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Biomedical subjects

E Gillieron

Publications and source records attributed to E Gillieron.

4 recordsLinked to original sources

Short psychotherapeutic interventions (four sessions).

This paper points out: (1) The fundamental importance, during the patient's first visit, of a shift of the objective involvement on the therapist's person, when a significant real object fails. (2) An initial interpretation, based on understanding this mechanism, is mutational in that it transfers the mourning for relations to internal objects. (3) The patient usually takes medical advice when in a more or less open crisis situation, where his objective investment (internal and external) is shaken. (4) The nature of the crisis can be understood, by a deep investigation of the patient's relational context following a psychoanalytical pattern. (5). Application of these concepts allows very short interventions (psychotherapeutic interventions), the therapeutic value of which is undeniable.

Adult↗

Evaluation of the patient's motivation for treatment during the first interview.

This article studies the motivations of patients for psychiatric consultation. A better understanding of patient-therapist interactions will be helpful in producing an initial psychotherapeutic intervention that, in turn, will lead to an immediate change in the patient's attitude, facilitating treatment by giving it a correct orientation. A clinical example illustrates the above points.

Adult↗

[The unwisdom of reason and social injustice].

This paper attempts to show that in cases of conflict between a patient and any given agency (e.g. insurance company), the conclusions to which the expert will arrive at are often biassed by the spirit of the law. So when dealing with "responsibility" the law is often stressing a concept which is closer to that of "guilt" (the patient is guilty or the insurance company, or society are guilty). This then brings about an endless conflict where neither party is ready to accept fault. Thus, all measures which could lead to an adequate solution seem to be automatically excluded. Therefore, both parties find themselves in an inevitable deadlock due to the "causal" appreciation of the problem to be solved. The above situation could be avoided if the focus were shifted on results and the means to attain them, instead of trying to establish the origin of a given behaviour. In other words, a "system theory" approach appears to be the best frame of reference for the expert. Such an approach would not only have an impact on the spirit of the law, but also throw a new light on the role of the expert, who would no longer have to seek for more or less fair solutions, but would be able to propose constructive measures liable to solve the conflict.

Conflict, Psychological↗