Soins Psychiatrie最新文献

The development of digital technology represents a step forward in supporting people living with severe mental disorders. Caregivers must evolve their practices by integrating new tools. Feedback from an advanced practice nurse after three years of working in an experimental program supporting patients with bipolar disorder using a digital tool.

Digital technologies in mental health are ambivalent, creating tensions among people living with anxiety, professionals, and caregivers. Between imposed autonomy and redefinition of roles, these groups share one requirement: maintaining a balance that prioritizes people over technology, while creating inclusive spaces that respect each individual's uniqueness.

Since its inception, analytic therapy has been constantly evolving to meet the needs of the times. Nowadays, requests are made with a sense of urgency, and fast-track systems to ensure a "cure" are flourishing. And yet, the demand to be heard has never been greater, nor has the imperative to put words to one's malaise been so insistent. While crisis situations and "new symptoms" call for constant inventiveness, this cannot be thought of without reference to the guarantee of a compass, the necessity of which is self-evident. The framework and clinic of the military environment is a case in point.

The psychosocial rehabilitation referral unit in Seine-Saint-Denis uses sailing as a non-medicinal therapy. This mediation offers unique opportunities for patient engagement and rehabilitation. Over three years, the program has evolved from recreational outings to skills-based training and participation in regattas. Multidimensional benefits include physical coordination, cognitive stimulation, social interaction and empowerment.

Wartime psychiatry, a discipline combining care and expertise, bears witness to the extraordinary commitment of its caregivers. The practice of providing psychological care to military personnel is multi-faceted, from the operational context, where psychiatrists and psychologists are deployed to provide "forward" psychiatry, to medical repatriation and the coordination of care it presupposes, as well as sensitive modes of communication with commanding officers. These methods of action in the field provide the basis for sustained care over the medium and long term, where specific psychotherapeutic approaches to military personnel, wounded in their soul and sometimes in their flesh, can be developed.

Post-traumatic stress disorder (PTSD) is a common psychological pathology in the general population, but also in the military, given the operational context. Several complementary theories based on neuroscience and psychoanalysis have sought to explain the links between PTSD and violent acts. Violence is seen as an expression of the illness, acting as a symptom of traumatic repetition, or as evidence of behavioral changes at work. The consequences of PTSD and violence impact all the individual's bio-psycho-social spheres. Prevention policies have been developed in the military environment to detect and treat patients as early as possible.

Psychiatrists play a key role in the care of soldiers suffering from mental disorders. In constant contact with the unit doctor, he or she is an indispensable link in their support, both in France and in overseas theaters of operation. Because of the specific nature of the profession of arms, military psychiatrists go beyond the divide between care and expertise found in the civilian world, to take charge of soldiers as closely as possible to their needs, and make a decision on their fitness for duty that is best suited to the constraints of the environment and the mission. The case of a young sailor hospitalized for severe psychiatric decompensation underlines the characteristics of an unusual medical practice.

During overseas operations, which are often a source of great stress, military personnel may be confronted with significant events. This context is conducive to the onset of psychological disorders, which the often isolated forces doctor must be able to spot. Repatriation to a military hospital in France is sometimes necessary. The psychiatrist takes care of the patient for the duration of the hospitalization, at the end of which local care is provided by the forces doctor in the medical unit. The aim is to ensure continuity of care through the complementary involvement of each professional, so as to provide optimum support for military personnel requiring evacuation for psychiatric reasons.