e-santé mentale: définitions, enjeux, expériences paris ......e-santé mentale: définitions,...
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E-Santé Mentale: Définitions, Enjeux, ExpériencesParis, 13 juin 2017
CURE, Pôle de psychiatrie, Hôpital Fontan, CHU Lille, France
psyCHIC team, SCA-Lab, CNRS UMR-9193, Université de Lille, France
Neural Inference Team, LNC, École Normale Supérieure, Paris, France
The global context of early-onset hallucinations
1
development
Predisposing factors
Protective factors
e.g. betterToM skills
Genetic predispositionChildhood trauma
development
Predisposing factors
Protective factors
+Modifying factors ?
Cultural, religious & spiritual interpretations
development
Predisposing factors
Protective factors
development
Hallucinations not in the context of
childhood psychosis
• Transient experience in clear consciousness
• Hypnagogic & hypnopompic hallucinations
• Imaginary companions
Hallucinations in the context of childhood
psychosis
+Modifying factors ?
development
Hallucinations not in the context of
childhood psychosis
• Transient experience in clear consciousness
• Hypnagogic & hypnopompic hallucinations
• Imaginary companions
Hallucinations in the context of childhood
psychosis
No hallucination
Non clinical hallucinations
Need for care
development
Hallucinations not in the context of
childhood psychosis
• Transient experience in clear consciousness
• Hypnagogic & hypnopompic hallucinations
• Imaginary companions
Hallucinations in the context of childhood
psychosis
No hallucination
Non clinical hallucinations
Need for care
Persistence with distress
Spontaneous resolution
Persistence without distress or dysfunction
Predisposing factors
Protective factors
+Modifying factors
development
Hallucinations not in the context of
childhood psychosis
• Transient experience in clear consciousness
• Hypnagogic & hypnopompic hallucinations
• Imaginary companions
Hallucinations in the context of childhood
psychosis
No hallucination
Non clinical hallucinations
Need for care
Persistence with distress
Spontaneous resolution
Persistence without distress or dysfunction
Jardri et al., Schizophr Bull 2014, see also Pignon et al., J Child Psychol Psychiatry in press
How to better characterize
early-onset hallucinations ?
2
• monosensory
• Not adapted to children
• Validated in a specific disorder
Demeulemeester et al., Br J Psychiatry 2015
Pro dashboard
session manager settings profile analysis
avatarcustomisation
Mentor ToM underconstruction
cognitive tasks
timereference
EMA future modules
independent modulesexploration of hallucinations
in every sensory modality
Secure data transfer
MHASC collaborative study
Child/Adol. interface
Lulu
Regarde ces boutons, ils représentent les 5 sens.
The MHASC validation study
& perspectives
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AN EXCELLENT DISCRIMINATIVE POWERBETWEEN H+/H- CHILDREN
1 5 10 15
AN ABILITY TO CAPTURE PHENOMENOLOGICAL PROPERTIESEX. DIMENSIONAL SURFACE MAPS IN 15 CHILDREN WITH VOICES
PRO DASHBOARD: AT THE SUBJECT-LEVEL AND THE GROUP-LEVEL
R Jardri
