Soins Psychiatrie最新文献

In the French armed forces, the treatment of post-traumatic stress disorder is an integral part of military psychiatry, with an expertise that is applied both in the field, close to the wounded, and in France. Eye Movement Desensitization and Reprocessing is a psychotherapy recognized as a first-line treatment for these disorders. Its application to military personnel is proving to be a valuable therapeutic tool, but it can sometimes run up against obstacles to the integration of traumatic memories. These difficulties may be due to the patient's own resistance, to his or her past life history, or to the stakes of recognition and reparation that keep him or her in the position of psychically wounded.

The introduction of an Advanced Practice Nurse (APN) into a department must be considered in the context of the existing organization. In addition to clinical work, the APN has other responsibilities, such as leadership. Team management and leadership are often the responsibility of the health executive. At the Vitry-sur-Seine medical-psychological center, where three IPAs work, the health executive's managerial leadership and the IPA's clinical leadership coexist, helping to enhance nursing expertise and improve the quality of care.

The participation of psychiatric patients in activities that promote health through physical exercise is not well documented. By studying the life course of people suffering from addiction, we can examine how they incorporate an active lifestyle throughout their lives. This reveals interruptions and resumptions of physical activity linked to the progression of the disease. Recognising the consequences of addiction through movement appears to be a key factor in initiating change and is supported by the safe framework of the Sport Santé programme.

Trisomies are genetic anomalies marked by the abnormal presence of an extra chromosome in one or more pairs. The most common and most studied form of trisomy in the human species is trisomy 21, or Down's syndrome, because of its prevalence and its medical, psychological and social implications. Trisomy 13 (Patau syndrome) and trisomy 18 (Edwards syndrome) are also fairly frequent and widely considered because of their viability. Each of these forms has varied and specific clinical consequences, often associated with congenital malformations and different levels of intellectual impairment.

Psychiatric culture is a polysemous concept, rarely used in our circles and little written about. It is distinct from classical medical culture and social practices. A number of ideas can be put forward to define the specificity of this shared concept, which goes beyond our professional identity and its own acts, which define a profession and the skills listed in the reference frameworks. The question is also whether psychiatric culture can be summed up in its relationship with the history of ideas, theoretical and clinical concepts, practices and the social context.

Psychiatric practice, as a discipline of relationship and confidence, sometimes confronts caregivers with the unthinkable, with nonsense. The heritage of sector psychiatry and institutional psychotherapy helps to provide contemporary clinical reference points, and to encourage the transmission of know-how. The critical reading and appropriation of concepts stemming from these movements can support the progress of caregivers and their patients. Transmission takes place every day on psychiatric wards, opening up the possibility of complex, tailor-made care, an ethic of encounter and plural narratives. Institutions, too, seem to be co-constructing their narrative identities.

The clinic is the foundation of a person-centred approach to care. It enables us to better understand relational dynamics, resistance and adjustment needs. Subtle signs, such as a change in tone or social withdrawal, can reflect significant changes in the patient's condition. In psychiatry, the clinic is protean, underlining ruptures in the care pathway, and the stigma of suffering and trauma. Training student nurses in the culture of the psychiatric clinic is essential for both the quality of care and the recognition of nursing expertise.