Importance et enjeux du Double Diagnostic en milieu médicolégal
Résumé
Among persons with an intellectual disability, several studies highlight the heterogeneity of psychiatric disorders. For years, Dual Diagnosis, the comorbidity between an intellectual disability and a psychiatric disorder is a key topic in the management of those persons. However, there are few studies on Dual Diagnosis among forensic inpatients. Those patients seem to present specificities in their psychopathological profiles. If forensic inpatients with intellectual disabilities are often seen as a homogeneous group, study results show differences of their profile between patients with intellectual disabilities with psychiatric comorbidity and those without comorbidity. In the light of these elements, different issues occur including an improved understanding of the specificities of patients with a Dual Diagnosis as well as for the care perspectives.
Le Double Diagnostic est un concept clé pour la prise en charge des personnes déficientes intellectuelles. Cependant, ce concept a encore peu été investigué dans le champ médicolégal. Si ces patients présentant une déficience intellectuelle sont souvent considérés comme un groupe homogène, les résultats des études mettent en évidence une diversité des profils psychopathologiques. Cet article discute les multiples enjeux évaluatifs et thérapeutiques qui en découlent.