000			02188cam a2200169 4500500
005			20250121082928.0
041			_afre
042			_adc
100	1	0	_aChemin-Sauque, Blandine _eauthor
700	1	0	_a Routens, Frédéric _eauthor
245	0	0	_aBenevolence in palliative care: A crossover view of the caregiver ideal
260			_c2019.
500			_a59
520			_aBenevolence is a pillar of care, which when taken to its extreme can carry the unexpected seed of serious violence. Where the temptation for altruism is strong, the question of our desire for the other must be raised. Is it always congruent with the subject’s aspirations and on what foundations does it stand? Faced with the phenomena of life and death, the excess of benevolence is similar to a quest for personal appeasement: a desire to sanitize death—along with impulsive mothering inherited from the fantasy of being an “ideal mother”—would be symptomatic of the need for reactive control over anxiety and powerlessness. Moreover, benevolence at its height can be understood as the expression of an unconscious desire for reparation. Whether real or symbolic bereavements, care teams are often confronted with the reminiscence of painful past bereavements. Poorly cauterized, they resonate with stressful professional situations, generating ambivalent attitudes. Desire for reparation also testifies to the deep guilt of some. Lastly, an excess of benevolence can be read as the translation of fragile self-esteem, the patient’s over-investment toward a narcissistic reparation. Benevolent obstinacy has its consequences: a grasp on the patient, the anguish of regression and abandonment, and a feeling of indebtedness that cannot be overcome. There are multiple motivations behind an excess of benevolence, and they are not very conscious ones. Sharing our thoughts within the team allows us to analyze our emotional movements and manage our frustrations related to our ideal of palliative care.
786	0		_nRevue internationale de soins palliatifs | 34 | 2 | 2019-07-01 | p. 59-64 | 1664-1531
856	4	1	_uhttps://shs.cairn.info/journal-infokara-2019-2-page-59?lang=en&redirect-ssocas=7080
999			_c501990 _d501990