[Crisis psychopathology: Chronicle of ordinary tensions in an extraordinary health situation. Phase1: Anxious reorganization].
Identifieur interne : 000184 ( Main/Exploration ); précédent : 000183; suivant : 000185[Crisis psychopathology: Chronicle of ordinary tensions in an extraordinary health situation. Phase1: Anxious reorganization].
Auteurs : Thomas Gilles [France]Source :
- Annales medico-psychologiques [ 0003-4487 ] ; 2020.
Abstract
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.
DOI: 10.1016/j.amp.2020.05.003
PubMed: 32836299
PubMed Central: PMC7237950
Affiliations:
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Phase1: Anxious reorganization].</title><author><name sortKey="Gilles, Thomas" sort="Gilles, Thomas" uniqKey="Gilles T" first="Thomas" last="Gilles">Thomas Gilles</name><affiliation wicri:level="3"><nlm:affiliation>Service de psychiatrie de l'HIA Robert-Picqué, 351, route de Toulouse, 33140 Villenave-d'Ornon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de psychiatrie de l'HIA Robert-Picqué, 351, route de Toulouse, 33140 Villenave-d'Ornon</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Villenave-d'Ornon</settlement></placeName></affiliation></author></analytic><series><title level="j">Annales medico-psychologiques</title><idno type="ISSN">0003-4487</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Introduction</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>Analysis of the situation</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>Clinical description</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32836299</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0003-4487</ISSN><JournalIssue CitedMedium="Print"><Volume>178</Volume><Issue>7</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Annales medico-psychologiques</Title><ISOAbbreviation>Ann Med Psychol (Paris)</ISOAbbreviation></Journal><ArticleTitle>[Crisis psychopathology: Chronicle of ordinary tensions in an extraordinary health situation. 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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.</AbstractText><AbstractText Label="Analysis of the situation" NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="Clinical description" NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">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.</AbstractText><CopyrightInformation>© 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gilles</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Service de psychiatrie de l'HIA Robert-Picqué, 351, route de Toulouse, 33140 Villenave-d'Ornon, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Psychopathologie de crise : chronique des tensions ordinaires en situation sanitaire extraordinaire. 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