Marion Robin

Institute Mutualiste Montsouris · Adolescent Psychiatry

Background and aim Many studies have investigated the association between maltreatment and substance use in adulthood. In this study, we sought to explore the association between substance use during adolescence, diverse forms of child maltreatment, and psychological symptoms within a cohort of individuals under the purview of child protection serv...

Borderline 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...

The increasing prevalence of sexual abuse calls for exceptional awareness of its multidimensional impact on the mental, sexual, and social wellbeing of male adults. This study aims to deepen the overall understanding of sexual abuse consequences; to highlight some common resilience factors; and to strengthen therapeutic and social support. In this...

Introduction Emotion regulation is altered in many psychiatric disorders in adolescence, but the understanding of mechanisms that underlie this alteration is still poor. Methods The PERCEPT study explores alexithymia, empathy, facial emotion recognition (FER) and defence mechanisms in a sample of adolescents in psychiatric care ( n = 61, 74% of gi...

Background: The extent and nature of sexual abuse (SA) and its consequences in psychiatry are still poorly described in adolescence. Objective: This article describes the frequency of SA reported in an adolescent population hospitalized in psychiatry, and assesses its links with the severity of mental disorders and the medical issues of these ad...

Les conduites sexuelles à risque des adolescents ayant un trouble de personnalité permettent souvent de remonter à un événement traumatique sexuel de l’enfance, individuel ou transgénérationnel. À l’image de la neurotica et de la théorie du fantasme, apparaissent ainsi les temps différenciateurs de l’histoire du patient, celui de la primauté de l’e...

Background: The COVID-19 pandemic had led to severe education disruption in many countries, including for medical students (MS). We aimed to evaluate MS mental health in France and search for a difference depending on studies’ years and clinical activities. Methods: In a cross-sectional, survey-based study during the first confinement, 668 (8.35%)...

Malgré l'enjeu majeur de santé publique qu'elles représentent, les maltraitances infantiles, et particulièrement les négligences, restent sous-estimées en psychiatrie, tant dans leur prévalence que leur impact sur la santé. De plus, le phénomène de mal-traitance reste habituellement associé à un fort déterminisme socio-culturel et est très peu éval...

Background Literature data about emotion perception in patients with borderline personality disorders (BPD) revealed some discrepancies between some patients that are vigilant and accurate to detect their emotional environment and others that are impaired at identifying emotions of others. Even if some links between childhood adversity and facial a...

Background The COVID-19 pandemic had led to severe education disruption in many countries, including for medical students (MS). We aimed to evaluate MS mental health in France and search for a difference depending on studies’ years and clinical activities. Methods In a cross-sectional, survey-based study during the first confinement, 668 (8.35%) M...

Malgré l’enjeu majeur de santé publique qu’elles représentent, les maltraitances infantiles, et particulièrement les négligences, restent sous-estimées en psychiatrie, tant dans leur prévalence que leur impact sur la santé. De plus, le phénomène de maltraitance reste habituellement associé à un fort déterminisme socio-culturel et est très peu évalu...

Background: Psychopathological models of adolescent borderline personality disorder (BPD) suggest that non-suicidal self-injuring (NSSI)—a particularly frequent symptom in girls—may constitute a way of coping with distress resulting from interpersonal concerns they typically experience as a developmental psychopathological feature. Objectives: Our...

Introduction: Borderline personality disorder (BPD) in adolescents is characterized by emotional dysregulation, insecure attachment, a history of stressful life events (SLEs) as well as dysfunctional parent–child interactions. The respective contribution of each of these factors on BPD affective symptoms is not yet clear. The purpose of this study...

In adolescent psychiatry, when patients present high-risk sexual behaviours, analysing the symptoms usually leads back to a traumatic sexual event in childhood. These clinical situations include a first stage in which the trauma is constituted and a second adolescent stage in which the mnemic trace can lead to the traumatic experience being reprodu...

Background Emotional dysregulation seems to be a core feature of Borderline Personality Disorders (BPD). In addition, recent research in the adolescent population has shown that suicidal behaviours have been associated with maladaptive strategies of emotion regulation. Methods This study examined the relative contributions of emotional dysregulati...

Within the European Research Network on BPD (EURNET-BPD; n = 85 BPD adolescents, n = 84 healthy controls, aged 13–19), this study explored the combination of three types of adversity—maltreatment, stressful life events (early separation from parents, parental suicide attempt, parental chronic disease) and parental bonding—as predictors of BPD, on a...

How dare you?: Youth in survival mode Adolescent passivation seems to be finished now that young citizens are mobilized in defense of life on Earth. But rescuing the container is extremely costly for the developing subject if the adult does not provide him with reassurance. This can be seen in clinical work with some suicidal adolescents, who are a...

Background: The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations. Method: In this multicentric longitudinal study from the European Network on B...

Background: The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations. Method: In this multicentric longitudinal study from the European Network on Bord...

PurposeSocio-emotional difficulties have been observed on adult patients suffering from anorexia nervosa (AN). But researches with adolescents are scarce and non-congruent. The aim of this paper is to identify the socio-emotional difficulties that are encountered by AN during adolescence, and to isolate them from those encountered by control adoles...

La psychothérapie institutionnelle est moribonde, appauvrie entre autres par la financiarisation des soins et l’ultrahygiénisme. Parallèlement à cette dyna- mique préoccupante de rapports de pouvoir laissant le soin relationnel pour compte, le contexte social laisse apparaître un mouvement de transition citoyenne qui contient dans ses principes com...

The metamorphosis of the body from childhood to adulthood—otherwise known as puberty—is a physiological constant, but the psychological and social changes that take place within this period vary across history and culture. Since the late 1960s, this stage of life has shifted from being called childhood, to youth, and then to adolescence. We are now...

L'article interroge les métamorphoses de l'adolescence sur les 50 dernières années, et la façon dont Greta Thunberg révèle la mobilisation d'une jeunesse citoyenne qui s'impose et enterre l'adolescence post-moderne.

The adolescent in crisis within an environment in crisis This article discusses how solutions attempted in the psychiatric treatment of adolescents hospitalized in a crisis unit can lead to an understanding of the degree and complexity of factors that contribute to the violence that is often the hallmark of this clinical field. Here as elsewhere, t...

Greta Thunberg interroge par ses actions les nouvelles formes que prend l'adolescence aujourd'hui. Il apparaît qu'avec elle, la défense du vivant par la jeune génération marque le passage d'une adolescence canapé-selfie à une jeunesse en action.

Résumé Objectifs Cet article s’intéresse à la filiation trauma-acte et tente de repérer comment, chez les auteurs d’agirs violents, la ré-actualisation d’une trace psychique d’origine traumatique pourrait conduire à des actes a priori « insensés » et pourtant porteurs d’un sens inaccessible au sujet lui-même. Méthode Après nous être questionnés s...

Background: The results of medical treatment of severe obesity in the adolescent population (balanced diet and physical activity) are often unsatisfactory, and bariatric surgery is questioned. The psychological determinants for requesting bariatric surgery in these adolescents are unclear. The objective of this study was to report the psychiatric...

Résumé Introduction La prescription aux adolescents d’antipsychotiques, est responsable d’effets secondaires importants. Elle impose un bilan pré-thérapeutique ainsi qu’une surveillance régulière et oblige à penser l’articulation entre les soignants. Objectif Évaluer par un audit les pratiques professionnelles concernant les prescriptions d’antip...

La souffrance des adolescents hospitalisés en psychiatrie est l'occasion d'interroger la part d'aliénation sociale, familiale, ou individuelle. Elle est aussi celle d'interroger le rôle de contenance des adultes, soignants ou parents, interface entre les jeunes et la société. C'est un rôle d'interface, emprunt de paradoxes à expliciter, notamment...

The diagnosis of Borderline Personality Disorder in adolescence has recently been included into the Diagnostic and Statistical Manual (1994) and clinical studies showed that this disorder could be diagnosed reliably with this definition. Although the legitimacy of its place in the DSM is questioned. While DSM nosological approach assume to ensure t...

Introduction.– 6-n-propylthiouracil (PROP) is typified as tasting bitter in PROP-tasters. It has been hypothesized that PROP-tasters are more sensitive to other bitter tastes as well as sweet taste and the texture of fats. However, the impact of PROP status in eating disorders is unknown. Methods.– Twenty remitted female patients with anorexia nerv...

Whereas severe relationship dysfunction in BPD is well described in adolescence, little is known about the way these patients process facial expressions of emotion. Because few data are available regarding this issue, the present study compared the sensitivity to morphed facial emotional expressions of 22 BPD female adolescents versus 22 matched co...

Peut-on réduire le diagnostic de personnalité bordeline à l’adolescence à une crise d’adolescence, voire à l’adolescence elle-même? Il conviendrait plutôt de parler d’un niveau comportement le plus souvent ponctuel à ce stade du développement, de type « crise borderline ».

Psychoanalysis highlights borderline symptoms during adolescence through an underlying psychopathology. Kernberg's conceptualization of borderline symptoms is represented with borderline organization. Nevertheless, such conceptual organization of symptoms during adolescence hardly agrees with borderline disorder diagnosis. After considering validit...

An increasing interest in the study of facial emotion recognition in many psychiatric disorders has emerged over the past few years. The morphing technique allowed opening new perspectives in experimentation, by using dynamic expressions of emotions, such as in the Multimorph task. Based on a literature review, we present here the interest of the M...