[Influence of personality disorder on the course of manic-depressive illness]. / Influence des troubles de la personnalité sur l'évolution de la maladie maniaco-dépressive.

In these past years, comorbidity of manic-depressive illness with personality disorders were the subject of many studies. In order to study the influence of personality disorder on the course of the disease, the authors have compared a group of manic depressive patients with personality disorders to an other group of manic depressive patients without personality disorders. The comparison between the outcome and prognosis of each group has leaded to the conclusion that manic depressive patients with personality disorders evaluate worse than those without personality disorders: they are more often hospitalized and have more suicide attempts, they are more vulnerable to stress factors and finally they have low scores on the Global Assessment of Functioning scale (GAF).

[Problems posed by medico-psychiatric emergencies in Tunisia]. / Problèmes posés par les urgences medico-psychiatriques en Tunisie.

The writers are interested in the consequences resulting from dividing emergencies into medico-surgical and psychiatric emergencies which would concern the efficiency of first aid to the cases where ther's an interference between medical and psychiatric disorders. Three situations will be envisaged and commented upon according to examination medico-surgical emergencies with a psychiatric expression, medico-surgical emergencies of the mentally-ill patient and psychiatric emergencies with a medico-surgical expression. The authors conclude by showing the interest of simultaneously taking into account both the somatic and the psychiatric fields. This would implicate a larger collaboration between somatic physician and psychiatric physician.