从关系到有精神病过渡风险的青少年和青年成年人的治疗联盟:心理健康专业人员的观点。探索性研究。

IF 0.3 Q4 Medicine Recherche en Soins Infirmiers Pub Date : 2021-01-01 DOI:10.3917/rsi.145.0122
Vanessa de Blaine, Jean-Manuel Morvillers
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引用次数: 0

摘要

精神障碍通常开始于青春期或成年早期。最初的精神病症状据说在前驱期减弱。必须尽早识别并开始随访,以限制症状的严重程度,甚至防止精神病的转变。然而,对症状的进展仍有一些不确定性。本探索性研究的目的是显示在这种情况下围绕治疗联盟构建的困难。方法学:采用实地调查法。结果:关于疾病发展及其恶化的不确定性,以及通过评估患者的功能弱点来评估疾病的事实,导致专业人员根据经验获得的知识建立关系,这与现象学方法是一致的。因此,专业人员动员动态和互动的沟通技术,试图建立一个治疗联盟。结论:已有研究表明,专业人员试图利用现象学、个性化和实用主义逻辑,与表现出不确定精神病演变的年轻人建立治疗联盟。
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De la relation à l’alliance thérapeutique auprès d’adolescents et jeunes adultes présentant un risque de transition psychotique : le point de vue de professionnels de santé mentale. Une étude exploratoire.

Introduction : Psychotic disorders usually begin during adolescence or early adulthood. The first psychotic symptoms are said to be attenuated in their prodromal phase. It is essential to identify them and initiate follow-up as early as possible to limit the severity of symptoms or even prevent a psychotic transition. However, there is still some uncertainty about the progression of symptoms. The aim of this exploratory study was to show the difficulties that surround the construction of a therapeutic alliance in this context.Methodology : The method adopted was a field survey.Results : Uncertainty about the development of disorders and their worsening and the fact that they are assessed by evaluating the patient's functional weaknesses led professionals to develop a relationship based on knowledge that is acquired empirically and that is in line with a phenomenological approach. Thus, professionals mobilized dynamic and interactive communication techniques to try to forge a therapeutic alliance.Conclusion : It has been shown that professionals seek to build a therapeutic alliance with young people presenting an uncertain evolution toward psychosis using a phenomenological, personalized, and pragmatic logic.

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来源期刊
CiteScore
0.30
自引率
33.30%
发文量
25
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