Parler de la mort auprès de patients en fin de vie et de leurs familles, entre contexte socioculturel et économique, réseau d’interactions institutionnelles et subjectivité des acteurs
Drawing on extensive clinical experience in oncology and end-of-life care, this text looks at the different ways in which the prospect of death is evoked and psychologically dealt with by patients and their families. It does this by looking at the collective, sociocultural, and economic context in w...
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| 格式: | Article ou chapitre numérique |
| 語言: | Français |
| 出版: |
2025
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| 主題: | |
| 在線閱讀: | Accès Université d'Orléans et IFPM Accès Université d'Orléans et IFPM |
| 總結: | Drawing on extensive clinical experience in oncology and end-of-life care, this text looks at the different ways in which the prospect of death is evoked and psychologically dealt with by patients and their families. It does this by looking at the collective, sociocultural, and economic context in which the hospital operates, the network of institutional interactions that govern the way it functions, and the subjectivity of the actors involved, in relation to their personal histories, anxieties, and defense mechanisms. The traumatic nature of the announcement of death, the difficult support provided at the end of life, and the management of the dying process all put caregivers, patients, and their families to the test, confronting them with "infant distress," powerlessness, or guilt. Different methods of support are used, depending on the resources of the people concerned, their cultural and socioprofessional values, but also more pragmatic considerations, which are often incompatible with care that respects the individual and his or her wishes. The different positions taken by the people involved depend on the work involved in working out their unconscious issues at the individual and group level, as well as on economic and ideological imperatives, which also require deconstruction. Becoming aware of the different determinisms that affect one's work as a caregiver is a sine qua non for freeing oneself from them and succeeding in better supporting patients in their individuality. |
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