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The fate of Jewish psychiatric patients in occupied Europe during World War II is inseparable from the fate of the disabled and mentally ill, as planned by the Nazi regime. But Jews found themselves at the confluence of eugenics, Christian anti-Judaism and Nazi racist and anti-Semitic madness. They faced the twin promise of death - both as Jews and as mentally ill. They did not escape from the euthanasia programme and, if by a miracle they survived, they disappeared into the extermination camps. The modalities of annihilation of Jewish psychiatric patients are inseparable from the forms of German occupation, which differed from country to country. In this research we focus initially on various countries in occupied Europe, and then on France.

Introduction: Polyhandicap is defined as the combination of severe mental impairment and severe motor deficit resulting in reduced mobility and an extreme reduction in autonomy. Over the last 20years, care management for these patients has become more structured, however, their care pathway is not always optimal., Objective: To describe/compare the health characteristics, treatment and history of the care pathways of subjects who received care before and after 1990., Method: Multicentre cross-sectional study, population studied: patients with polyhandicap: (i) causal brain damage<3years, (ii) severe mental impairment, (iii) motor disability, (iv) reduced mobility, (v) extreme restriction of autonomy., Data Collected: clinical and medical, care procedures, treatments, history of care pathways., Results: Patients are divided into 2 groups: 545 patients who received care after 1990 and 330 before 1990. Older patients present more recurrent urinary infections, slow transit, behavioural disorders and pain, and are prescribed a greater number of drugs. For those who received care before 1990, the age of admission to an establishment is lower, with one-third receiving a consultation dedicated to the transition from paediatric to adult teams., Discussion/conclusion: The care sector for patients with polyhandicap makes it possible to meet their needs throughout their lives, however, there is still progress to be made in terms of formalisation and of coordinating the care pathway in order to facilitate the transition from paediatric to adult services/establishments., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

Prior to the historical appearance of modern comprehensive rehabilitation medicine, people with disabilities were treated at their families' residence or by religious establishments. It is interesting to note some famous severely disabled who succeeded not only to survive against all odds but rather to contribute to their societies and to enter the pages of encyclopedias. The following case studies are randomly selected to reflect the historical position on disability and rehabilitation. The stories of Claudius, Herman von Reichenau, Gottfried von- Berlichingen, Georges Couthon, Aleijadinho, are given along with information on some other famous rulers, Kings and Popes who suffered from various disabilities and deformities.

'Deafness' and 'Handicaps' are concepts which have not only evolved separately throughout the years, but also together in a mutual relationship. Defining them in a social rather than a medical field raises certain questions. Is Deafness a Handicap? Do its consequences constitute a multihandicap? Mother and Child Interaction studies show risk of an impairment to this relationship, and thus a possible psycho-affective disorder for the child's development.