Service de Psychiatrie de l'Enfant et de l'Adolescent, Hôpital Pitié-Salpêtrière, Paris, France; ARTEMIS, Atelier de Recherche, Traitement et Médiation Interculturelle et Sociale, Paris, France; Laboratoire PCPP- EA 4056, Institut de Psychologie, Université Paris V René Descartes SPC, France.
Service de Psychiatrie de l'Enfant et de l'Adolescent, Hôpital Pitié-Salpêtrière, Paris, France.
Eur Psychiatry. 2018 Aug;52:1-14. doi: 10.1016/j.eurpsy.2018.03.001. Epub 2018 Mar 31.
A new model of radicalisation has appeared in Western countries since the 2010s. Radical groups are smaller, less hierarchical and are mainly composed of young, homegrown individuals. The aim of this review is to decipher the profiles of the European adolescents and young adults who have embraced the cause of radical Islamism and to define the role of psychiatry in dealing with this issue.
We performed a systematic search in several databases from January 2010 to July 2017 and reviewed the relevant studies that included European adolescents and/or young adults and presented empirical data.
In total, 22 qualitative and quantitative studies were reviewed from various fields and using different methodologies. Psychotic disorders are rare among radicalised youths. However, they show numerous risk factors common with adolescent psychopathologies. We develop a comprehensive three-level model to explain the phenomenon of radicalisation among young Europeans: (1) individual risk factors include psychological vulnerabilities such as early experiences of abandonment, perceived injustice and personal uncertainty; (2) micro-environmental risk factors include family dysfunction and friendships with radicalised individuals; (3) societal risk factors include geopolitical events and societal changes such as Durkheim's concept of anomie. Some systemic factors are also implicated as there is a specific encounter between recruiters and the individual. The former use sectarian techniques to isolate and dehumanise the latter and to offer him a new societal model.
There are many similarities between psychopathological manifestations of adolescence and mechanisms at stake during the radicalisation process. As a consequence, and despite the rarity of psychotic disorders, mental health professionals have a role to play in the treatment and understanding of radical engagement among European youth. Studies with empirical data are limited, and more research should be promoted (in particular in females and in non-Muslim communities) to better understand the phenomenon and to propose recommendations for prevention and treatment.
自 21 世纪 10 年代以来,西方国家出现了一种新的激进化模式。激进化团体规模更小、层次结构更简单,主要由年轻的本土人士组成。本综述旨在剖析那些投身于激进伊斯兰教事业的欧洲青少年和青年的特征,并确定精神病学在处理这一问题中的作用。
我们于 2010 年 1 月至 2017 年 7 月在多个数据库中进行了系统检索,并对包括欧洲青少年和/或青年且提供实证数据的相关研究进行了综述。
共综述了来自不同领域和使用不同方法学的 22 项定性和定量研究。在激进化青年中,精神病性障碍较为罕见。然而,他们表现出许多与青少年精神病理学共同的风险因素。我们提出了一个全面的三级模型来解释欧洲青年激进化现象:(1)个体风险因素包括心理脆弱性,如早期的被遗弃经历、感知到的不公正和个人的不确定性;(2)微观环境风险因素包括家庭功能障碍和与激进化个体的友谊;(3)社会风险因素包括地缘政治事件和社会变革,如涂尔干的失范概念。一些系统性因素也与之相关,因为在招募者和个人之间存在着一种特殊的相遇。前者利用宗派主义技术来孤立和非人化后者,并向他提供一个新的社会模式。
青少年的心理病理表现与激进化过程中涉及的机制之间存在许多相似之处。因此,尽管精神病性障碍罕见,心理健康专业人员在治疗和理解欧洲青年的激进行为方面仍发挥着作用。实证数据研究有限,应加强更多研究(特别是在女性和非穆斯林群体中),以更好地了解这一现象,并提出预防和治疗建议。