Soins Psychiatrie最新文献

The racialized cultural and social countertransference of metropolitan healthcare professionals working in overseas departments confronts clinicians with unique psychological responses. Based on a clinical situation in child psychiatry, it is possible to explore the counter-transferential reactions elicited by family, historical, and cultural contexts. Recognizing these reactions allows for a better understanding of parent-child dynamics and promotes appropriate institutional work.

Educational work in child protection confronts professionals with particularly intense transference and countertransference dynamics. A clinical case illustrates how cultural countertransference sheds light on the difficulties of forming alliances between families, institutions, and adolescents in vulnerable situations. The development of these internal movements, supported by mediation, makes it possible to transform the educational posture into a space for decentering, affiliation, and co-construction.

A nurse who worked for twenty years in a public hospital was led by her journey of recovery from addictive behaviors to specialize in this field. With a university degree in addiction studies and a patient-expert certification in addiction, she works in a non-profit addiction treatment center that values experiential knowledge. This unusual career path led her to develop a tool for overcoming addiction in the form of a book, the effects of which she measured on people receiving addiction treatment as part of her research for a master's degree in advanced nursing practice. Testimonial.

Based on a professional encounter in a bicultural context, the countertransference of caregivers challenged by differing frames of reference is analyzed. Dialogue and the clarification of reciprocal cultural representations made it possible to overcome initial obstacles, open up a space for shared thinking, and transform misunderstandings into clinical and institutional resources.

In psychiatry, dual pathology is increasingly common and requires an integrated approach. Tobacco use is ubiquitous and cannabis exacerbates all psychopathologies. Neurobiological mechanisms explain why these substances continue to be used. Their management remains insufficiently supervised by healthcare professionals, even though they cause somatic complications that reduce patients' life expectancy.

Cultural countertransference, rarely explored in the field of child protection, is nevertheless a lever for understanding and intervention. An educator's account of three clinical encounters highlights how the subjective reactions of professionals, influenced by cultural and migratory issues, can hinder or enrich the educational relationship. Their analysis opens up avenues for more tailored and reflective support.

When confronted with otherness and the violence of traumatic narratives, clinicians may unwittingly draw on their own cultural references as defense mechanisms. Through a process of decentering, the initially ethnocentric stance gradually gives way to an encounter with otherness. By allowing themselves to be guided by the symbolic and cultural representations of each subject, therapists can get closer to the meaning that each person attaches to their experiences. Testimonial.

In 2025, the 19th MAEVAS Day, an annual event demonstrating the strong commitment of the Paris Psychiatry and Neuroscience University Hospital Group and its healthcare management to promoting healthcare practices, was held on the theme of "Providing care with empathy: the art of understanding and soothing." Empathy, beyond sympathy or simple compassion, is a demanding but essential attitude in healthcare. It requires caregivers to engage attentively with others, respecting their experiences, values, fantasies, and individual struggles. It requires balance - between closeness and distance, commitment and self-preservation - and creativity. This is demonstrated by healthcare projects based on joy, rock climbing, and occupational therapy.

A humanitarian mission involves complex personal and cross-cultural issues. In the unique situation in Lebanon, the role of a French volunteer raises questions of guilt, symbolic debt, the savior complex, and the importance of decentering. This account questions the limits of aid and defends the need for a relational ethic that respects differences.