Le médecin généraliste face à la santé de ses propres parents, père et mère

Le médecin généraliste face à la santé de ses propres parents, père et mère PDF Author: Anne-Charlotte Lefranc
Publisher:
ISBN:
Category :
Languages : fr
Pages : 61

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Book Description
Introduction : les médecins généralistes sont régulièrement confrontés à devoir s'impliquer plus au moins dans la santé de leurs proches. L'objectif de cette thèse est de savoir quel est le positionnement du médecin généraliste concernant la santé de ses propres parents, quelles sont les difficultés dans cette prise en charge et quel est son ressenti. Matériels et méthodes : il s'agit d'une étude qualitative à l'aide d'entretiens semi-dirigés auprès de 14 médecins généralistes. Chaque entretien a été retranscrit mot à mot. Analyse des données de type descriptive-interprétative de façon manuelle. Résultats : la demande ou le désir des parents explique pourquoi certains médecins généralistes sont médecin traitant de leurs parents. L'affect engendré par la prise en charge, la confusion des rôles (médecin ? enfant ?), le manque d'objectivité et la peur de se tromper sont les principales raisons ou inconvénients relatés par les médecins généralistes. Discussion: cette étude concorde avec les résultats des précédentes études réalisées sur le sujet du médecin généraliste et de la santé de ses proches. Beaucoup d'éléments sont en défaveur d'une prise en charge de la santé du parent mais malgré tout le médecin généralise s'implique toujours, même de façon minime. Conclusion : aucune solution ne peut être proposée, chaque médecin généraliste doit faire comme il le ressent mais doit connaître avant de s'engager toutes les implications qu'une telle prise en charge peut engendrer.

Le médecin généraliste face à la santé de ses propres parents, père et mère

Le médecin généraliste face à la santé de ses propres parents, père et mère PDF Author: Anne-Charlotte Lefranc
Publisher:
ISBN:
Category :
Languages : fr
Pages : 61

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Book Description
Introduction : les médecins généralistes sont régulièrement confrontés à devoir s'impliquer plus au moins dans la santé de leurs proches. L'objectif de cette thèse est de savoir quel est le positionnement du médecin généraliste concernant la santé de ses propres parents, quelles sont les difficultés dans cette prise en charge et quel est son ressenti. Matériels et méthodes : il s'agit d'une étude qualitative à l'aide d'entretiens semi-dirigés auprès de 14 médecins généralistes. Chaque entretien a été retranscrit mot à mot. Analyse des données de type descriptive-interprétative de façon manuelle. Résultats : la demande ou le désir des parents explique pourquoi certains médecins généralistes sont médecin traitant de leurs parents. L'affect engendré par la prise en charge, la confusion des rôles (médecin ? enfant ?), le manque d'objectivité et la peur de se tromper sont les principales raisons ou inconvénients relatés par les médecins généralistes. Discussion: cette étude concorde avec les résultats des précédentes études réalisées sur le sujet du médecin généraliste et de la santé de ses proches. Beaucoup d'éléments sont en défaveur d'une prise en charge de la santé du parent mais malgré tout le médecin généralise s'implique toujours, même de façon minime. Conclusion : aucune solution ne peut être proposée, chaque médecin généraliste doit faire comme il le ressent mais doit connaître avant de s'engager toutes les implications qu'une telle prise en charge peut engendrer.

Les médecins généralistes soignent-ils leurs parents ? (Père et Mère)

Les médecins généralistes soignent-ils leurs parents ? (Père et Mère) PDF Author: Sébastien Cottereau
Publisher:
ISBN:
Category :
Languages : fr
Pages : 476

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Book Description
Les médecins généralistes sont fréquemment sollicités par leurs parents pour leurs problèmes médicaux. De nombreux facteurs rendent cette demande particulière et influent sur leur réponse (qui a ensuite ses propres répercussions).Nous avons étudié ce qui pousse les médecins à accepter ou non de soigner leurs parents de façon quantitative (255 réponses à un questionnaire) puis enrichi et précisé les réponses par un travail qualitatif (10 entretiens semi-directifs ciblés).Si la très grande majorité des médecins soignent leurs parents demandeurs, les plus jeunes le font moins souvent. Deux tiers des médecins rencontrent des difficultés spécifiques dans cet exercice et 15% le font parfois contre leur gré. Une petite majorité des médecins se disent satisfaits de leur position mais 35 à 50% jugent leur prise en charge différente avec leurs parents.Il n'existe pas en France d’obstacle médico-légal au fait de soigner ses parents. De nombreux médecins le font pour des soins ponctuels et bénins mais les prises en charges régulières ou plus lourdes ne sont pas exceptionnelles. Les femmes ont plus de craintes et sont moins satisfaites de soigner leurs parents (mais ne refusent pas plus de le faire). Le refus est motivé d'abord par des problème éthiques (49%) puis par des problèmes affectifs (36%) et/ou moraux (32%). Après avoir confirmé les conséquences aux plans professionnel et personnel de soigner ou non ses parents, nous proposons des pistes pour arriver à mieux vivre sa décision.Il semble qu'une réflexion sur la relation médecin-malade en général et ses particularismes dans ce cas précis soit bénéfique pour éviter des rationalisations abusives visant uniquement à se justifier.

Français Interactif

Français Interactif PDF Author: Karen Kelton
Publisher:
ISBN: 9781937963200
Category :
Languages : en
Pages :

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Book Description
This textbook includes all 13 chapters of Français interactif. It accompanies www.laits.utexas.edu/fi, the web-based French program developed and in use at the University of Texas since 2004, and its companion site, Tex's French Grammar (2000) www.laits.utexas.edu/tex/ Français interactif is an open acess site, a free and open multimedia resources, which requires neither password nor fees. Français interactif has been funded and created by Liberal Arts Instructional Technology Services at the University of Texas, and is currently supported by COERLL, the Center for Open Educational Resources and Language Learning UT-Austin, and the U.S. Department of Education Fund for the Improvement of Post-Secondary Education (FIPSE Grant P116B070251) as an example of the open access initiative.

Attachment and Bonding

Attachment and Bonding PDF Author: Carol Sue Carter
Publisher: MIT Press
ISBN: 0262033488
Category : Medical
Languages : en
Pages : 509

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Book Description
Scientists from different disciplines, including anthropology, psychology, psychiatry, pediatrics, neurobiology, endocrinology, and molecular biology, explore the concepts of attachment and bonding from varying scientific perspectives.

Your Mindful Compass

Your Mindful Compass PDF 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.

The Fault in Our Stars

The Fault in Our Stars PDF Author: John Green
Publisher: Penguin
ISBN: 1101569182
Category : Young Adult Fiction
Languages : en
Pages : 336

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Book Description
The beloved, #1 global bestseller by John Green, author of The Anthropocene Reviewed and Turtles All the Way Down “John Green is one of the best writers alive.” –E. Lockhart, #1 bestselling author of We Were Liars “The greatest romance story of this decade.″ –Entertainment Weekly #1 New York Times Bestseller • #1 Wall Street Journal Bestseller • #1 USA Today Bestseller • #1 International Bestseller Despite the tumor-shrinking medical miracle that has bought her a few years, Hazel has never been anything but terminal, her final chapter inscribed upon diagnosis. But when a gorgeous plot twist named Augustus Waters suddenly appears at Cancer Kid Support Group, Hazel’s story is about to be completely rewritten. From John Green, #1 bestselling author of The Anthropocene Reviewed and Turtles All the Way Down, The Fault in Our Stars is insightful, bold, irreverent, and raw. It brilliantly explores the funny, thrilling, and tragic business of being alive and in love.

The Working Alliance

The Working Alliance PDF Author: Adam O. Horvath
Publisher: John Wiley & Sons
ISBN: 9780471546405
Category : Psychology
Languages : en
Pages : 320

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Book Description
In the past decade, the working alliance has emerged as possibly the most important conceptualization of the common elements in diverse therapy modalities. Created to define the relationship between a client in therapy or counseling and the client's therapist, it is a way of looking at and examining the vagaries and expectations and commitments previously implicit in the therapeutic relationship, explaining the cooperative aspects of the alliance between the two parties.

European Convention on the Exercise of Children's Rights and Explanatory Report

European Convention on the Exercise of Children's Rights and Explanatory Report PDF Author: Council of Europe
Publisher: Manhattan Publishing Company
ISBN:
Category : Law
Languages : en
Pages : 40

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Book Description


The Violence of Modernity

The Violence of Modernity PDF Author: Debarati Sanyal
Publisher: JHU Press
ISBN: 1421429292
Category : Literary Criticism
Languages : en
Pages : 289

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Book Description
The Violence of Modernity turns to Charles Baudelaire, one of the most canonical figures of literary modernism, in order to reclaim an aesthetic legacy for ethical inquiry and historical critique. Works of modern literature are commonly theorized as symptomatic responses to the trauma of history. In a climate that tends to privilege crisis over critique, Debarati Sanyal argues that it is urgent to rethink literary experience in terms that recall its contestatory potential. Examining Baudelaire's poems afresh, she shifts the focus of critical attention toward an account of modernism as an active engagement with violence, specifically the violence of history in nineteenth-century France. Sanyal analyzes a literary current that uses the traditional hallmarks of modernism—irony, intertextuality, self-reflexivity, and formalism—to challenge the historical violence of modernity. Baudelaire and the committed ironists writing in his wake teach us how to read and resist the violence of history, and thereby to challenge the melancholy tenor of our contemporary "wound culture." In a series of provocative readings, Sanyal presents Baudelaire's poetry as an aesthetic form that contests historical violence through rhetorical strategies of complicity, counterviolence, and critique. The book develops a new account of Baudelaire's significance as a modernist by dislodging him both from his traditional status as a practitioner of "art for art's sake" and from his more recent incarnation as the poet of trauma. Following her extended analysis of Baudelaire's poetry, Sanyal in later chapters considers a number of authors influenced by his strategies—including Rachilde, Virginie Despentes, Albert Camus, and Jean-Paul Sartre—to examine the relevance of their interventions for our current climate of trauma and terror. The result is a study that underscores how Baudelaire's legacy continues to energize literary engagements with the violence of modernity.

Strategies of Adaptation in Tourist Communication

Strategies of Adaptation in Tourist Communication PDF Author: Gudrun Held
Publisher: BRILL
ISBN: 9004359575
Category : Language Arts & Disciplines
Languages : en
Pages : 329

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Book Description
The papers in this volume study the relationship between language use and the concept of the “tourist gaze” through a range of communicative practices from different cultures and languages. From a pragmatic perspective, the authors investigate how language constantly adapts to contextual constraints which affect tourism discourse as a strategic meaning-making process that turns insignificant places into desirable tourist destinations. The case studies draw on both, in situ interactions with visitors, such as guided tours and counter information, old and new mediatized genres, i.e. guide books, travelogues, print advertising as well as TV-commercials, service web-sites and apps. Despite the diversity of data, one of the common findings in the volume is that staging the sensory ‘lived’ tourist experience is the lynchpin of all communicative practices. Hence, the use of tourism language reveals itself as the mirror of how ‘people on the move’ continuously enact as ‘tourists’ and ‘places’ are constructed as must-see ‘sights’.