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Soins Psychiatr ; 41(330): 34-37, 2020.
Artigo em Francês | MEDLINE | ID: mdl-33353606


The desire for emotional and/or sexual relations, although universally felt, is not freely expressed because it's usually shaped by modesty, taboos, the norms and values of the surroundings and of the cultural environment of the people who feel such a desire. It is even constrained, or repressed, by certain laws. This complexity can be significantly increased by the existence of mental health disorders requiring psychiatric care in secure units. Certain notions must be taken into account, such as the relative freedom of patients, compliance with rules, discernment, informed consent, the vulnerability of potential partners, the impact of treatments, etc.

Transtornos Mentais , Unidade Hospitalar de Psiquiatria , Sexualidade , Humanos , Transtornos Mentais/terapia
Soins Psychiatr ; 41(328): 19-22, 2020.
Artigo em Francês | MEDLINE | ID: mdl-33039086


The act of 5 July 2011 pertaining to the rights and the protection of persons under psychiatric care presents the possibility for compulsory care, without the need for full hospitalisation. Patients can be cared for through partial hospitalisation (day hospital and part-time therapeutic clinic) or in a medical-psychological centre. Treatments and all care are detailed in a care programme. This programme is sent, like all certificates, to the regional health agency and the prefecture in the case of psychiatric care by decision of the State representative, or to the hospital director for psychiatric care at the request of a third party. We propose two clinical vignettes.

Assistência Ambulatorial , Transtornos Mentais/terapia , Hospital Dia , Humanos , Direitos do Paciente/legislação & jurisprudência
Rev Infirm ; 68(250): 25-27, 2019 Apr.
Artigo em Francês | MEDLINE | ID: mdl-31147071


The association of the two terms 'isolating' and 'protecting', seems counterintuitive. The practice of isolation conjures up images of an asylum or even prison, rather than a notion of safeguarding. Isolation is defined within caregiving institutions by a vast range of practices, neither rare nor recent. It is used in a variety of departments, from psychiatric isolation to septic isolation or a form of isolation common to both: social isolation resulting from institutionalisation.

Prisões , Restrição Física , Hospitais Psiquiátricos , Humanos , Isolamento Social
Soins Psychiatr ; 40(321): 14-17, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31006438


Shaped by culture and education, human sexuality is organised around the principle of mutual consent, and other limits fixed by the law, between partners in emotional exchanges and sexual relationships. When this is not the case, complex issues of sexual violence, inflicted and suffered, arise. Certain health professionals then become involved, working either with the perpetrator and/or the victims of this violence. The care can be complicated because these professionals do not know the reality of the situations described. Caution and a critical distance must therefore accompany their assessments and their clinical actions.

Vítimas de Crime , Delitos Sexuais , Humanos
Rev Infirm ; 67(246): 16-18, 2018 Dec.
Artigo em Francês | MEDLINE | ID: mdl-30591125


A methodological guide, updated in January 2018, outlines the responses jointly organized by the prison administration and the Ministry of Health to meet the health needs of prisoners. These care needs are significant and diverse, as are those of the rest of the population. The resources available for psychiatric care / support are often lower than the needs identified in the health units. Similarly, care on the geriatric side often becomes necessary.

Necessidades e Demandas de Serviços de Saúde , Prisioneiros , Prisões/organização & administração , Humanos
Soins Psychiatr ; 38(309): 25-30, 2017.
Artigo em Francês | MEDLINE | ID: mdl-28284285


As is the case with other contexts of mental health treatments, the therapeutic approaches to court-ordered therapy are varied. They are based on the principle of their clinical indication and must be delivered by therapists trained in the specific area. The classic therapeutic approaches are used: medication, psychoanalysis and psychoanalytically inspired therapies, cognitive behavioural therapies, group therapies and body-oriented approach.

Antagonistas de Androgênios/uso terapêutico , Internação Compulsória de Doente Mental/legislação & jurisprudência , Comportamento Perigoso , Psicoterapia/legislação & jurisprudência , Psicotrópicos/uso terapêutico , Delitos Sexuais/legislação & jurisprudência , Delitos Sexuais/prevenção & controle , Competência Clínica/legislação & jurisprudência , Terapia Combinada , França , Humanos , Masculino , Equipe de Assistência ao Paciente/legislação & jurisprudência , Medição de Risco/legislação & jurisprudência , Prevenção Secundária