La contrainte aux soins, enjeux et difficultés (notice n° 358512)

détails MARC
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Personal name Chami, Jean
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Title La contrainte aux soins, enjeux et difficultés
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Date of publication, distribution, etc. 2013.<br/>
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General note 50
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Summary, etc. L’article traite d’une expérience thérapeutique auprès de plusieurs patients, astreints à une obligation de soins, dans le cadre de consultations externes ( CMP) et d’hospitalisation psychiatrique au long cours. Il met en évidence les paradoxes de cette obligation au niveau personnel, interpersonnel et institutionnel. La contrainte extérieure manifeste le rapport de force entre les instances défensives et ce que la maladie cherche à exprimer. Les défenses (psychiques et sociales) poussent à la désignation, à la nomination de la maladie et, en même temps, la méconnaissent dans sa nature et son processus. Dans l’engagement thérapeutique, le conflit s’exprime avec les mêmes tensions. Le patient contraint le thérapeute à suivre un chemin singulier, le sien, et, inversement, le thérapeute est conduit par son propre système de contraintes, sa conception des normes et de la liberté. L’article tente d’explorer les aspects des obligations réciproques qui se nouent inconsciemment entre le patient et son thérapeute. Il montre la nécessité de passer par ce système d’obligations, internes, interpersonnelles et institutionnelles. Les maladies mentales ne sont pas seulement psychiques, elles s’incarnent dans un tissu social, dans des ensembles institués, dans des fonctions professionnelles. Ces dimensions agies, plus que pensées, offrent à la maladie mentale un territoire distinct, un langage pour communiquer. Ces contraintes mutuelles suivent un système inconscient de réciprocités, de dons, de dettes, de créances, qui ne peut être, qui ne doit pas être, rigoureusement symétrique, ni équivalent. Le professionnel du soin se met au service de la dette et des obligations à soigner, mais doit aller au-delà et en franchir les limites.
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Summary, etc. Mandatory treatment, issues at stake and difficultiesThe article discusses a therapeutic experience with several patients who were compelled to undergo treatment within the framework of external consultations ( CMP) and long-term psychiatric hospitalisation. It highlights the paradoxes of this obligation at the personal, interpersonal and institutional level. The external constraint shows the rapport de force between the defensive agencies and what the illness is seeking to express. Defences (psychic and social) drive people to designate, to nominate the illness while at the same time misconstruing its nature and its process. In the therapeutic engagement, the conflict is expressed with the same tensions. The patient compels the therapist to follow a particular path, his own, and, conversely, the therapist is led by his own system of constraints, his conception of norms and freedom. The article attempts to explore the aspects of the reciprocal obligations that are formed unconsciously between the patient and his or her therapist. It shows how this system of internal, interpersonal and institutional obligations cannot be avoided. Mental illnesses are not only psychic ; they are embodied in a social fabric, in established ensembles, and in professional functions. These dimension that are acted more than they are thought about, offer mental illness a distinct territory, a language for communicating. These mutual constraints follow an unconscious system of reciprocities, gifts, debts, and obligations which cannot, and must not, be rigorously symmetrical or equivalent ; The professional carer puts him or herself at the service of the debt and obligations to provide treatment, but must go further than that and cross their limits.
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Topical term or geographic name as entry element réciprocité
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Topical term or geographic name as entry element obligation
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Topical term or geographic name as entry element inconscient
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Topical term or geographic name as entry element Contrainte
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Topical term or geographic name as entry element maladie
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Topical term or geographic name as entry element paternité
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Topical term or geographic name as entry element offence
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Topical term or geographic name as entry element paternity
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Topical term or geographic name as entry element denial
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Topical term or geographic name as entry element violation
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Topical term or geographic name as entry element reciprocity
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Topical term or geographic name as entry element force
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element obligation
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Topical term or geographic name as entry element Constraint
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Topical term or geographic name as entry element illness
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Note Connexions | 99 | 1 | 2013-06-21 | p. 71-88 | 0337-3126
856 41 - ELECTRONIC LOCATION AND ACCESS
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