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Addictology professionals come from a wide variety of backgrounds. Their practice diversity influences the homogeneity of their representations and the concepts available to them when they debate amongst themselves. Variations in norms, reference values and beliefs can also influence as the register refers to sensitive elements such as excess, pleasure, risk and transgression. In failing to find a common measure, the trap is to find oneself in a radical nominalism, whose meanings and implications are entirely different for the individual. Faced with a complexity and multiplicity of determinants, professionals are pushed to question the risk of misunderstanding, to what underlies their conceptions, their implicit aims, their practices, their evidence and the validity of the concepts on which they rely. Here, delicate transdisciplinarity or even transnosography problems arise. We will discuss this in this article.

Accompaniment in addiction is fundamentally multidisciplinary. Psychotherapeutic treatment is an integral part, but its implementation confronts various obstacles of temporality, of the demands of the user who will present himself with an identity of addict that will be necessary to soften to access his subjectivity. To get away from the question of the type of psychotherapy, we sought to highlight what can be psychotherapeutic in our follow-up at addiction's centres. Through Sylvain's clinical situation at Marmottan Hospital, and the question of attachment disorders amongst drug users, we highlight the place a psychotherapy that will be based first and foremost on interpersonal. Multimodal and institutional, this humanistic clinic of the link, the encounter and the relationship allows the patient to put back to work the developmental dynamics, to develop a secure base that facilitates progressive access to intrapsychic, and greater autonomy, before a more specific psychotherapeutic treatment can be put in place.

The oral status of patients seen in addictology is often concerning. Treating teeth effectively and over time is difficult. What are the causes ? Is this a consequence of the patient's intake of toxic, de-socialisation or a previous psychic state ? After research on these themes, a questionnaire was conducted in three groups. Patients, addictology service providers and dental surgeons were interviewed to provide statements and feelings on the dental problems of patients. It appears that patients seek care and dialogues. Caregivers express certain genes and limitations. How do you overcome these difficulties in a health care setting ? How do you initiate processes for better dental management of patients ?

After contemplating the evolution of the polysemic notion of parenthood, and attempting to define its particularism, this article approaches dysfunctions caused by a parent in the course of parental functions during alcoholic addiction. The psychic suffering of a child with an alcoholic parent, may reflect by role taking, leading to perturbations in the psycho-affective development, to demonstrate a co-dependency in the face of parental deficiency situations.

The use of mixed methods requires examples of how this approach is applied so that related challenges can be identified. However, only a few studies on gambling have ventured to provide any examples and illustrated the integration process. Using the example of a sequential mixed-methods study on passion for poker, the aim is to describe the process of integrating methods and results as well as the reach of the methodology in understanding the issue being investigated. Although the quantitative results were limited, as regards the significance and pertinence of the concept of passion, the qualitative results led us to conclude that players found this concept meaningful. The qualitative results also enhanced understanding of gambling behaviours, whereas the quantitative data alone were not revealing. Conversely, the qualitative interviews alone would not have led to a fuller understanding of the links between obsessive passion and gambling problems, since players were reluctant to talk about obsessive passion. The study of passion for poker provides a good example of how adopting mixed methods can enhance understanding and identify practical spin-offs.