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• W2017227882 abstract "To study how physicians caring for adult patients presenting a chronic mental disturbance take account of the difficulties of their patients’ children under 18. Exploratory and qualitative study based on an in-depth study of interviews. Thirteen physiatrists or neurologists following brain-damaged patients and 12 psychiatrists following patients with chronic psychiatric disorders. In the two groups of physicians, diversified practices in catering for the issues of the patient's parenthood, child–parent relationships, and difficulties experienced by the child. The child's difficulties are not approached as such. For many of the physicians, representations of the parenting function, and of the child's needs and difficulties are not often used in work with the patient. Patient-centred care appears at odds with catering for the patient's children and their specific difficulties. The seriousness of the mental pathologies, their chronic nature, and the fact that they can affect the patient in his/her parental functioning and concerns, appear as factors in the reluctance of physicians. Other reasons are lack of familiarity with issues relating to childhood, and the feeling of encroaching on a private and intimate sphere. The representations of physicians with regard to parenthood, parent–child relations, and the needs and difficulties of children, are often not integrated into the corpus of knowledge. These issues are more often aspects of physicians’ own experience. The conflict of values and the uneasiness of the physicians suggest the need for ethical reflection groups or Balint groups. Étudier les pratiques et les représentations des médecins de patients adultes présentant des troubles psychiques sur la parentalité de leurs patients et les difficultés de leurs enfants. Étude qualitative exploratoire. Entretien semi-directif ; analyse de contenu. Treize médecins de médecine physique et de réadaptation ou neurologues assurant le suivi de patients cérébrolésés avec des troubles cognitifs, 12 psychiatres assurant le suivi de patients psychiatriques chroniques. Dans les deux groupes de médecins, les abords de la parentalité du patient, de la relation parent–enfant, des difficultés de l’enfant sont diversifiés. Celles-ci ne sont pas abordées spécifiquement. Les représentations de la fonction parentale et des besoins et difficultés de l’enfant ne sont pas toujours utilisés dans le travail avec le patient. Les pratiques de soins centrées sur le patient sont contradictoires avec le fait de se préoccuper de ses enfants même si la réinsertion sociale, familiale et professionnelle est au cœur de la pratique de soins. La lourdeur des pathologies qui peuvent atteindre le patient dans sa fonction et ses préoccupations parentales gêne les médecins, comme l’absence de familiarité avec le monde de l’enfance et le sentiment d’aborder une sphère privée et intime. Les représentations des médecins sur la parentalité, la relation parent–enfant, les difficultés des enfants sont souvent non intégrées dans un corpus de connaissance. Elles font plus appel à leur expérience personnelle. Le conflit de valeur et le trouble des médecins nécessitent la pratique de groupe de réflexion éthique et de groupes Balint." @default.
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• W2017227882 date "2009-11-01" @default.
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• W2017227882 title "How physicians caring for adult patients presenting a chronic mental disturbance take account of the difficulties their patients’ children under 18: Preliminary study" @default.
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• W2017227882 doi "https://doi.org/10.1016/j.rehab.2009.09.002" @default.
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