Charles VI : Un Fou Sur Le Trône De France

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Charles VI : Un Fou Sur Le Trône De France UNIVERSITE DE NANTES FACULTE DE MEDECINE Année 2017 N° THESE pour le DIPLÔME D’ÉTAT DE DOCTEUR EN MÉDECINE DES de Psychiatrie par Sonia HAKIMI née le 11 Novembre 1990 à Toulon (83) Présentée et soutenue publiquement le 18 mai 2017 LA FOLIE DU ROI CHARLES VI : ANALYSE CLINIQUE EN FAVEUR D’UN TROUBLE DE L’HUMEUR Présidente : Madame le Professeur Marie GRALL-BRONNEC Directeur de thèse : Monsieur le Professeur Jean-Marie VANELLE Remerciements Aux membres de mon jury de thèse, Monsieur le Professeur Vanelle, Merci monsieur de m’avoir fait l’honneur d’être mon directeur de thèse et d’avoir soutenu le choix de ce sujet atypique. Je ne vous remercierai jamais assez de votre disponibilité, que ce soit dans le cadre du travail de thèse ou lors de mon stage au CAPPA. Enfin, merci pour l’ensemble des enseignements dont j’ai pu bénéficier pendant vos cours ainsi que dans votre service, et pour ceux dont je bénéficierai de nouveau, j’en suis certaine, lors de mon semestre recherche. Madame le Professeur Grall-Bronnec, Je vous remercie de l’honneur que vous me faites en ayant accepté de juger ce travail ainsi qu’en présidant le jury. Je vous assure de ma profonde reconnaissance. Monsieur le Professeur Camus, Vous me faites l’honneur de juger ce travail, veuillez trouver ici l’expression de mes sincères remerciements et de mon profond respect. Monsieur le Docteur Brisseau, Je vous remercie monsieur du vif intérêt que vous avez porté vis-à-vis de mon travail, avant même que celui-ci ne soit rédigé. C’est un immense plaisir de vous avoir dans mon jury. Anne, Merci d’avoir accepté, sans hésiter, de juger ce travail. J’ai par ailleurs adoré te cotoyer pendant ce semestre en liaison. Tes conseils, toujours pertinents, et ta bonne humeur sont des plus agréables. 2 A Guillaume, merci d’être mon compagnon dans toutes ces aventures. Ton soutien indéfectible a été mon meilleur allié pendant la préparation de ce travail. A ma famille, et plus spécifiquement, à ma maman, merci de m’avoir transmis le goût de l’histoire et à mon papa, celui des sciences. A mes frères, Yann et Léo, pour leurs petites attentions qui ont ponctué ces derniers mois. Merci à mes beaux-parents, et tout particulièrement à Géraldine, pour sa correction pertinente de ma syntaxe malheureuse. A mes amis d’enfance, Emeline, Mathilde S., Alexandre pour leur prévenance et leur fidélité. Mais aussi à ceux, formidables, que la médecine a mis sur mon chemin au fur et à mesure de mon parcours Nelly, François, Sarah L, Manon, Adrien, Sarah D, Lucie, Koro, Mathilde F, Delphine, et Clotilde. Merci à chacun d’entre vous pour ces précieux moments passés ensemble. Aux équipes des services dans lesquels je suis passée, pour m’avoir tant appris que ce soit dans le domaine clinique ou dans les rapports humains. Merci, dans l’ordre chronologique, aux équipes du Tricotin, de Matisse, du CAPPA-liaison et de Minéo. Merci plus spécifiquement à Marie-Laure, Nathalie, Edouard, Marie, Samuel pour votre pédagogie et vos regards bienveillants. Merci tout particulièrement à Emilie pour l’ambiance formidable lors de ce semestre avec toi. 3 Table des matières Introduction ............................................................................................................................................ 7 1. Controverse autour de la maladie du roi ....................................................................................... 9 1.1 La schizophrénie, un diagnostic bien ancré................................................................................... 9 1.2 Un retour aux sources nécessaire ............................................................................................... 10 2. Contexte historique ...................................................................................................................... 12 2.1 La Guerre de Cent Ans ................................................................................................................. 12 2.1.1 Les préquelles du conflit ....................................................................................................... 12 2.1.1.1 La Guyenne, source de tension ....................................................................................... 12 2.1.1.2 Crise de succession au trône de France .......................................................................... 13 2.1.2 Le début de la guerre ............................................................................................................ 14 2.1.3 Evolution jusqu’en 1380 ....................................................................................................... 15 2.1.4 La Guerre de Cent Ans sous Charles VI ................................................................................. 16 2.2 Les guerres civiles ........................................................................................................................ 16 2.2.1 Les révoltes antifiscales ........................................................................................................ 16 2.2.2 Conflit entre Armagnacs et Bourguignons ........................................................................... 17 2.3 Le grand Schisme d’Occident ...................................................................................................... 18 2.3.1 Source du conflit ................................................................................................................... 18 2.3.2 Début du Schisme ................................................................................................................. 20 2.3.3 Vers la réconciliation ............................................................................................................ 20 2.4 Géopolitique occidentale sous Charles VI ................................................................................... 21 3. Anamnèse familiale ...................................................................................................................... 23 3.1 Hérédité en psychiatrie ? ............................................................................................................ 23 3.2 Ascendants du roi ........................................................................................................................ 25 3.2.1 Jeanne de Bourbon ............................................................................................................... 25 3.2.2 Louis II de Bourbon ............................................................................................................... 26 3.3 Descendants du roi ...................................................................................................................... 28 3.3.1 Première génération ............................................................................................................. 28 4 3.3.1.1 Michelle de Valois .......................................................................................................... 31 3.3.1.2 Charles VII ...................................................................................................................... 32 3.3.1.2.1 Etat de stress post-traumatique… ........................................................................... 33 3.3.1.2.2 …et épisode dépressif caractérisé........................................................................... 34 3.3.1.2.3 Controverse autour de la mort de Charles VII ........................................................ 34 3.3.2 Deuxième génération ........................................................................................................... 36 3.3.2.1 Louis XI ........................................................................................................................... 36 3.3.2.1.1 Accès hypomanes ................................................................................................... 36 3.3.2.1.2 Délire de persécution en fin de vie ......................................................................... 38 3.3.2.2 Henri VI .......................................................................................................................... 39 3.4 Synthèse familiale ....................................................................................................................... 42 4. Enfance royale .............................................................................................................................. 43 4.1 Les jeunes années du roi ............................................................................................................. 43 4.1.1 Education de Charles VI ........................................................................................................ 43 4.1.2 Roi et régence ....................................................................................................................... 44 4.1.3 L’émancipation ..................................................................................................................... 46 4.2 Une maladie à début précoce ? ................................................................................................... 46 4.2.1 Trouble psychiatrique à début précoce et état mental à risque ........................................... 46 4.2.2 Etat de santé général de Charles VI ...................................................................................... 48 5. La folie du roi ................................................................................................................................ 50 5.1 Première
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