[Stockholm Syndrome and controlling relationships: to understand and act]. / Syndrome de Stockholm et relation d'emprise : comprendre et agir.

Stockholm Syndrome is not a validated psychiatric diagnosis but is widely used in abusive situations where the behaviour of the victims is otherwise inexplicable. It carries a heavily judgmental weight. Comparison with ascendency abusive relationship shows common points, giving a better understanding of its mechanisms and subsequent victims behavior, which are of dire consequences in social, therapeutic and legal terms.

Le syndrome de Stockholm n'est pas un syndrome psychiatrique en tant que tel. Néanmoins, le terme est largement employé dans des situations qui paraissent inexplicables, avec une connotation fortement négative envers les victimes. Les points communs mis en évidence avec la relation d'emprise permettent de mieux en comprendre les mécanismes, et de mettre un sens sur les comportements des victimes, qui sont lourds de conséquences sur les plans thérapeutique et juridique.

[Ascendency abusive relationship: submission is not consent]. / Relation d'emprise†: la soumission n'est pas un consentement.

Known since the 80's, control relationship is a fundamental of perverse interactions. It has grievous consequences on individuals and societal mental health. We will describe its definition, who are the perpe-trators and their strategies, who are the victims, how it develops with what consequences, what are the therapeutic principles.

Décrite dès les années 80, la relation d'emprise est un moteur essentiel des transactions perverses, avec de lourdes conséquences en termes de santés mentale, individuelle et sociale. Nous abordons ici sa définition, la question de qui l'exerce, avec quelles stratégies, qui sont les victimes rencontrées, quelles sont les étapes de son développement et leurs conséquences ainsi que les principes thérapeutiques pouvant être appliqués.

[Short and medium-term effectiveness of the emergency-crisis treatments for couples and families: results and perspectives]. / Efficacité a court et moyen termes des traitements d'urgence-crise pour couples et families: résultats et perspectives.

From 2007 to 2010, the emergency-crisis unit of the Couple and Family Consultation Unit -UCCF (West Psychiatric Service, Prangins Psychiatric Hospital, Psychiatric Department of CHUV) has carried out a research about the relevance and usefulness of emergency-crisis, systemic-oriented treatments, for deeply distressed couples and families. Besides epidemiologic data, we present results demonstrating the efficiency of those treatments, both at short-term and at a one year's range. The global impact of such treatments in terms of public health, but also economical issues, make us believe that they should be fully included in the new trend of psychiatric ambulatory care, into the social net.

[Munchausen syndrome: update]. / Le syndrome de Münchausen: mise au point.

Munchausen's syndrome has been described by Asher (1951) on the basis of 4 remaining permanent criteria, beyond its numerous expressive symptoms. The present work describes the usual process undergoing during their contacts with hospitals, collecting diagnosis criteria and differential diagnosis. Etiology hypothesis, possibilities of treatment, will be discussed both in a reflexive and preventive perspective, regarding the very high costs thus inferred, in terms of health (of the patients and the medical teams), and of financial and legal problems.