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Author: Michèle Voustad
Publisher:
ISBN:
Category :
Languages : fr
Pages : 128
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Book Description
Le médecin généraliste est le premier recours en termes de santé mentale mais les échanges avec les acteurs de ce secteur sont parfois compliqués. Dans ce contexte, une consultation avec un psychologue militaire existe depuis 2015 dans les centres médicaux des armées (CMA). Notre but est d'étudier la coordination interprofessionnelle dans la prise en charge (PEC) des patients consultant pour motifs psychologique. Une étude qualitative a été réalisée à l'aide d'entretiens individuels semi-dirigés avec pour objectif d'établir un état des lieux sur la perception de la collaboration médecin-psychologue dans la PEC des troubles mentaux au sein des CMA dans la région Rhône-Alpes. Onze entretiens ont été menés du 26 janvier au 14 avril 2016 auprès de huit médecins et trois psychologues des CMA de Lyon-Mont Verdun, Valence et Grenoble-Annecy-Chambéry. Ils ont permis de recenser les avis des médecins et des psychologues sur les consultations psychologiques, le rôle des psychologues et leur collaboration avec l'équipe médicale. On a constaté que les consultations pour motif psychologique pouvaient être chronophages et pas toujours évidentes pour les médecins. Le rôle des psychologues était vu comme celui de soutien des militaires, de leur famille et du médecin. Leur proximité aurait plusieurs avantages pour les patients : coût, rapidité, accessibilité, connaissance du milieu militaire. La collaboration semblait bonne et les échanges se faisaient cordialement, à l'oral surtout. Les interviewés décrivaient certains points divergents (traces écrites, bureau, planning) pouvant être améliorés à l'avenir. Le partage d'information était une des difficultés majeures auxquelles étaient confrontés les professionnels de santé de notre étude et qui posait réflexion pour l'avenir. Par ailleurs, le CMA pourrait être un modèle à suivre pour de futures collaborations entre généralistes et acteurs de santé permettant un accès libre et rapide aux psychothérapies. On peut imaginer reproduire ce système de collaboration dans le monde civil mais avant tout, on peut se demander s'il permet réellement une meilleure observance aux psychothérapies.
Author: Michèle Voustad
Publisher:
ISBN:
Category :
Languages : fr
Pages : 128
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Book Description
Le médecin généraliste est le premier recours en termes de santé mentale mais les échanges avec les acteurs de ce secteur sont parfois compliqués. Dans ce contexte, une consultation avec un psychologue militaire existe depuis 2015 dans les centres médicaux des armées (CMA). Notre but est d'étudier la coordination interprofessionnelle dans la prise en charge (PEC) des patients consultant pour motifs psychologique. Une étude qualitative a été réalisée à l'aide d'entretiens individuels semi-dirigés avec pour objectif d'établir un état des lieux sur la perception de la collaboration médecin-psychologue dans la PEC des troubles mentaux au sein des CMA dans la région Rhône-Alpes. Onze entretiens ont été menés du 26 janvier au 14 avril 2016 auprès de huit médecins et trois psychologues des CMA de Lyon-Mont Verdun, Valence et Grenoble-Annecy-Chambéry. Ils ont permis de recenser les avis des médecins et des psychologues sur les consultations psychologiques, le rôle des psychologues et leur collaboration avec l'équipe médicale. On a constaté que les consultations pour motif psychologique pouvaient être chronophages et pas toujours évidentes pour les médecins. Le rôle des psychologues était vu comme celui de soutien des militaires, de leur famille et du médecin. Leur proximité aurait plusieurs avantages pour les patients : coût, rapidité, accessibilité, connaissance du milieu militaire. La collaboration semblait bonne et les échanges se faisaient cordialement, à l'oral surtout. Les interviewés décrivaient certains points divergents (traces écrites, bureau, planning) pouvant être améliorés à l'avenir. Le partage d'information était une des difficultés majeures auxquelles étaient confrontés les professionnels de santé de notre étude et qui posait réflexion pour l'avenir. Par ailleurs, le CMA pourrait être un modèle à suivre pour de futures collaborations entre généralistes et acteurs de santé permettant un accès libre et rapide aux psychothérapies. On peut imaginer reproduire ce système de collaboration dans le monde civil mais avant tout, on peut se demander s'il permet réellement une meilleure observance aux psychothérapies.
Author: Thibault Floch
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Introduction : Pour construire sa stratégie de santé de défense, le Service de Santé des Armées (SSA) a besoin de mieux appréhender l'évolution épidémiologique des troubles psychiques présentés par les militaires, d'identifier les modalités de suivi et leur devenir en termes de pronostic et d'adaptation à l'emploi. Ainsi, notre étude s'inscrit dans la continuité d'un groupe de travail qui vise à mieux cerner le parcours de soins et d'expertise des patients militaires, plus particulièrement concernant l'Etat de Stress Post-Traumatique (ESPT) et le trouble de l'adaptation au milieu militaire. Méthode : L'étude réalisée est une enquête observationnelle, transversale et multicentrique. Elle a consisté à recueillir les données médicales et administratives de primo-consultants présentant un ESPT ou un trouble de l'adaptation dans les services de psychiatrie et de psychologie clinique de l'ensemble hospitalier militaire d'Ile-de-France. Le critère principal d'évaluation est l'implication du médecin des forces dans ces parcours de soins et d'expertise. Résultats : De septembre 2018 à septembre 2020, 21 primo-consultants pour lesquels un diagnostic d'ESPT a été porté et 97 patients présentant un trouble de l'adaptation ont été inclus. Le médecin des forces adresse respectivement 300/0 et 17,20/0 des patients présentant ces affections au psychiatre ou psychologue des Hôpitaux d'lnstruction des Armées concernés par l'étude. Le taux de prises de contact du spécialiste de la santé mentale avec le médecin des forces est de 710/0 pour les patients souffrant d'ESPT et de 820/0 pour ceux souffrant de trouble de l'adaptation. L'expertise est le principal motif de consultation (600/0 pour l'ESPT et 96,6 0/0 pour le trouble de l'adaptation). Conclusion : L'étude met en exergue que la consultation du spécialiste de la santé mentale a lieu tardivement après l'apparition des troubles. Concernant l'ESPT, le parcours d'expertise est souvent un point d'entrée dans le parcours de soins. Quant au trouble de l'adaptation, la décision médicomilitaire et ses conséquences font autant parties du parcours d'expertise que du traitement. L'étude souligne l'importance d'une coordination entre le médecin des forces et le spécialiste hospitalier afin d'optimiser la prise en charge, de limiter les séquelles éventuelles, et de conseiller le commandement pour réduire l'impact opérationnel à un niveau de risque acceptable pour la santé du sujet, le fonctionnement du groupe et la sécurité de la mission.
Author: Caroline Desprez
Publisher:
ISBN:
Category :
Languages : fr
Pages : 222
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Book Description
Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318
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Book Description
"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.
Author: Dawn Goodwin
Publisher: Cambridge University Press
ISBN: 0521882060
Category : Medical
Languages : en
Pages : 209
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Book Description
In recent years, evidence-based medicine (EBM), clinical governance and professional accountability have become increasingly significant in shaping the organisation and delivery of healthcare. However, these notions all build upon and exemplify the idea of human-centred, individual action. In this book, Dawn Goodwin suggests that such models of practice exaggerate the extent to which practitioners are able to predict and control the circumstances and contingencies of healthcare. Drawing on ethnographic material, Goodwin explores the way that 'action' unfolds in a series of empirical cases of anaesthetic and intensive care practice. Anaesthesia configures a relationship between humans, machines and devices that transforms and redistributes capacities for action and thereby challenges the figure of a rational, intentional, acting individual. This book elucidates the ways in which various entities (machines, tools, devices and unconscious patients as well as healthcare practitioners) participate, and how actions become legitimate and accountable.
Author: World Health Organization
Publisher:
ISBN: 9789241548533
Category : Medical
Languages : en
Pages : 0
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Book Description
Mental health and psychosocial support (MHPSS) is a term used to describe a wide range of actions that address social, psychological and psychiatric problems that are either pre-existing or emergency-induced. These actions are carried out in highly different contexts by organizations and people with different professional backgrounds, in different sectors and with different types of resources. All these different actors--and their donors--need practical assessments leading to recommendations that can be used immediately to improve people's mental health and well-being. Although a range of assessment tools exist, what has been missing is an overall approach that clarifies when to use which tool for what purpose. This document offers an approach to assessment that should help you review information that is already available and only collect new data that will be of practical use, depending on your capacity and the phase of the humanitarian crisis. This document is rooted in two policy documents, the IASC Reference Group s (2010) "Mental Health and Psychosocial Support in Humanitarian Emergencies: What Should Humanitarian Health Actors Know?" and the "Sphere Handbook's Standard on Mental Health" (Sphere Project, 2011). It is written primarily for public health actors. As the social determinants of mental health and psychosocial problems occur across sectors, half of the tools in the accompanying toolkit cover MHPSS assessment issues relevant to other sectors as well as the health sector.
Author: Urmila Mohan
Publisher: Routledge
ISBN: 1000185400
Category : Social Science
Languages : en
Pages : 224
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Book Description
The Material Subject emphasises how bodily and material cultures combine to make and transform subjects dynamically. The book is based on the French Matière à Penser (MaP) school of thought, which draws upon the ideas of Mauss, Schilder, Foucault and Bourdieu, among others, to enhance the anthropological study of embodiment, practices, techniques, materiality and power. Through theoretical sophistication and empirical field research, case studies from Europe, Africa and Asia bring MaP’s ideas into dialogue with other strands of material culture studies in the English-speaking world. These studies mediate different scales of engagement through a sensori-motor, affective and cognitive focus on practices of making and doing. Examples range from the precarity of professional divers in French public works to the gendered subjectivity of female carpet weavers in Morocco, from the ways Swiss watchmakers transmit craft knowledge to how Hindu devotees in India make efficacious use of altars, and from the enskilment of Paiwan indigenous people in Taiwan to the prestige of women’s wild silk wrappers in Burkina Faso. The chapters are organised according to domains of practice, defined as 'matter of' work and technology, heritage, politics, religion and knowledge. Scholars and students with an interest in material culture will gain valuable access to global research, rooted in a specific intellectual tradition.
Author: Léon Chertok
Publisher: Pergamon
ISBN:
Category : Psychology
Languages : en
Pages : 200
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Author: Octave Mirbeau
Publisher: Library of Alexandria
ISBN: 1465606947
Category : Fiction
Languages : en
Pages : 219
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Book Description
One evening some friends were gathered at the home of one of our most celebrated writers. Having dined sumptuously, they were discussing murder—apropos of what, I no longer remember probably apropos of nothing. Only men were present: moralists, poets, philosophers and doctors—thus everyone could speak freely, according to his whim, his hobby or his idiosyncrasies, without fear of suddenly seeing that expression of horror and fear which the least startling idea traces upon the horrified face of a notary. I—say notary, much as I might have said lawyer or porter, not disdainfully, of course, but in order to define the average French mind. With a calmness of spirit as perfect as though he were expressing an opinion upon the merits of the cigar he was smoking, a member of the Academy of Moral and Political Sciences said: “Really—I honestly believe that murder is the greatest human preoccupation, and that all our acts stem from it... “ We awaited the pronouncement of an involved theory, but he remained silent. “Absolutely!” said a Darwinian scientist, “and, my friend, you are voicing one of those eternal truths such as the legendary Monsieur de La Palisse discovered every day: since murder is the very bedrock of our social institutions, and consequently the most imperious necessity of civilized life. If it no longer existed, there would be no governments of any kind, by virtue of the admirable fact that crime in general and murder in particular are not only their excuse, but their only reason for being. We should then live in complete anarchy, which is inconceivable. So, instead of seeking to eliminate murder, it is imperative that it be cultivated with intelligence and perseverance. I know no better culture medium than law.” Someone protested. “Here, here!” asked the savant, “aren't we alone, and speaking frankly?” “Please!” said the host, “let us profit thoroughly by the only occasion when we are free to express our personal ideas, for both I, in my books, and you in your turn, may present only lies to the public.” The scientist settled himself once more among the cushions of his armchair, stretched his legs, which were numb from being crossed too long and, his head thrown back, his arms hanging and his stomach soothed by good digestion, puffed smoke−rings at the ceiling: “Besides,” he continued, “murder is largely self−propagating. Actually, it is not the result of this or that passion, nor is it a pathological form of degeneracy. It is a vital instinct which is in us all—which is in all organized beings and dominates them, just as the genetic instinct. And most of the time it is especially true that these two instincts fuse so well, and are so totally interchangeable, that in some way or other they form a single and identical instinct, so that we no longer may tell which of the two urges us to give life, and which to take it—which is murder, and which love. I have been the confidant of an honorable assassin who killed women, not to rob them, but to ravish them. His trick was to manage things so that his sexual climax coincided exactly with the death−spasm of the woman: 'At those moments,' he told me, 'I imagined I was a God, creating a world!”
Author: W. Richard Scott
Publisher: University of Chicago Press
ISBN: 0226743101
Category : Medical
Languages : en
Pages : 454
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Book Description
The changes in the US healthcare system since World War II are documented here, from new technologies, service-delivery arrangements, to financing mechanisms and underlying sets of organizing principles. The authors illustrate the work with five types of healthcare organizations.
