[Institutional Psychotherapy during confinement situation: Adaptation of the therapeutic setting in a day hospital. Towards a virtual mental institution]

Autor: Tudi Gozé, Karine Faure, Hélène de Brouwer
Přispěvatelé: Equipe de Recherche sur les Rationalités Philosophiques et les Savoirs (ERRAPHIS), Université Toulouse - Jean Jaurès (UT2J)
Jazyk: francouzština
Rok vydání: 2020
Předmět:
Confinement Covid-19
media_common.quotation_subject
Psychothérapie institutionnelle
[SHS.PSY]Humanities and Social Sciences/Psychology
Context (language use)
0603 philosophy
ethics and religion
Article
Téléconsultation
Unit (housing)
03 medical and health sciences
0302 clinical medicine
Nursing
Ambulatory care
Arts and Humanities (miscellaneous)
Institution
The Imaginary
ComputingMilieux_MISCELLANEOUS
Applied Psychology
media_common
Social distance
[SCCO.NEUR]Cognitive science/Neuroscience
Perspective (graphical)
[SHS.PHIL]Humanities and Social Sciences/Philosophy
06 humanities and the arts
Psychodynamics
Psychiatry and Mental health
[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health
060302 philosophy
[SCCO.PSYC]Cognitive science/Psychology
Psychology
030217 neurology & neurosurgery
Cadre thérapeutique
Zdroj: Annales Médico-psychologiques, revue psychiatrique
Annales Médico-Psychologiques, Revue Psychiatrique
Annales Médico-Psychologiques, Revue Psychiatrique, Elsevier Masson, 2020, 178 (7), pp.722-727. ⟨10.1016/j.amp.2020.05.005⟩
Annales Medico-Psychologiques
ISSN: 0003-4487
DOI: 10.1016/j.amp.2020.05.005⟩
Popis: Within the context of the SARS-Cov-2 virus epidemic, the Ambulatory Care Unit of the Toulouse University Hospital Center, offering institutional psychotherapeutic care to people with severe and/or disabling psychiatric pathologies, closed its doors to patients on the 16th of March 2020. This article aims to document the necessary adjustments to the care setting during this extraordinary period. As it was, the team had to tell patients to stay at home and to respect rules of social distancing. An inescapable paradox when our work consists precisely in de-confining, connecting, being in contact with each other. Face-to-face meetings, group workshops, the array of our mediations were suspended; the challenge for us was to bring to light what is irreducible or essential in the institutional psychotherapeutic care for psychoses, what must remain active through the confinement. These modifications of the psychotherapeutic setting will be described in terms of constructing a virtual mental institution, based on a setting twisted by the distance but not abolished, telephone consultations opening up to a speculative but not disembodied psychopathological imaginary, and finally a blog as a quasi-materialization of a virtual space. This experience led the team of the Ambulatory Care Unit to radicalize the institution to keep it in its simplest apparatus: a virtual tree structure of the mental institution. The prior interactions between caregivers and patients have been translated (and thus re-created) virtually. As to respect their singular aspects, as well as their fundamental belonging to the collective that supports our institution. This virtual mental institution can therefore maintain the framework that structures our institutional care project, and can link the before and what will be the after of the confinement. For this study, we have conducted an "on-the-spot" analysis of the concrete arrangements of our therapeutic setting from an interdisciplinary perspective: phenomenological, systemic and psychodynamic.
Databáze: OpenAIRE
Externí odkaz: