This document explores the phenomenon of aggression and violence in emergency situations, its impact on healthcare professionals, and strategies for managing stress and maintaining a positive caregiver-patient relationship.
Extract
[...] Interpersonal trust, according to Bellenger8, « is built in a process where each person takes small risks with each other, she identifies herself according to 3 factors9 : - The engagement of at least one of the people. - Mutual respect among people in a relationship. - The willingness to engage and negotiate this risk process for a certain period. Thus, trust is the foundation of care and the caregiver-patient relationship makes it possible to combine both technicality, care, listening and respect. [...]
[...] These figures come from 7.71% of establishments according to the National Observatory of Violence in Healthcare (ONVS)1. However, it is necessary to separateAggressiveness» andViolence » Although these notions are relatively close and seem to overlap at first glance in the daily actions taken. However, for Serge Tisseron2, The social stakes and consequences are totally different. Between aggression and violence, it is essential to distinguish them on the one hand through etymology and, on the other hand, from theoretical approaches. From an etymological point of view, the term « aggression comes from the Latin «ad-gressere « which means « go towards ». [...]
[...] Thus, aggression induces a form of behavior and, does not concern the domain of emotions or feelings. On the other hand, we can distinguish two theoretical approaches: a cognitive-behavioral approach and a psychoanalytic approach. Through the cognitive-behavioral approach, we understand that aggression is a behavioral attitude intended to allow an individual to pursue a goal. According to Albert Bandura3, Aggressive behavior is a socially learned behavior. One of the most widely used reference frameworks in behavioral sciences is the Buss-Durkee Hostility Inventory. [...]
[...] According to the definition of the WHO, « violence est The use of physical force, threats against others or oneself against a group or community, which results in or strongly risks resulting in trauma, psychological damage, developmental problems or death. » From a psychoanalytic point of view, the violent subject does not seek pleasure but self-defense. The act of violence occurs when the symbolic barriers have fallen. What does violence consist of? It can be considered that violence exerts a force that one person directs against another person or on other individuals. [...]
[...] However, the trust relationship is an asymmetrical relationship where the patient depends on the caregiver. We then speak of a therapeutic alliance. We can question what underlies this alliance. What can undermine this relationship? In what context can it exist? What precautions are necessary to build it in mutual respect? [...]
