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2020 ; 178
(7
): 690-694
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Psychopathologie de crise : chronique des tensions ordinaires en situation
sanitaire extraordinaire Phase 1 : la réorganisation anxieuse
#MMPMID32836299
Gilles T
Ann Med Psychol (Paris)
2020[Sep]; 178
(7
): 690-694
PMID32836299
show ga
INTRODUCTION: Humanity is facing a global pandemic at the start of 2020. The
health systems of each country are reorganizing to cope with an influx of
patients. This crisis reorganization is the source of psychological tension that
can lead to symptomatic manifestations in many caregivers. This situation is
similar in many points to that encountered by soldiers on external operations
(loss of usual bearings, feeling of threat, focusing of attention on the crisis,
deterioration of living conditions with limitation of the possibility of taking
breaks). The aim of this work is to describe at the hospital level the changes in
the professional and personal environment linked to the crisis likely to cause
stress and then to describe the clinical manifestations observed both on an
individual and collective level. ANALYSIS OF THE SITUATION: In this chapter,
after having described the reorganization of the hospital in which we operate, we
try to identify various factors likely to have psychological repercussions such
as: the perceived urgency of the situation, the achievement of privacy, the
reorganization of the work tool and the exercise of unusual tasks in newly formed
teams, but also the fear of lack, the anxiety linked to contamination, the
uncertainties linked to the threat. CLINICAL DESCRIPTION: In this chapter, we
describe the clinical manifestations observed in the caregivers of the hospital
in reaction to the crisis. Rather than decompensations, they are mainly anxious
manifestations characterized by an increase in somatic concerns, an accentuation
of verification rituals, an increase in snacking and the consumption of certain
psychoactive substances (coffee, tobacco) and for certain people a character
stiffening. On a collective level, it was mainly the misuse of social networks
reflecting the group's anxieties (search for meaning and responsibility, need for
certainty) that was observed. CONCLUSION: We then conclude with a description of
the approach that led to the establishment of a support system by offering a
graduated response, re-assessable over time, compatible with the maintenance of
usual activity while maintaining a therapeutic distance.