Citation

Tesu-Rollier DD. Ann. Med. Psychol. (Paris) 2008; 166(10): 865-869.

Copyright

(Copyright © 2008, Societe Medico-Psychologique, Publisher Elsevier Publishing)

DOI

10.1016/j.amp.2008.10.012

PMID

unavailable

Abstract

In this report, the author advances the hypothesis that sport activities could compromise a therapeutic alliance in the case of psychiatric follow-ups. The approach is a phenomenological, clinical and anthropological one based on three clinical situations. This hypothesis was verified but has not been applicable to the whole population of prisoners. If psychiatric and psychotherapic follow-ups can not be positively correlated with the notion of therapeutic alliance, there is a risk factor and therefore a predictability of relapse for bipolar disorders and for clinical decompensation whether auto- or heteroaggressive. Finally, the components of the universe of the exercise grounds and of psychopathology in the prison society of the Fleury-Mérogis prison are psychiatry, sports, stimulating and sedative substances. The hypothesis was confirmed by facts, as follow-ups are not frequent due to " too much sport ", and to patients " sinking " into a psychopathological process. The following other variables were analysed: sex, age, personal health antecedents and justice antecedents. The three patients studied had a criminal past consisting of sexual assault, murders or drug dealing. Based on available data, the analysis indicates that the three prisoners decompensate along same mode: bipolar disorders followed by immediate admission in a psychiatric hospital, which in turn entails a change in the initial punishment. © 2008 Elsevier Masson SAS. All rights reserved.

Language: fr

Keywords

adult; human; homicide; male; case report; bipolar disorder; prison; sport; Suicide prevention; prediction; risk factor; article; sexual crime; offender; follow up; mental hospital; relapse; correlation analysis; punishment; hypothesis; Bipolarity; Psychopathology in prison