Titre1-24
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1. Stratification1

Article 1-24
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In our clinical practice, we frequently encounter patients with conditions such as autistic spectrum disorder (ASD), obsessive-compulsive disorder (OCD), and attention deficit hyperactivity disorder (ADHD). The developmental disorders, alongside the presence of OCD symptoms, could be explained by the concomitant presence of epileptic-like disorders. This fact led us to theorize that epileptic-like disorders might not just be comorbidities but potential underlying causes of these three conditions. We present two clinical cases of patients with varying severity of ASD, OCD, and ADHD, yet both showed signs suggesting a shared epileptic-like root.

Treatment adjustments, including anti-epileptic medication and Pregabalin, notably improved both cases' symptoms and quality of life. Our experience suggests that tailoring anti-epileptic treatment can benefit individuals with ASD, OCD, and ADHD across different clinical profiles and intellectual levels, supporting our hypothesis.

Further research is needed to evaluate this hypothesis quantitatively. Studying a larger sample size could provide more robust evidence and potentially refine treatment approaches for these complex conditions.
 

 
Keywords: ASD, OCD, ADHD, épilepsie, syndrome de Kanner, impact social et clinique
 
Article 1 2-24
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Giuliana Galli Carminati2,Alexandre Buttex3Gregory Zecca4, Federico Carminati5

1 This article is based on the following publication:;:
Galli Carminati, G., Buttex, A., Zecca, G., & Carminati, F. (2023). Stratification. Les Cahiers de la SIPsyM http://www.sipsym.com/index.php/les-cahiers-de-la-sipsym#ca046  

2 MD, PhD, psychiatrist and psychotherapist FMH, Assistant Professor at the University of Seoul (Bundang Hospital), member of the Charles Baudouin Institute of Psychoanalysis, founder and didactician of the International Society of Multidisciplinary Psychoanalysis, former Privat-Docent and lecturer at the University of Geneva.
3  Postgraduate degree in Education and Adult Education, University of Geneva, founding member of the International Society of Multidisciplinary Psychoanalysis.

4 Psychologist specialising in psychotherapy FSP; hypnotherapist SHYPS; temporary lecturer, Haute École de Travail et de la Santé de Lausanne (HETSL); member of the Centre de Recherche en Psychologie du Conseil et de l'Orientation (CePCO) and associate member of the Cognitive and Affective Regulation Laboratory (CARLA), Institute of Psychology, University of Lausanne

Physicist, member of the Institut de Psychanalyse Charles Baudouin, founder and teacher of the Société Internationale de Psychanalyse Multidisciplinaire.

 

 369 KB
Language: French
 
Titre 2-24
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2. Trauma and group 

Article 2-24
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Group psychoanalysis originated to treat trauma, particularly what we now refer to as post-traumatic stress disorder (PTSD). Since its inception during World War II, group therapy has been widely used to address trauma, whether anthropogenic or natural in origin. In this paper, we provide a concise description of the various group approaches to trauma treatment and the current knowledge of their effectiveness. We conclude with a brief account of a group intervention conducted with mothers of disabled children in an Indian institute.
 

Keywords: Crisis group, India, intellectual disabilitiy, proxys
 
Article 2 2-24
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Federico Carminati

Physicist, member of the Charles Baudoin Institute of Psychoanalysis, founder and teacher of the International Society of Multidisciplinary Psychoanalysis (SIPsyM).

 

 344 KB
Language: French
 
Titre 3-24
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3. From exodus to the discovery of a new world

Article 3-24
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The document presents the experience of Dr. Annie Lufungula Lokotolo at the Mental Development Psychiatric Unit (UPDM), where she treats complex cases of neurodevelopmental disorders (NDD). She emphasizes the importance of teamwork to optimize care. After leaving the University Hospitals of Geneva, she receives numerous requests in private practice.

Sébastien and his family flee their country to escape poverty and oppression, viewing Switzerland as a land of peace and prosperity. In Switzerland, Sébastien and his sister face difficulties integrating into school and society, leading to a psychiatric consultation.

The therapy begins with the family being reluctant to express themselves. The diagnosis of Sébastien’s intellectual disability causes pain and anxiety, but the family gradually learns to accept his limitations while recognizing his qualities.

Sébastien undergoes training in horticulture, his sister in catering, and their mother in cleaning, each becoming more autonomous. The family benefits from better social and professional support and no longer feels marginalized.

The therapist expresses satisfaction in having accompanied the family through their difficult but fruitful journey, highlighting the importance of social and therapeutic support for better adaptation and quality of life. .

 

Keywords Neurodevelopmental disorders, integration, family therapy, resilience, adaptation, social support, autonomy, communication.
 
Article 3 2-24
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Dre Annie Lufungula Lokotolo

Specialist FMH, Psychiatrist, Psychotherapist, Trainer for postgraduate training in psychiatry and psychotherapy, Medical insurance expert, MILAENA Medical Practice.

Annie Lufungula Lokotolo was born on 21.04 1964 in Kinshasa, DR Congo. She is the 6th of 8 children.

Already at primary school and at the cycle of orientation, having often lived with her maternal uncle who was a nurse, by seeing him doing care, she was impassioned to make medical care through toys and medical tools for children in other words her only and unique center of interest. She regularly told herself that she would study medicine and become a doctor. At secondary school, she did the scientific section with a bio-chemistry option. She obtained her baccalaureate diploma with honors, which enabled her to enroll at the University of Kinshasa in the Democratic Republic of the Congo in the Faculty of Medicine. After 6 years, she obtained her doctorate in general medicine and worked as a general practitioner in the Democratic Republic of the Congo, before going on to do training in public health at the Université Libre de Bruxelles in Belgium and training in cancerology at the Hospital Saint Louis in Paris, France. When she arrived in Switzerland, she completed postgraduate training in psychiatry and psychotherapy at the Department of Psychiatry of the University Hospitals of Geneva, graduating as a specialist in psychiatry and psychotherapy.
 

 315 KB
Language: French
 
Titre 4-24
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4. Complexities of educational approaches to people with mental illnesses and disorders or with a dual diagnosis. Between structuring firmness and empathic flexibility.

Article 4-24
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The educational work I have been doing for a number of years in an institution aimed at the social integration of people with disabilities always arouses in me as much enthusiasm and passion as it does questions. In my opinion, as long as we act routinely, and with the full conviction that we're doing the right thing, that's where ignorance, authoritarianism and abuse come in. Today, we have a great deal of theoretical knowledge and practical methods that are supposed to help us in our educational work: in the social sciences, education and psychology, as well as in medicine. Nothing, however, is simply applicable and requires a thoughtful assessment, adapted to a particular person or situation, which often happens, by chance. We have the right to be wrong, and in any case this is inevitable. We make mistakes every day and in every profession. Nonetheless, in my vision of practising my profession, I feel it's necessary to come back to the error with a personal inner analysis, in a team and/or in supervision. Without return, without reflection and questioning of our practice, nothing can evolve favorably. Translated with DeepL.com (free version)

 

Keywords: Educational framework, fabulation, hygiene, nutrition, money, time management, multidisciplinarity
 
 
Article 4 2-24
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Dorota Hladny-Diouf

Master's degree in special education with focus on social reintegration, from the University of Gdansk, Poland; Post-graduate diploma (DEA) in “Societies and educational systems” from the University of Geneva; Former trainer at Ortra and former sailing instructor in the field of disability - Special Olympics sports coach.
 

 401 KB
Language: French
 
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