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\"This book presents a comprehensive overview of psychoanalytic work with immigrant mothers, fathers and their children, combining clinical examples and contemporary research to explore ways in which psychoanalysts can work and shape appropriate therapeutic settings. Written in a practical, accessible style, Parenthood and Immigration in Psychoanalysis is essential reading for practicing psychoanalysts, paediatricians, psychotherapists and counsellors, as well as researchers and clinicians in a range of fields, including perinatal, sociology, cultural studies and social work\"-- Provided by publisher.

Nonsuicidal self-injury (NSSI) and suicidal behaviors, both important issues in adolescent health care, are frequently associated and possibly clinically related. Our objective was to explore the views of relations between nonsuicidal self-injury and suicidal behaviors during adolescence and young adulthood (11-25 years) expressed in the scientific (medical and psychological) literature. We adopted a textual approach to the process of synthesis to tell the story of the findings from the included studies. Our narrative systematic review of 64 articles found that they share the same risk factors. Integrated models envision nonsuicidal self-injury as a gateway enabling teens to acquire the capability for suicide. Because suicidal behavior short-circuits thought, it is difficult to conceive an intention to die during adolescents' acts of self-injury. Intention is constructed by the narrative of the act, influenced by numerous elements from the psychopathologic, cultural, religious, and philosophic context. Techniques of mentalizing-based treatments and work on the meaning that adolescents attribute to their behaviors might improve care.

Background A suicidal crisis is a set of symptoms that can occur frequently during adolescence. It can require hospitalization, a form of care that often also facilitates work with the adolescent’s parents, whose inclusion has proven beneficial. The objective of this work is to analyze parents’ experience of their adolescent’s suicidal crisis and hospitalization. Methods This is a qualitative study with data collected from semi-structured interviews of 13 parents of teens who had been hospitalized in an adolescent psychiatry ward for a suicidal crisis. The data were analyzed with Interpretative Phenomenological Analysis. Results Parents described how the adolescent’s suicidal crisis drastically disrupted their relationships both with the youth and within the family, as well as strongly affecting their own well-being. Hospitalization was often perceived as a relief by protecting the adolescent. Separation from the teen and the care offered, including family sessions, led simultaneously to reorganization and support of the family. The construction of a new family and personal equilibrium continued after hospitalization with the search for strategies to prevent acute recurrence. Conclusions Parents faced with their adolescent’s suicidal crisis are immediately affected and mobilized. The youth’s hospital admission supports the family’s mobilization while inducing its reshaping but does not appear entirely sufficient. It is crucial to provide interventions that enhance parents’ skills in supporting their suicidal teen and to promote parental empowerment and family recovery. Specifically, approaches combining psychoeducation, family-based work and peer support with other parents hold promise in addressing parental needs in this context.

Background Caring for adolescents with anorexia nervosa (AN) involves gaining patients’ and families’ trust in a condition fraught with ambivalence. While essential for subsequent care and the development of a therapeutic alliance, the first clinical encounter is also known to be emotionally challenging both for frontline professionals and for families. There are few studies investigating the experience of clinicians working in specialized care settings. Our study aims to explore the challenges experienced by specialized professionals during the initial encounter with patients presenting with AN and their families. Methods: A qualitative study was conducted at the Maison des Adolescents, Cochin Hospital, Paris, a facility specialized in holistic care for adolescents, based on semi-structured interviews using Interpretative Phenomenological Analysis (IPA). Results: Sixteen clinicians with various professional profiles were interviewed between March 15th 2024 and August 5th 2025. Verbatim analysis identified four superordinate themes: (1) The first encounter: a daunting experience. (2) Balancing two divergent clinical postures: empathy and suasion. (3) Strategies for building a therapeutic alliance in the face of reluctance. (4) Building professional legitimacy through experience. Conclusions: The emotional impact of these initial encounters can remain significant and complex, requiring introspective work and adaptability from professionals in order to promote therapeutic alliance. Developing of a formalized structure for initial interviews could be a possible avenue for improving these encounters.

Purpose Anorexia Nervosa can have a major impact on bone health through low bone mass and bone loss. Considering the lack of consensual guidelines for the prevention and treatment of bone loss in this condition, a systematic review was performed to provide practical treatment guidance for clinicians. Methods We systematically searched Medline, Cochrane, Psychinfo, and the Web of Science for anorexia nervosa AND (osteopenia OR osteoporosis OR bone density OR bone loss) AND (prevention OR treatment OR medication OR therapeutic) in clinical studies from March 1st, 2017, to October 31st, 2024, and included the last systematic review on the subject. We excluded reviews, editorials, unfinished trials, expert opinions, book chapters, and case reports. This research followed the PRISMA guidelines. Results A total of 27 publications were included in this review. The main outcome measured was spinal bone mineral density (BMD). Among 1932 participants (all female), 1439 had AN and the remainder were healthy controls. Monotherapies mostly included various hormonal replacement therapies and bisphosphonates. Combination trials were performed on small numbers or with a modest time range or effect size. Results were statistically significant in 15 studies. Estrogen replacement therapy, bisphosphonates, teriparatide and denosumab showed the most significant effects. Conclusions These results and our clinical experience in the field allowed us to formulate a treatment algorithm for managing bone loss in patients with anorexia nervosa according to their BMD and pubertal status. Level of evidence Level I, systematic review

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. Material and methods: We led a semi structured interview with professionals, which included following their involvement with preselected patients. Nine professionals provided a sample of 19 interviews. The data was analysed using IPA methodology. Results We highlight the investigative importance of navigating the patient’s initial demand or lack thereof and the baby’s importance within, while identifying mechanisms of maternal disqualification. Creating an atmosphere prone to patient empowerment was the final theme to emerge from the study as the most beneficial tactic both in the short and long term. Conclusions: HCPs need to enable patients’ trust on a personal and an institutional level, as well as empowering the patient in the moment and respecting their values and choices. HCPs also convey the stability of the institution that has become a reference of refuge and assistance for patients from their pregnancy onwards.

Background Olanzapine is commonly prescribed in Anorexia Nervosa, despite conflicting evidence regarding its efficacy and safety. This study aimed to complement existent quantitative by exploring the lived experiences of adolescents and parents with this treatment. Method Ten adolescent girls and ten parents were interviewed in a single psychiatric department in Paris. Data saturation was achieved. We used semi-structured interviews enriched with narrative methods, including writing tasks and picture elicitation questions. Results Four chronological meta-themes were identified: (1) Introduction of antipsychotic treatment with Olanzapine: rapid acceptance generating mixed feelings about the future. (2) The first few weeks of medication: Adolescents questioning alone the treatment after first intakes. (3) Taking note of the results during the initial few months of treatment. (4) Then what? Fears and doubts about the future. Conclusion The prescription of olanzapine was often perceived as a liminal stage—a transitional moment akin to a “rite of passage” in the trajectory of Anorexia Nervosa. For many adolescents, it represented an opportunity to assert autonomy and gain a sense of empowerment in their relationships with both the medical team and their parents. However, implicit concerns about weight gain as a side effect often became a core issue of miscommunication. These concerns should be openly addressed throughout the treatment process. Shortening the usual duration of olanzapine therapy may offer a constructive path toward reinforcing the therapeutic alliance and avoiding non-medical discontinuation.

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, and the Beirut blast. The objective of this study was to examine how the destabilization of the meta-frame due to crises necessitates adaptations in theoretical knowledge, practice, and setting. Methods We conducted a qualitative study among a population consisting of mental health professionals, which were recruited in Lebanon through associations and societies of psychologists, psychotherapists, and psychoanalysts. Data was collected using semi-structured individual interviews. The interviews were analyzed using interpretative phenomenological analysis (IPA), which allowed for a dynamic exploration of the participants' experiences. Results Our study revealed four superordinate themes: (1) The strained frontiers; (2) The cumulative traumatic reality and its impact; (3) A challenged professional identity; (4) The creativity stemming from collective trauma. Conclusions Our results highlight the insecurity caused by external reality infiltrating the therapeutic setting. Online therapy allowed for continued work, but uncertainty about the online environment's impact on therapeutic relationships was observed. The study underscores the importance of adaptability, containment, and support for therapists navigating crises, particularly in the online setting.

Satisfactory clinical practice should incorporate a proper understanding and recording of information provided by patients about their sex, gender, ethnic background, beliefs, and social practices.1 Such factors are relevant for adequate disease management and preventive care. Specific cultural knowledge is required to provide optimal care in areas including but not restricted to mental health,3 cardiovascular diseases,4 diagnostic strategies, paediatric care,5 anaesthetic procedures,6 intensive care, pain management, or counselling in chronic diseases.

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 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. Data was collected using semi-structured individual interviews. A total of 40 participants were interviewed. The interviews were analyzed using interpretative phenomenological analysis (IPA), which allowed for a dynamic exploration of the participants' lived experiences. Results The analysis of the data revealed three superordinate themes that are best presented by following the journey of the mental health professional as he or she navigates from external reality (1) to virtual reality (remote therapy) (2), ultimately plunging into the internal reality (internal reorganization linked to his or her ability to create novelty within these complex situations) (3). Conclusions Our research shows that analysts and therapists experienced significant challenges to their professional identity due to external factors, including the COVID-19 pandemic. These shared experiences enabled the mobilization of creative internal resources and encouraged improvisation within an established framework. This facilitated working through the crisis and supported ongoing professional practice.