Marie Rose Moro

• PhD, MD
• Professor (Full) at Paris Descartes University

Objectives 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 professi...

Objectives.-Psychiatric comorbidities are frequent in anorexia nervosa, non-suicidal self-injury being one of the more frequent. The aim of this study was to review the literature exploring the links between these disorders and thus to improve our understanding of their causality, risks, and consequences. Method.-We used electronic searches in Pubm...

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 ph...

Background Although renal damage is increasingly reported among the most undernourished patients with Anorexia Nervosa (AN), it remains underestimated in current practice, and often associated with acute dehydration. The purpose of our study was to evaluate the frequency, the extent, and the risk factors of renal involvement among adolescents and a...

Introduction This research explores the impact of the COVID-19 pandemic on psychotherapists' practices and their ability to maintain a framework despite a shared reality with their patients. The specific focus in this article is on the Lebanese context, which is characterized by a series of crises including economic collapse, the COVID-19 pandemic,...

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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...

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 ill...

Introduction: Intimate partner violence occurring during pregnancy has a similar prevalence as usual obstetrical disorders 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...

Background This research explores the impact of the COVID-19 pandemic on psychotherapists' practices and their ability to maintain a framework despite a shared reality with their patients. The specific focus in this article is on the Lebanese context, which is characterized by a series of crises including economic collapse, the COVID-19 pandemic, a...

La pandémie, la crise économique et d’autres perturbations collectives ont créé un environnement tendu et incertain pour les psychothérapeutes et les patients dans de nombreux pays du monde. Ces différentes crises ont forcé les psychothérapeutes et les psychanalystes à faire des réaménagements psychiques et d’espace, pour continuer à travailler ave...

Introduction Brazilian education follows an inclusion model of special education and utilizes school-based mental health centers, leading to the medicalization of student concerns and raising questions about the link between schooling and children’s psychopathology. How do professionals in the education sector define their roles regarding students’...

Abstarct: PURPOSE: Anorexia Nervosa (AN) is a severe chronic disorder and parents' experience of caregiving is usually marked by emotional distress and burden. Severe chronic psychiatric disorders are known to be linked with the concept of grief. Grief has not been investigated in AN. The aim of this study was to explore parents' and adolescents'...

La prévalence de certains troubles psychiques (état de stress post-traumatique, dépression) est plus importante chez les enfants migrants. Les niveaux de stress élevés et les facteurs de vulnérabilité avant, pendant et après la migration jouent un rôle important dans l’apparition de ces troubles. L’expression clinique de la souffrance psychiq...

Background: The child psychiatry unit of the Cochin Hospital in Paris is specialized in a transcultural clinical approach and treatment of psychotraumatism. The clinical demands addressed to the service often combine several levels of vulnerability: recent migration, repeated and intentional traumas, isolation and breach in family bonds sometimes...

Résumé Introduction L’anorexie mentale (AM) est un trouble des conduites alimentaires (TCA) émergeant à l’adolescence et dont l’évolution peut durer plusieurs années, voire se chroniciser. Pour ces patients, la phase de transition vers le milieu adulte est une période à haut risque d’instabilité, pouvant favoriser les rechutes, les ré-aggravations...

Abstract: Asylum-seekers are at high risk of developing post-traumatic stress disorder (PTSD) due to frequent exposure to trauma. We investigated the coping intentions and lay beliefs about appropriate coping strategies among asylum-seekers from Sub-Saharan Africa in Germany. The study applied a methodological triangulation strategy with a vignette...

The article describes the diverse modalities of inpatient care for anorexia nervosa in France (11 specialized centers). The impact of this diversity on patient outcome will be studied as a result of this work.

Résumé Le recours à l’hospitalisation dans l’anorexie mentale se fait dans des situations extrêmes dont les critères sont codifiés internationalement et nationalement. Néanmoins il existe sur le terrain de multiples modalités d’application de ces principes. Aucun travail n’a été réalisé afin d’évaluer si les différentes modalités de prise en charge...

L’équipe de consultation d’adoption internationale de la Maison des Adolescents de l’Hôpital Cochin revient dans cet article sur sa pratique de séances par visioconférence avec les familles durant la période de confinement. Les observations cliniques révèlent pour certaines familles une période de régression, vécue comme harmonieuse et nécessaire,...

In the current area of social media propagation, the adoptees' search for the birth family is increasingly reversed: more and more adopted adolescents are contacted directly by their birth parents, even if they did not search for them. This study explores the impact of these new forms of contact between adoptive family members and birth family memb...

Purpose : We describe a case of severe, prolonged neutropenia in an adolescent girl hospitalized for anorexia nervosa (AN) which occurred during a refeeding procedure in the absence of refeeding syndrome. Methods : This case report includes retrospective anamnestic, clinical and biological data from the patient's medical record. A literature revie...

Context: Diasporic Cameroonians are increasingly leading a transnational life in which family members are sustained through networks of relations and obligations. However, before arriving in Europe, the vast majority of African migrants who take the Mediterranean route are exposed to trauma and hardship. Moreover, the joint occurrence of forced dis...

Résumé Objectifs L’émergence récente de troubles des conduites alimentaires, hors de pays occidentaux, fait poser l’hypothèse d’un syndrome lié aux changements socioculturels rapides à l’échelle individuelle ou sociétale. La variabilité des symptômes en fonction du contexte culturel influence le traitement. Cette étude vise à explorer l’expérience...

Objectif Cette étude se veut une approche compréhensive des conflits psychiques que rencontrent les jeunes femmes confrontées à des modèles culturels divergents. Elle relate des tensions traversées par Renuka, Tamoule née en France, dans ses choix matrimoniaux entre verticalité culturelle et métissage. Méthode Le parcours matrimonial de Renuka est...

Puberty provokes physiological upheaval that can be psychologically traumatic and destabilizing for the child. Before the transformations of puberty, the body is a protective vessel that acts as a stable reference for the child. A child's emotional security is derived from a sense of predictability and well-being. However, the nascent sexuality and...

Children and adolescents who grow up between two cultures (the culture of their parents, and the culture of the country where they live) are in a vulnerable transcultural situation. This chapter reviews three periods of vulnerability. At first, in the immediate postnatal phase, it describes the effects of migration on migrant women and their babies...

Résumé Un nouveau dispositif transculturel adapté à l’accueil en soins des mineurs non accompagnés a été mis en place à la maison des Adolescents de l’hôpital Cochin suite aux résultats d’une recherche action menée pendant quatre ans. Cette recherche visait à améliorer le lien des éducateurs avec ces jeunes, à favoriser l’émergence de leurs compéte...

Résumé La crise sanitaire de la COVID-19 a imposé une réorganisation majeure de l’offre de soins en France. Considérant la nécessité de maintenir des soins pour les adolescents souffrant de troubles physiques ou psychiques, les Maisons des Adolescents ont dû adapter en urgence leurs pratiques afin de maintenir au maximum la continuité des soins pou...

Introduction : The COVID-19 pandemic has warranted the implementation of barrier actions and the wearing of personal protective equipment (PPE). These behavioral adaptations counteract spontaneous self-touching reflex gestures. I propose to explore the mind-body experience generated by these gesture changes in this health context.Method : I conduct...

The objective of the study was to examine the process of mother to infant trauma transmission among traumatized mothers in humanitarian contexts. We investigated the impact of mothers' post-traumatic stress disorder symptoms on the quality of the dyadic interaction by conducting a microanalysis of mother-infant interactions at specific moments when...

Background Migrant adolescents are at a higher risk than their native-born counterparts of psychiatric disorders, and their care is a public health issue. In France, transcultural psychotherapy is a treatment provided by a group of therapists designed to meet the specific needs of these patients when usual care appears ineffective. The objective of...

La prise du traitement antirétroviral est l’objet du présent article chez des patients atteints du VIH et venant d’un différent contexte socio-culturel. L’inobservance du traitement est souvent attribuée par les soignants à la non-adhésion du patient. Notre hypothèse clinique est que le VIH est un virus qui fait émerger entre autres des traits para...

La psychiatrie transculturelle s’intéresse à l’impact de la culture sur la santé mentale et la maladie et remet le patient au centre de la relation en respectant ses manières de faire et de penser, individuellement mais aussi collectivement. La culture définit les représentations ontologiques, les théories étiologiques et les logiques thérapeutique...

Les mineurs non accompagnés constituent une population vulnérable au carrefour de deux situations critiques : adolescence et migration. Nous nous sommes intéressés aux modalités de filiation, d’affiliations et de gestion des différences des liens entre le pays d’origine et le pays d’accueil et avons rencontré pour cette étude cinq jeunes suivis en...

Les mineurs non accompagnés sont des enfants et des adolescents qui ont quitté leurs pays et se trouvent sans adulte référent dans un pays étranger. Ils présentent un taux élevé de symptômes psychiatriques avec des intrications complexes au niveau psycho-traumatique, transculturel, familial, éducatif et judiciaire. Le dispositif clinique NatMIE a é...

Background: Cultural context substantially affects the experience and clinical expression of psychiatric diseases, while cultural factors limit both access to and effectiveness of care, especially for migrant families requiring specific types of services. We conducted a scoping review on psychiatric services adapted to cultural diversity, to compar...

Résumé L’éthique dans les soins veille au respect de l’inaliénable dignité humaine de chaque patient. Ce texte aborde la vulnérabilité spécifique du migrant. Le détour par les philosophies ontologiques, l’anthropologie médicale et l’anthropologie interprétative montre que les représentations culturelles sont constitutives du sens que les patients d...

Entretiens et textes libres – plus un compte rendu de lecture – offrent un portrait groupé de quinze revues actuelles créées et animées par des femmes, à l’exception d’une d’entre elles, mais dont le thème est “les femmes”. Revues très diverses, établies ou balbutiantes, littéraires, artistiques, de sciences humaines, engagées, radicalement féminis...

La langue maternelle des enfants dont les parents viennent d’ailleurs condense de nombreux ingrédients de la transmission familiale. Elle est à la fois un outil et un objet de transmission et sa maîtrise par les enfants les conduit sur la voie du bilinguisme, expérience culturelle, affective et cognitive, porteuse de nombreux bénéfices. Pourtant, t...

The coronavirus disease 2019 pandemic presents unprecedented challenges for the health care system. The pressure on health care staff continues to intensify, accentuated by the confinement (lockdown) of the population and the unprecedented duration of this emergency. Separately and especially together, overwork, degraded conditions of care because...

Objective We present the results of a cross‐cultural validation of the Mental Health Global State (MHGS) scale for adults and adolescents (<14 years old). Methods We performed two independent studies using mixed methods among 103 patients in Hebron, Occupied Palestinian Territories and 106 in Cauca, Colombia. The MHGS was analyzed psychometrically...

Objectives: Psychiatric comorbidities are frequent in anorexia nervosa, with the highest rate of suicidal lethality among psychiatric disorders. Major depressive disorder is one of the most life-threatening comorbidities of anorexia nervosa, exacerbating the risk of suicide, aphagia, and pervasive refusal syndrome. The aim of this study is to cond...

Objectives Cultural variations complicate psychiatric care, especially for migrant children. Transcultural psychotherapy (TCP) is an original psychotherapeutic technique developed to address complex situations of resistant mental disorders in the context of migration. This research will aim to assess the efficacy, the acceptability, and describe th...

Résumé Objectif Le suicide est la deuxième cause de mortalité chez les adolescents. Les garçons sont plus touchés que les filles, mais déclarent moins de tentatives de suicide et recourent moins aux soins. Peu d’études se sont intéressées à l’expérience des idées et comportements suicidaires des jeunes garçons. Il s’agit d’explorer les spécificité...

Introduction : La consultation de médiation transculturelle (CMT) a été mise en place à l’hôpital Necker pour aider les professionnels hospitaliers confrontés à des situations difficiles avec des patients migrants atteints de pathologies chroniques. Cette étude quantitative et qualitative vise à évaluer l’impact économique et l’impact sur l’allianc...

Au Burundi et plus généralement dans les pays d’Afrique, il peut arriver que père et fils n’aient pas le même nom. Le nom est choisi par le devin-guérisseur avant la naissance, en fonction de plusieurs facteurs, tels que la famine, la guerre, les circonstances de la conception et bien d’autres. A travers une situation clinique, nous essaierons de c...

Transcultural psychotherapy is an original therapeutic technique designed to respond to difficulties encountered in psychiatric treatment for migrants. Today, this psychotherapy is formalized and it is in use at numerous sites in France and internationally. An increasing number of professionals are seeking training in this method. We sought to expl...

Résumé But de l’étude Cette étude explore les représentations de parents adoptifs afin d’amorcer une réflexion sur l’influence de la fonction réflexive parentale (FRP) dans l’expérience de la parentalité adoptive. Définie comme l’aptitude du parent à attribuer un sens à son propre comportement et à celui de son enfant dans le cadre de la relation,...

Objective Adolescent migrants present psychological disorders more frequently than the corresponding host population but their access to care and to follow-up are less effective. The French method of transcultural psychotherapy (TPT) was conceived to respond to these problems. Our objective is to assess how these adolescents and their families perc...

Background Transcultural psychotherapy (TPT) is an original therapeutic method developed in various forms in France and several other countries in Europe as well as North America to address issues of migrant mental health care when psychosocial, economic, or cultural barriers hinder its accessibility and effectiveness. This study aims to describe t...

Cambridge Core - Psychiatry and Clinical Psychology - Working with Refugee Families - edited by Lucia De Haene

L’identité, tant dans sa dimension individuelle que collective, semble une construction et élaboration continue de mémoires qui sont accueillies dans des lieux qui, en tant que espaces où aller dans un va-et-vient, parcourent les vies des hommes pendant toute la durée. Se retrouver dans les lieux de sa propre mémoire semble une manière originale de...

Aujourd’hui, les mineurs non accompagnés arrivent de plus en plus nombreux en France, alors que leurs conditions de voyage se dégradent d’année en année. Lorsqu’ils déposent leur valise en Maison d’enfants à caractère social, celle-ci est chargée de lourdes problématiques : traumatisme psychique, deuils multiples, et traumatisme de l’exil. Nous ver...

In a cross-cultural consultation, a young girl of Tamil origin born in France seeks the love of her parents by oscillating between two cultures. Through group development and translation, the daughter and the mother are brought to understand each other's suffering and discover that they share the same deep love, even though it is expressed differen...

Being parents is an adventure in itself. Being parents in a cross-cultural situation, in exile, away from family and friends, is a double challenge. Today, we know more about the risks and the potential. Let's explore the key ingredients for early childhood: how to live through pregnancy, welcoming the child, being father and mother, building a fam...

When a family is recomposed or reconstituted, this brings new developmental tasks into play. The period of entry into puberty for adolescents is the beginning of a new family life cycle that challenges the tasks and roles of each individual. Family therapy can help to assemble individual fantasies into collective fantasies and allows for the rewrit...

What place should be given to puberty? In France, it is an intimate act that belongs only to the young girl. In Sri Lanka, it is a family and collective act that is ritualized and celebrated. Young girls born into Tamil families living in France have to make these very different logics cohabit. Analyse of a young girl's great suffering at puberty a...

Background The number of migrant youth traveling without parents continues to rise in Europe and North America. Some of t hem leave their home countries on their own and find themselves in a new country, separated from their family and cut off from their cultural roots. Besides those who leave to study, work, and pursue a better life, others are es...

Quel que soit leur champ d’application, les psychologues sont amenés dans leur pratique aujourd’hui, à rencontrer des personnes de différentes origines culturelles. Cette réalité leur demande de prendre en compte, non seulement les référents culturels des sujets mais aussi les processus psychologiques qu’ils mettent en œuvre pour gérer toutes les s...

The aim of this paper was to review the literature on adolescent psychiatric disorders related to the COVID-19 pandemic and lockdown. Stressful life events, extended home confinement, brutal grief, intrafamilial violence, overuse of the Internet and social media are factors that could influence the mental health of adolescents during this period. T...

Cet article s’intéresse à la narrativité des adolescentes souffrant d’un trouble du comportement alimentaire de type anorexique. Les adolescentes sont hospitalisées dans le service de soins de la Maison des adolescents – Maison de Solenn pour des durées variables et leur prise en charge pluridisciplinaire propose un temps de groupe hebdomadaire cen...

Devenir adulte, dans notre société actuelle, est souvent complexe pour tous les jeunes, mais représente une étape particulièrement difficile pour les adolescents en souffrance psychique. La thérapie de groupe d’orientation psychanalytique est tout à fait indiquée pour certains patients en transition vers l’âge adulte, qui ont besoin d’un support id...

[This corrects the article DOI: 10.3389/fpsyt.2020.00202.].

The reverse search for origins in internal adoptions The search for origins in adoptive families has mainly played out in fantasy, imagining the history of the child and his biological parents. Today, new questions are emerging in the context of ever more frequent instances where the biological family reaches out to the adoptee on social media. At...

https://revuelautre.com/editoriaux/face-a-la-pandemie-ne-laisser-tomber-personne-alors-que-les-inegalites-saggravent/

Objective: The lack of resources and coordination to face the coronavirus epidemic raises concerns for the health of patients with mental disorders in a country where we still have memories of the dramatic experience of famine in psychiatric hospitals during the Second World War. This article aims to propose guidance to ensure mental health care du...

Objectif : L’absence de préparation du système de soins psychiatriques à l’épidémie de virus SARS-CoV-2 fait redouter un scénario pessimiste pour la santé physique et mentale des patients suivis en psychiatrie. L’objectif de cet article est de proposer des éléments de guidance pour réorganiser les soins psychiatriques dans le contexte de pandémie...

Background School refusal is a form of school attendance problem (SAP) distinct from truancy, school withdrawal, and school exclusion; it requires specific mental health care. Schools' identification and referral to care of school refusers depends on school personnel's interpretation of the reasons for absences. Because cultural factors can induce...

Knowledges, power and imagination Transcultural hospital mediation is a procedure solicited when difficulties encountered between the patient and the healthcare team to develop a common and shared care project, identified as being linked to cultural misunderstandings. We suggest that beyond the work of explanation and conciliation that it allows, t...

Qualitative evaluation of a transcultural mediation system In France, a transcultural mediation consultation program has been set up in the paediatric department in Necker Hospital in Paris to help tackle difficulties in initiating and maintaining care for immigrant patients with chronic conditions. The objective of this study was to assess the qua...

Résumé Introduction Dans notre pratique clinique en service hospitalier, on observe une résistance de la part de certaines familles migrantes, vis-à-vis de la prise en charge psychologique de leurs adolescents. L’objectif de cet article est d’illustrer les soubassements de ces résistances, à partir de la clinique adolescente et du background cultu...

Children of migrants develop and grow up with two languages, that of their family and that learnt at school, and within the two corresponding worlds. This transcultural situation entails a degree of vulnerability, and these children need to learn to reconcile the two worlds. In the setting of care, these different worlds and languages should be tak...

After publication of our article [1] the authors have notified us of missing to include one name to the authorship list:

Objective: This qualitative study examines the representations of young Chinese girls and women with eating disorders (EDs) about the role of women in China, because conflicting societal values for women may foster the development of EDs there. Method: Semistructured interviews were conducted with 11 adolescent girls or young women hospitalized...