{"id":408,"date":"2024-02-26T11:39:33","date_gmt":"2024-02-26T10:39:33","guid":{"rendered":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/?p=408"},"modified":"2024-03-08T12:00:00","modified_gmt":"2024-03-08T11:00:00","slug":"atelier-1-seance-dateliers-2","status":"publish","type":"post","link":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/2024\/02\/26\/atelier-1-seance-dateliers-2\/","title":{"rendered":"Atelier 1 \/ S\u00e9ance d&rsquo;ateliers 2"},"content":{"rendered":"\n<p class=\"has-small-font-size\"><strong>Apparences de la vuln\u00e9rabilit\u00e9 :&nbsp;(salle E412)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-small-font-size\">Sophie Guglielmoni, Penser la vuln\u00e9rabilit\u00e9 dans le soin, \u00e0 partir d\u2019une exp\u00e9rience de dissociation traumatique : <\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote has-small-font-size is-layout-flow wp-block-quote-is-layout-flow\">\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-container-core-group-is-layout-19e250f3 wp-block-group-is-layout-constrained\">\n<p>\u00c0 partir du t\u00e9moignage de Muriel, nous proposons de retracer l\u2019accompagnement de H., au&nbsp; moment et apr\u00e8s son hospitalisation dans un contexte suicidaire. Nous explorerons le th\u00e8me de&nbsp; la vuln\u00e9rabilit\u00e9 dans le soin \u00e0 partir d\u2019une exp\u00e9rience de dissociation et \u00e0 l\u2019aune des concepts&nbsp; de corps, de temps et du rapport \u00e0 autrui.&nbsp;&nbsp;<\/p>\n\n\n\n<p>La dissociation traumatique est un m\u00e9canisme de d\u00e9fense activ\u00e9 lors de la confrontation \u00e0 la&nbsp; violence d\u2019un r\u00e9el, qui exc\u00e8de la capacit\u00e9 du psychisme \u00e0 l\u2019int\u00e9grer, entra\u00eenant une disjonction&nbsp; entre le corps et l\u2019esprit. Autrement dit, ce dont le corps fait l\u2019\u00e9preuve, le psychisme ne peut se&nbsp; le repr\u00e9senter. Ainsi, le corps impliqu\u00e9 dans l&rsquo;\u00e9v\u00e9nement traumatique, ne serait plus la sc\u00e8ne&nbsp; de l\u2019exp\u00e9rience v\u00e9cue (au sens de <em>Lieb<\/em>).&nbsp;<\/p>\n\n\n\n<p>Cette exp\u00e9rience extr\u00eame pose avec acuit\u00e9 la question du corps ph\u00e9nom\u00e9nal, c\u2019est-\u00e0-dire tel&nbsp; qu\u2019il est v\u00e9cu et tel qu\u2019il se pr\u00e9sente \u00e0 l\u2019autre, et incite les soignants \u00e0 se repositionner dans la&nbsp; relation de soin.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Si \u2013 dans un contexte de soin \u2013 le corps est le lieu <em>privil\u00e9gi\u00e9<\/em> de l\u2019expression de la vuln\u00e9rabilit\u00e9,&nbsp; comment soigner une personne qui ne souffre pas ? Autrement dit, comment acc\u00e9der \u00e0 une&nbsp; vuln\u00e9rabilit\u00e9 qui s\u2019ignore ? Et enfin, comment entrer dans la relation \u00e9thique si le \u00ab visage \u00bb (au&nbsp;sens que lui donne Levinas) ne se d\u00e9voile pas dans sa vuln\u00e9rabilit\u00e9 ?&nbsp;<\/p>\n\n\n\n<p>L\u2019\u00e9tat dissociatif semble affecter la perception du corps et l\u2019\u00e9coulement du temps, en retenant le moi captif d\u2019un temps suspendu, vide de la pr\u00e9sence de l\u2019autre. Comment d\u00e8s lors, la relation&nbsp; de soin peut-elle se mettre en place ?&nbsp;&nbsp;<\/p>\n\n\n\n<p>Comment l\u2019absence d\u2019expression et de ressenti de la souffrance oriente-t-elle les soins, du c\u00f4t\u00e9&nbsp; du malade et du c\u00f4t\u00e9 du soignant ? Exerce-t-elle une entrave aux soins ? Autrement dit, les&nbsp; effets de l\u2019\u00e9tat dissociatif se r\u00e9percutent-ils dans l\u2019autonomie du sujet, sa capacit\u00e9 \u00e0 prendre des&nbsp; d\u00e9cisions de soin le concernant ?&nbsp;&nbsp;<\/p>\n\n\n\n<p>Ces questionnements pr\u00e9sentent un enjeu autour de la perception de la vuln\u00e9rabilit\u00e9 et de ses&nbsp; diff\u00e9rents modes d\u2019expression. Ils nous invitent \u00e0 questionner notre propre rapport \u00e0 la norme&nbsp; et au pathologique et \u00e0 questionner l\u2019\u00e9thique de la relation de soin.<\/p>\n<\/div>\n<\/blockquote>\n\n\n\n<p class=\"has-small-font-size\"><\/p>\n\n\n\n<ul class=\"has-small-font-size wp-block-list\">\n<li>Eleuterio A. S\u00e1nchez-Romero, \u00c9valuation des \u00e9motions exprim\u00e9es par les patients atteints de l\u00e9sions c\u00e9r\u00e9brales traumatiques et de leurs soignants\u00a0: Une \u00e9tude de mod\u00e8le th\u00e9matique structurel :<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote has-small-font-size is-layout-flow wp-block-quote-is-layout-flow\">\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-container-core-group-is-layout-19e250f3 wp-block-group-is-layout-constrained\">\n<p><strong>Introduction: <\/strong>Traumatic Brain Injury (TBI) stands as a significant public health concern, causing death, disability, and economic strain. Its repercussions affect physical, cognitive, emotional, and behavioral aspects, with long-term care needs. Despite improvements in communication among multidisciplinary teams, TBI management remains fragmented.<\/p>\n\n\n\n<p>Considerations in Clinical Studies: TBI&rsquo;s complexity demands multidisciplinary management, but clinical structures lack cohesion. Clinical studies face challenges in selecting relevant outcomes, risking exclusion of patient perspectives. Patient-Reported Outcomes (PROs) are crucial, aligning with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) and World Health Organization (WHO) guidelines, providing a more patient-focused approach.<\/p>\n\n\n\n<p>Patient and Caregiver Perspectives: TBI studies often overlook the profound impact on patients and caregivers. Existing assessments primarily rely on healthcare professionals&rsquo; perspectives, neglecting crucial insights from those directly affected. The present study aimed to bridge this gap by evaluating sentiments expressed by patients and caregivers.<\/p>\n\n\n\n<p><strong>Materials and Methods: <\/strong>The study involved 29 TBI patients and 27 caregivers in Madrid, applying a survey design. Interviews were conducted, transcribed, and coded independently. Structural Topic Model (STM) analysis identified four key concepts: the desire for independence, potential improvement, the need for injury information, and psychological consequences.<\/p>\n\n\n\n<p><strong>Results:<\/strong> Among the 51 participants, sentiments were analyzed using three dictionaries, revealing no significant differences between patients and caregivers. Anticipation and fear prevailed in both groups, highlighting shared emotional patterns.<\/p>\n\n\n\n<p><strong>Discussion:<\/strong> Analysis of diagnostic graphs indicated the optimal number of topics for evaluation, emphasizing key concerns across different phases of TBI. Patients&rsquo; main worries shifted from physical symptoms to limitations in daily life and independence. Caregivers highlighted the importance of staff interaction, misinformation challenges, and the need for psychological care.<\/p>\n\n\n\n<p>Limitations and Strengths: Acknowledging qualitative research limitations, the study&rsquo;s strength lies in detailed descriptions, contributing to a broader understanding. The larger sample size would improve understanding, although generalizability remains a challenge.<\/p>\n\n\n\n<p>Future Directions: Future studies should focus on a concrete list of mandatory outcomes for TBI, integrating PROs. This approach would ensure a comprehensive understanding of the impact on patients and caregivers.<\/p>\n\n\n\n<p><strong>Conclusion:<\/strong> The profound impact of TBI requires a comprehensive PRO. Addressing overlooked areas such as caregiver overload and anxiety would improve the overall well-being of both patients and caregivers, underscoring the need for a more patient-centered approach to TBI research and clinical care.<\/p>\n\n\n\n<p class=\"has-small-font-size\"><\/p>\n<\/div>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Apparences de la vuln\u00e9rabilit\u00e9 :&nbsp;(salle E412)<\/p>\n","protected":false},"author":405,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-408","post","type-post","status-publish","format-standard","hentry","category-non-classe"],"_links":{"self":[{"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/posts\/408","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/users\/405"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/comments?post=408"}],"version-history":[{"count":7,"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/posts\/408\/revisions"}],"predecessor-version":[{"id":481,"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/posts\/408\/revisions\/481"}],"wp:attachment":[{"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/media?parent=408"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/categories?post=408"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.univ-tlse2.fr\/penserlasante\/wp-json\/wp\/v2\/tags?post=408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}