ABSTRACT
The caregiver-patient relationship goes against the grain of the "diagnosis-action-result" model. To live this relational adventure, the caregiver must be motivated, committed and convinced of the validity of this approach: there must be "being a caregiver". At a time when former psychiatric caregivers have almost disappeared, in a context where psychiatry, like other disciplines, is being deserted by doctors and nurses, the question arises as to the legacy of care that allows for the encounter with the other. There is a risk of non- transmission of nursing know-how, jeopardizing the daily clinic and the very essence of the nursing posture in psychiatry.
Subject(s)
Caregivers , Psychiatry , Humans , Ambulatory Care FacilitiesABSTRACT
For several years, psychiatry has been confronted with an unprecedented crisis, not to say a persistent malaise. In this context, psychiatry, under the yoke of neuroscience, is focused on the symptom, thus reducing the psyche to the brain. This new situation is undermining the values of nursing care. In order to continue to deal with patients suffering from serious mental pathologies, the team is a precious, necessary and unavoidable resource. We must now also take into account advanced practice nurses, professionals who have recently become established in the healthcare landscape. If it is possible to work in psychiatry today, is it still possible to provide care, to be there for others?
Subject(s)
Psychiatry , Humans , Delivery of Health CareABSTRACT
The COVID-19 pandemic raises questions about the current state of our health care system. This particular context has highlighted hospital malaise, questioning the place of everyone, particularly in psychiatry. Being a caregiver raises the notion of commitment, the true foundation of the function of a psychiatric nurse. This term is discussed here, between commitment in politics and commitment in the clinic, inseparable forms which complement each other and grow together. Commitment to bring thought to life and to extend the caregiver's existence in the name of the caregiver-patient relationship.
Subject(s)
Caregivers , Psychiatric Nursing , COVID-19 , Caregivers/psychology , Humans , Nurse-Patient RelationsABSTRACT
Ethical questioning and reflection are a requirement for the psychiatric caregiver, a particular discipline which is both clinical and political. Ethics is a safeguard that allows the professional to refocus on the core of their profession. It is not synonymous with morality and is situational. It is a combat sport against oneself and against those who reduce the patient to a human-machine to be repaired.
Subject(s)
Mental Disorders/therapy , Psychiatry/ethics , Commitment of Mentally Ill/ethics , Empathy/ethics , HumansABSTRACT
The distinction between therapeutic activities and occupational activities seems obvious. On what is this difference based? How can we predict whether an activity will or will not be therapeutic? Using the question of the meaning of our activities as a basis, we can consider what care in psychiatry entails.
Subject(s)
Mental Disorders/therapy , Humans , Occupational TherapyABSTRACT
The reception of a patient in psychiatry is a stage which consists of more than a single initial contact between a person suffering psychologically and a caregiver. This time can open the way to an encounter, without which a care relationship cannot be established. The reception as a paradigm of psychiatric care questions the concept of this care, at a time when caregivers cannot avoid the question of their political engagement.
Subject(s)
Mental Disorders/nursing , Mental Disorders/psychology , Nurse-Patient Relations , Politics , Psychiatric Nursing , Ethics, Nursing , Humans , Nurse-Patient Relations/ethics , Psychiatric Nursing/ethics , RationalizationABSTRACT
Is the term cure adapted to psychiatry? Firstly, it is important to establish what this status represents. What is immediately clear is that the term cure cannot be addressed in isolation. Considering the term leads us to question notions such as those of disease and the norm, without forgetting the actual purpose of care. Cure can then be envisaged more as a 'possible' for caregivers.
Subject(s)
Mental Disorders/nursing , Mental Disorders/rehabilitation , Psychiatric Nursing , Quality of Life/psychology , Social Adjustment , Character , France , Health Policy , Humans , Mental Disorders/psychology , Self Concept , Stress, PsychologicalABSTRACT
Daily clinical practice confronts us not only with the clinical aspect but also with the political. Political orientation has a direct impact on the way in which we carry out this clinical practice, as well as on the place of those who are outside the system. The politics of civilisation are therefore an option in the face of neoliberalism.
Subject(s)
Civilization , Hospitals, Psychiatric , Mental Disorders/nursing , Politics , Psychiatric Nursing , Capitalism , France , Health Services Accessibility , Humans , Mental Disorders/psychology , Quality of Life/psychology , Social Values , UtopiasABSTRACT
Clinical care cannot ignore the environment in which it takes place. In recent years, we have witnessed a rise in coercive care. We are then required to question this phenomenon with the intention of not becoming "treatment machines". How can the creativity of nursing practice be preserved? Perhaps the nursing discourse within the health institution could be rehabilitated.
Subject(s)
Nurse-Patient Relations , Restraint, Physical/psychology , Social Isolation/psychology , Coercion , Creativity , Dangerous Behavior , Ethics, Institutional , Ethics, Nursing , France , Hospitals, Psychiatric/ethics , Hospitals, Psychiatric/legislation & jurisprudence , Humans , Nurse's Role/psychology , Nurse-Patient Relations/ethics , Restraint, Physical/ethics , Schizophrenia/nursing , Schizophrenic Psychology , Security Measures/legislation & jurisprudence , Violence/prevention & control , Violence/psychologySubject(s)
Psychiatric Nursing/trends , Specialization/trends , Career Choice , Forecasting , France , HumansABSTRACT
The sociopolitical context in which we carry out our caregiving profession influences our methods of working. In our world marked by rationalism, thinking about care, in the framework of a seminar, is a way of engaging ourselves and of not simply becoming a functionary of care.
Subject(s)
Education , Psychiatric Nursing/education , Thinking , Curriculum , France , Humans , Mental Disorders/nursing , Nurse's Role/psychology , Nurse-Patient Relations , Philosophy, NursingABSTRACT
Schools of thought in psychiatry are both a way to reflect on care to support the clinical aspect and an idea of the person. They also tell us something about the way society treats its insane people. For nurses working in psychiatry, the choice of a model is all the more complicated as they are caught between two disciplines, psychiatry and nursing. This issue is an opportunity to emphasise the essence of a school of thought and the possible misunderstandings.
Subject(s)
Mental Disorders/history , Nursing Theory , Philosophy, Nursing/history , Psychiatric Nursing/history , Psychological Theory , Forecasting , France , History, 18th Century , History, 19th Century , History, 20th Century , History, 21st Century , Humans , Mental Disorders/nursing , Psychiatric Nursing/trendsABSTRACT
Care is based on ethics, a non-corporatist form of ethics. For the caregiver, clinical refers to the patient and not a profession, a sine qua non condition of not losing sight of the meaning of care. Human nature incites us to escape the formal aspect, but can we necessarily make the informal exclusive to nursing?