L’irresponsabilité pénale sous le coup de la « légifémotion » (notice n° 1728148)
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| fixed length control field | 05034cam a2200361 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260322002951.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | David, Michel |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | L’irresponsabilité pénale sous le coup de la « légifémotion » |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2022.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 22 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Dans les suites d’un fait divers au retentissement émotionnel et médiatique considérable, le pouvoir exécutif a déposé un nouveau projet de loi pour réformer l’irresponsabilité pénale pour trouble mental avec l’objectif de prendre en compte les situations de consommation de toxiques associées. Les dispositions du projet proposées au législateur prétendent répondre à des situations qui réclameraient d’associer les conditions d’une telle complexité qu’elles interrogent sur leur sens et la réalité de leur application. Le présent article examine le projet de loi et ses cheminements et en relève les incohérences. La modification de la loi sous le coup de l’émotion est une pratique que l’on peut qualifier de « légifémotion » qui s’est accélérée durant la première décennie du siècle : ses effets dans le cas de l’irresponsabilité pénale sont abordés. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Considering consent to care in the context of psychiatric emergencies could enable us to compare the exigencies of the restricted time of emergency care with a more evolutive process. However, it may be harmful to limit oneself to a purely formal or superficial consent from a poorly informed patient, as may be the case in forced care, without taking the time to support the family. Emergency units remain a place where the information provided should allow a better adherence to care, strengthened by informed consent and accompanied by medical staff, despite the reality of forced care in psychiatric emergency units, which can only be decided upon with strong arguments. We face these issues daily at the Psychiatric Orientation and Reception Center (Centre Psychiatrique d’Orientation et d’Accueil, CPOA) of Sainte-Anne Hospital, where we have tried to set up a space that can help the patient reflect on our suggestions and care offers. Our aim is to inform but also to support those who ask for help in understanding this information, so that at the end of their care they can be sure that all the means have been deployed to acquire either consent or refusal. This approach urges physicians and their teams to have a clear position and real commitment, foregoing a false neutrality that may signal more an abdication of responsibility than true objectivity. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Plantear la cuestión del consentimiento para la asistencia en el contexto de las urgencias psiquiátricas confronta un proceso de reflexión a veces largo y fluctuante con una temporalidad restringida de necesidad. Sin embargo, sería tan perjudicial limitarse a una mera forma de consentimiento o a un consentimiento superficial procedente de un paciente mal informado como recurrir repentinamente a una atención forzada sin tomarse el tiempo de asociar y acompañar a la familia. Las urgencias deben seguir siendo un lugar donde la información proporcionada constituye la antesala de la instalación de una aceptación a una atención de calidad, basada en el consentimiento informado y acompañada por los cuidadores. En cuanto a los cuidados forzados, una realidad que obviamente está muy presente en las urgencias psiquiátricas, si hay que llevarlos a cabo no debe hacerse sin una argumentación sólida. En el Centro Psiquiátrico de Orientación y Acogida (CPOA) del Hospital Sainte-Anne, los equipos sensibilizados con esta cuestión se esfuerzan por establecer desde la acogida del paciente y los allegados un marco apto para su reflexión sobre las propuestas de cuidados que se les presenta. El objetivo es informar, pero también acompañar a quienes nos piden ayuda para comprender esta información, de modo que al final de su tratamiento puedan estar seguros de que se han desplegado todos los medios para lograr el consentimiento o el rechazo. Este enfoque impone al médico y a su equipo una postura clara y un verdadero compromiso, sin una falsa neutralidad que sería más resignada que verdaderamente objetiva. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adhésion au soin |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | consentement aux soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | information du patient |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | réglementation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | soin en cas de péril imminent |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | soins sous contrainte |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | urgence psychiatrique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adherence to care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | care in case of imminent danger |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | consent to care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | forced care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | patient information |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | psychiatric emergency |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | regulation |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Montet, Isabelle |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | L'information psychiatrique | Volume 98 | 1 | 2022-02-09 | p. 13-18 | 0020-0204 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-l-information-psychiatrique-2022-1-page-13?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-l-information-psychiatrique-2022-1-page-13?lang=fr&redirect-ssocas=7080</a> |
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