[ psychiatrist faced to the ordinance on request]

The psychiatrist often receives ordinances on request to inspect the medical files of the patient. Does the response to this request constitutes a violation of the medical secrecy? The texts of law governing the ordinance on request do not oblige the doctor to give an answer and do not expose him to sanctions in case of justifiable refusal. Moreover, the code of ethics, the penal code and the law relating to the personal data protection prohibit the response to an ordinance on, request. Thus, the communication of the medical files, in response to an ordinance on request is a violation of the medical secrecy and exposes the psychiatrist to serious sanctions

[New mask of hysteria: three case reports]

Hysteria is a polymorphous manifestation pathology in which unconscious psychic conflicts convert symbolically into somatic and psychic symptoms. When patients used to express their symptoms mostly in motor register, we are assisting progressively to the emergence of a new expressive mode of this disease. In fact, passional attitudes of the "Great hysteria" of Charcot and Richer have become exceptional, replaced by rich and sometimes confusing psychic symptoms. We report three cases of patients with hysteria hospitalized in the department of psychiatry E at the Razi hospital of Tunis. All three patients had presented a rich psychological symptoms and confusing, looking psychotic. Some semiological characteristics and the projective personality tests have allowed us to bring the diagnosis of hysteria. Hysteria expression seems to change constantly with epochs, cultures, society evolutions and medical knowledge progress