Suchergebnisse

La féminisation des armées fait son chemin. Cela implique de prendre en compte l'incidence de la maternité dans la vie opérationnelle, notamment en termes de disponibilité. « Être mère » ne vient pas stigmatiser une position d'exception, mais un moment particulier, celui des premières années du développement de la relation avec le jeune enfant. Un éclairage sur les enjeux de la séparation précoce mère/enfant et sur ses conséquences potentielles est ici proposé. Ces éléments compréhensifs inspirés d'études de pédopsychiatres peuvent donner au commandement des pistes de réflexion utiles à l'évaluation, au cas par cas, de l'« aptitude » à la projection des mères de très jeunes enfants.

La féminisation des armées fait son chemin. Cela implique de prendre en compte l'incidence de la maternité dans la vie opérationnelle, notamment en termes de disponibilité. « Être mère » ne vient pas stigmatiser une position d'exception, mais un moment particulier, celui des premières années du développement de la relation avec le jeune enfant. Un éclairage sur les enjeux de la séparation précoce mère/enfant et sur ses conséquences potentielles est ici proposé. Ces éléments compréhensifs inspirés d'études de pédopsychiatres peuvent donner au commandement des pistes de réflexion utiles à l'évaluation, au cas par cas, de l'« aptitude » à la projection des mères de très jeunes enfants.

International audience ; Background-The psychotherapeutic treatment of war-related psychological injuries is questioned because of its theoretical level of complexity as well as its non-consensual or controversial guidelines. The care provided by civilian and military networks is diverse, heterogeneous and given more and more media coverage. How can the military patients' and of their relatives' pressing demands for the many techniques deemed advisable in the treatment of post-traumatic stress disorder be addressed?Material and methods-We present three individual psychotherapeutic approaches most frequently proposed in the field of psychotraumatology: cognitive and behavioural therapies, Eye Movement Desensitization and Reprocessing, and psychodynamic psychoanalytic orientation. We propose an analysis of the French and American recommendations before confronting the guidelines to the reality of clinical practice.Discussion-Each of the varied psychotherapies yields theoretical and technical arguments. Nevertheless, it seems impossible to discriminate between them in terms of efficiency in the current state of scientific research. The experienced clinicians must be cautious when they deal with the recommendations based on comparisons, in areas where the patients' singularity and the transference relationship are difficult to model.Conclusion-To propose a project of custom-made care to suffering fighters entails to focus on a rigorous clinical analysis. The coordination and continuity of medical and psychological support are essential. Beyond dogmatism, we shall select the following motto: 'the right psychotherapy, for the right patient at the right time'. ; Le traitement psychothérapique des blessés psychiques de guerre suscite un questionnement tant par son niveau de complexité théorique que du fait de son caractère non consensuel voire polémique. L'offre de soins des réseaux civils et militaires est diversifiée, et de plus en plus médiatisée. Comment répondre aux demandes pressantes des patients militaires et de ...

International audience ; Background-The psychotherapeutic treatment of war-related psychological injuries is questioned because of its theoretical level of complexity as well as its non-consensual or controversial guidelines. The care provided by civilian and military networks is diverse, heterogeneous and given more and more media coverage. How can the military patients' and of their relatives' pressing demands for the many techniques deemed advisable in the treatment of post-traumatic stress disorder be addressed?Material and methods-We present three individual psychotherapeutic approaches most frequently proposed in the field of psychotraumatology: cognitive and behavioural therapies, Eye Movement Desensitization and Reprocessing, and psychodynamic psychoanalytic orientation. We propose an analysis of the French and American recommendations before confronting the guidelines to the reality of clinical practice.Discussion-Each of the varied psychotherapies yields theoretical and technical arguments. Nevertheless, it seems impossible to discriminate between them in terms of efficiency in the current state of scientific research. The experienced clinicians must be cautious when they deal with the recommendations based on comparisons, in areas where the patients' singularity and the transference relationship are difficult to model.Conclusion-To propose a project of custom-made care to suffering fighters entails to focus on a rigorous clinical analysis. The coordination and continuity of medical and psychological support are essential. Beyond dogmatism, we shall select the following motto: 'the right psychotherapy, for the right patient at the right time'. ; Le traitement psychothérapique des blessés psychiques de guerre suscite un questionnement tant par son niveau de complexité théorique que du fait de son caractère non consensuel voire polémique. L'offre de soins des réseaux civils et militaires est diversifiée, et de plus en plus médiatisée. Comment répondre aux demandes pressantes des patients militaires et de ...

The aim of this paper was to describe the development of 'Traum'cast', an ambitious project to create a high-quality, open-access, 12-week video podcast programme providing evidence-based continuing medical education for civilian and military healthcare practitioners dedicated to the management of trauma caused by weapons of war. The management of such patients became a particular public health issue in France following the 2015 terrorist attacks in Paris, which highlighted the need for all healthcare professionals to have appropriate knowledge and training in such situations. In 2016, the French Health General Direction asked the French Military Medical Service (FMMS) to create a task force and to use its unique and considerable experience to produce high-quality educational material on key themes including war injuries, combat casualty care, triage, damage control surgery, transfusion strategies, psychological injury and rehabilitation. The material was produced by FMMS and first broadcast in French and for free, on the official FMMS YouTube channel in September 2020. Traum'cast provides evidence-based continuing medical education for civilian and military healthcare practitioners. Traum'cast is an educational innovation that meets a public health requirement.