The psychologist’s role - ESKA
Transcript of The psychologist’s role - ESKA
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The psychologist’s role
Natacha Espié
Saint Louis réseau sein
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Psychologist Psychoanalyst Psychiatrist
Psychological support to women
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Psychoanalyst → all-powerful chaman
Psychoanalyst → incompetent
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Cancer bluntly
conjures up the
notion of death
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There used to be a « before »
Will there be an after?
Sideration
Anxiety
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Pysicians
Psychologist
Nursing staff
We all have an unconscious mind
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Patients will have to get
over a double shock:
•The diagnosis
•The treatments offered
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Physicians should realize
•The information they give
•What they do
Have effects on their patients
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Understanding :
→ what is being played within
ourselves
→ how we are played
→ what we can figure out about
what’s happening in the other’s mind
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Physician ≠ Psychologist
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Listening
Supporting
Agreeing to listen to the plurality
of the patients’ reactions ≠
seriousness of the medical treatment
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Cancer
→ psychic life gets shattered
→ sense of identity faltering
→ capacity for thought freezing
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•Surgery
•Chemotherapy
•Radiotherapy
•Affect the body
•Bite into the psyche
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Announcement of the disease → violent fits of crying,
outburst of distress and sideration
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Each patient → to emerge from the shock of diagnosis
To find the psychological means : - to come to the surgery
- to follow the treatments
- to live on with the disease
- to put up with the threat
of recurrence
- to maintain relationship
with friends and relatives
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Unconscious mechanisms → denial
→ rationalizationwill develop
Psychic working at each stage of the disease ans treatments
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Offer of counselling may
arouse anger in patients
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How to distinguish the normal from the pathological
Answer of psychoanalysis in term of:
- quantity
- degree
- too much
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Freud → what prevents us from
enjoying a normal life
and acting inner conflicts lilely to
stop or break off
the elaboration working
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Losses related to
cancer revive
other traumas
experienced in a
former life and
repressed since
then
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Patient’s psychological experience
→ unique
→ not transposable
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Physicians
Psychologists
• Joint thinking
• Putting experiences
and practices together
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When should a patient
be referred to a
psychologist?
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Inform patients that a psychologist is available in the unit
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Time of the diagnosis not the best time
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Some patients may feel anxiety at
termination of radiotherapy,
be depressed during
chemotherapy, but may also
dread seeing the oncologist only
once a year
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Listening persistent pain
vomiting before drip May be signs of depression
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Awareness that cancer spins its web in the body,
bridling the life urge….
But may also be a life incentive
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Psychoanalysis → a
practice making for
the freeing of vital
forces from the psychic
conflicts confining them
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Cancer → brings about a personal revolution
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The disease
sometimes
restores life
urge
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Psychologist’s role: → listening
→ decoding the unsaid
→ giving support till recovery
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