderly]. / Polypharmazie und Delir bei alten Menschen.

Polypharmacy and Delirium in the Elderly Abstract: Delirium often occurs in elderly hospitalized patients. Multimorbidity and associated polypharmacy are known risk factors for developing delirium. Moreover, delirium itself often leads to the prescription of additional drugs. This article aims to enlighten the interrelation of delirium and polypharmacy in the context of recent evidence. It also tries to show possibilities of deprescribing.

[Acceptance, mourning of delusions and recovery]. / Acceptation, deuil des idées délirantes et rétablissement.

Recovering from a mental disorder is a process by which the affected person will develop a new life project, based on the optimal use of personal and environmental resources. This involves adapting and managing certain symptoms better, in order to be able to rebuild oneself psychologically. This may be the case for delusions, which need to be distanced and accepted in order to develop this new life stage in. In this perspective, the notions of mourning for the self and mourning for delusional beliefs seem to be necessary steps in the reconstruction of a self that is favourable to recovery.

[Delirium Management in Palliative Care]. / Delirmanagement in der Palliative Care.

Delirium Management in Palliative Care Abstract. Delirium is one of the most common neuropsychiatric complications in patients with advanced incurable disease. End-of-life delirium is common but is often overlooked, undiagnosed or incorrectly diagnosed/untreated. Delirium should also be treated in a palliative situation - as far as possible - because persistent delirious states increase the patient's fragility, limit physical functionality and shorten the lifespan. In addition, acute states of confusion trigger high levels of distress in affected patients and their relatives, impair the quality of life and a dignified dying process. While hallucinations and visions at the end of life are interpreted as delirium in medicine and treated as such, this phenomenon is interpreted by philosophical and theological hermeneutics as a resource that can help patients and their relatives to reconcile with past life events and to deal with the process of dying. However, the occurrence of end-of-life visions as opposed to delirium has not yet been studied very much and requires more detailed exploration.

[Neuropsychopathology of autoimmune encephalitis with anti-NMDA receptor antibodies]. / Neuropsychopathologie de l'encéphalite auto-immune à anticorps anti-récepteurs NMDA.

Autoimmune encephalitis with anti-N-methyl-D-aspartate receptor antibodies is a neuropsychiatric disorder, with a psychopathological aspect in its early evolutionary phases, which often leads to psychiatric hospitalizations. This pathology is usually curable without sequelae. Its prognosis depends on the early diagnosis and therapeutic management. It is therefore important to mention this disorder when faced with any sudden neuropsychiatric presentation, especially if it is somewhat atypical and the subject is young.

A clínica de Ludwig Binswanger inspirada no Dasein de Heidegger e na fenomenologia genética de Husserl / Ludwig Binswanger's clinic inspired by Heidegger's Dasein and Husserl's genetic phenomenology / La clinique de Ludwig Binswanger inspirée par le Dasein de Heidegger et par la phénoménologie génétique de Husserl / La clínica de Ludwig Binswanger inspirada en el Dasein de Heidegger y en la fenomenología genética de Husserl

A clínica fenomenológica de Ludwig Binswanger propõe uma nova compreensão sobre a psicopatologia ao realçar a importância na história de vida do paciente. Encontra-se dividida em três fases mostrando a fertilidade de seus estudos psicopatológicos após a leitura de Ser e tempo e através da influência husserliana, com o intuito de esclarecer a constituição da experiência delirante. Este artigo tem como objetivo apresentar dois casos clínicos, Lola Voss e Suzanne Urban, para ilustrar a contribuição oferecida por Ludwig Binswanger à psicopatologia fenomenológica em sua segunda e última fase.

Ludwig Binswanger's phenomenological clinic provides a new understanding of psychopathologies by highlighting the importance of patients' life stories. It is divided into three phenomenological stages and shows how fertile his psychopathological studies became after he had read Being and Time and due to Husserl's influence, which he undertook to investigate the formation of delusional experience. This article presents two clinical cases, Lola Voss and Suzanne Urban, to illustrate Ludwig Binswanger's contribution to phenomenological psychopathology in its second and final stage.

La clinique phénoménologique de Ludwig Binswanger propose une nouvelle compréhension de la psychopathologie soulignant l'importance de l'histoire de vie du patient. Les trois phases de sa pensée phénoménologique montrent la fécondité de ses études psychopathologiques, influencées par la lecture de l'Être et Temps et par Husserl, qu'il menait pour élucider la formation de l'expérience délirante. Cet article présente deux cas cliniques, Lola Voss et Suzanne Urban, qui illustrent la contribution apportée par Ludwig Binswanger à la psychopathologie phénoménologique dans sa deuxième et dernière phase.

La clínica fenomenológica de Ludwig Binswanger propone una nueva comprensión de la psicopatología al destacar su importancia en la historia de vida del paciente. Está divida en tres fases, mostrando la fertilidad de sus estudios psicopatológicos tras la lectura de Ser y tiempo, y a través de la influencia de Husserl, a fin de aclarar la constitución de la experiencia delirante. Este artículo tiene como objetivo presentar dos casos clínicos, Lola Voss y Suzanne Urban, para ilustrar la contribución de Ludwig Binswanger a la psicopatología fenomenológica en su segunda y última fase.

Das psicoses associadas a infecções no Brasil: 100 anos da contribuição psicopatológica de Antonio Austregésilo / On psychoses associated with infections in Brazil: 100 years of the psychopathological contribution by Antonio Austregésilo / De las psicosis asociadas a infecciones en Brasil:1 00 años de la contribución psicopatológica de AntonioAustregésilo / Sur les psychoses associées aux infections au Brésil: 100 ans de contribution psychopathologique de Antônio Austregésilo

No presente trabalho, analisa-se a contribuição do neurologista e neuropsiquiatra Antonio Austregésilo (1876--1960) para o estudo psicopatológico e sistematização das chamadas psicoses infecciosas, no Brasil. Baseando-se em Emil Kraepelin e lançando mão de observações clínicas em doenças infecciosas globais e tropicais, Austregésilo revela detalhado conhecimento clínico e intervém no debate sobre etiologia, especificidades de fatores causais e curso da doença, na fronteira entre as doenças físicas infecciosas e os transtornos mentais.

The present article analyzes the contribution of neurologist and neuropsychiatrist Antonio Austregésilo (1876-1960) for the psychopathological study and systematization of so-called infectious psychoses in Brazil. Based on Emil Kraepelin and using clinical observations on global and tropical infectious diseases, Austregésilo built detailed clinical knowledge and took part in the debate on etiology, specificities of causal factors and the course of the disease, which is located on the edge between infectious physical diseases and mental disorders.

Cet article analyse la contribution du neurologue et neuropsychiatre Antonio Austregésilo (1876-1960) à l'étude psychopathologique et à la systématisation des psychoses dites infectieuses au Brésil. Basé sur Emil Kraepelin et en utilisant des observations cliniques sur les maladies infectieuses mondiales et tropicales, Austregésilo construit un savoir clinique détaillé et participe au débat sur l'étiologie, les spécificités des facteurs causals et le cours de la maladie, à la frontière entre les maladies physiques infectieuses et les troubles mentaux.

En el presente trabajo, analizamos la contribución del neurólogo y neuropsiquiatra Antonio Austregésilo (1876-1960) al estudio psicopatológico y a la sistematización de las llamadas psicosis infecciosas en Brasil. Basándose en Emil Kraepelin y utilizando observaciones clínicas sobre enfermedades infecciosas globales y tropicales, Austregésilo revela conocimientos clínicos detallados e interviene en el debate sobre la etiología, las especificidades de los factores causales y el curso de la enfermedad, en la frontera entre las enfermedades físicas infecciosas y los trastornos mentales.

[Recognition of Psychiatric Symptoms in Inpatient Long-Term Care]. / Erkennung psychiatrischer Symptome in der stationären Langzeitpflege.

Recognition of Psychiatric Symptoms in Inpatient Long-Term Care Abstract. As part of the Swiss national strategy on dementia, we investigated to which extent the needs assessment instruments RAI and BESA can early detect symptoms of depression, delirium, and behavioral and psychological symptoms of dementia (BPSD) in long-term care facilities. While we decided that the RAI sufficiently detected depressive symptoms, we suggest to add the two-questions-test and the geriatric depression scale to the BESA assessment. The BESA evaluation had more targeted focused assessments, allowing for better identification of delirium. Neither RAI or BESA cover the whole spectrum of behavioral and psychological symptoms of dementia. We consider the continuous application of these assessment instruments an important step towards interdisciplinary exchange and a better treatment of residents with psychiatric symptoms.