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Abstract: His qualities as a clinician and the publication in 1909 of his book, written with his mentor Paul Sérieux, “Reasoning madnesses. Misinterpretative delusional states”, brought Joseph Capgras considerable fame and in the 1930s his ward in Sainte-Anne Hospital in Paris was particularly sought after (one of his residents was Henri Ellenberger who regarded him as his favourite teacher). Howewer, if the name of Capgras is known all over the world, it is because of his description in 1923 of the “syndrome d’illusion des sosies” which now bears his name. Although the isolation of the “Capgras''s syndrome” can be understood according to the initial model represented by the “Misinterpretative delusional states”, Capgras attached far more importance to psychogenesis and phenomena which were, in his opinion, neurologically defective in appearance only. An honourable man in his time, enemy of all dogmatism, Joseph Capgras published many papers on erotomania and showed himself to be a determined adversary of the ideas defended by his famous colleague Clérambault. [Copyright &y& Elsevier]

Abstract: Objectives: This paper considers the specific administrative procedures set up by managers of public healthcare establishments and those responsible for health and welfare policies to care for low-income pregnant women for whom 100% of the “price per act” (T2A) is refunded. What are the limitations and what improvements can be suggested? Patients and method: The results are based on an analysis of data from semi-structured interviews, legislation and documents. Results: The State, health insurance systems, public health establishments, local authorities, charities and outpatient services are involved in handling low-income parturients in different services and different establishments, both locally and regionally. A health and welfare policy comprising specific, coordinated actions and measures has been developed. The T2A “price per act” system may threaten its survival: the limited number of front-line facilities is often saturated and demand is increasing, treatment is often reduced to reactive management leading to unwanted readmissions, ethics are sometimes called into question and there is a risk of patient selection. Discussion and conclusion: This pilot study provided some encouraging information but also indicated the limitations of the approach adopted. However, it was still of interest to see whether it was possible to use this approach, which did not require considerable resources, to reveal useful markers. This appeared to be the case. Regional Health Agencies (ARS) and local authorities could support the system. Additional funding is needed. [Copyright &y& Elsevier]

Abstract: Paris area is a complex urban area where 12 million people are living. This complexity is also encountered by the parents of children or the adults with autism or others Pervasive Developmental Disorders. More specifically it could be difficult for them to get a diagnosis or to find the right way to get measures really appropriate to their situations. To help them a specific structure called “Centre de Ressources Autisme Île-de-France” (CRAIF, Center for Resources in Autism, Paris Area) was created in 2004. Several professionals (librarian, social worker, psychologist, doctor, management secretary and manager) try to give information or advice in various manners (phone, mail, e-mail, visiting…) to the people (families or professionals) searching help. In this paper we report the various missions of this institution and the way its professionals try to answer. [Copyright &y& Elsevier]