Palliative care, caregiver patient relationship, empathy, emotion management, nursing care, healthcare professionals, burnout, therapeutic alliance
This document discusses the importance of a caregiver-patient relationship based on mutual respect, empathy, and understanding, and the need for caregivers to manage their emotions when dealing with patients, particularly in palliative care.
[...] Emotion may sometimes appear as a sign of weakness or even as a lack of professionalism. In fact, the caregiver requires that the caregiver be able to maintain control of themselves in all circumstances. However « the need to master, shape and hide one's own emotions generates both physical and physiological tensions in the individual, leading to negative consequences for work teams (decline in cohesion and collaboration) and individuals (burn-out, dissatisfaction, stress, somatization, consumption of psychotropics) (BORENSTEIN, Marion p11). . Healthcare professionals and their emotions in a difficult situation. [...]
[...] Presses de l'Université de Montréal ISBN: 9782760619449. In addition, the quality of the human relationship that the IDE is able to establish with a dying person and their loved ones will determine the necessary trust for their specific needs. From their point of view, « The quality of this alliance is therapeutic in itself, as it helps people to make this difficult realization of the impending end of life and this, by allowing a liberating verbalization and expression of the feelings and emotions raised by such reflection (FOUCAULT, Claudette; MONGEAU, Suzanne p.66). [...]
[...] We also distinguish between cognitive empathy and emotional empathy. Cognitive Empathy, also known as theory of mind, refers to « to put oneself in others' shoes, to infer their mental states, to guess their intentions, and to anticipate their behavior. This empathy that makes us capable of the worst (manipulation) as well as the best (education) is alone incapable of inducing moral behavior. Certainly, it allows us to understand in the etymological sense of "to grasp by intelligence") what another person thinks, that is, to adopt the point of view of another person and to represent their mental state, but it does not inform us in any way about their emotional states. [...]
[...] According to psychotherapist Salomon Nasielski, the establishment of a therapeutic alliance will be all the more beneficial for therapy as it risks triggering intense emotions pouvant conduire à a « risk of disengagement of the therapeutic relationship, of a stop of the process itself of the therapyNASIELSKI, Salomon p.14). NASIELSKI, Salomon. Management of the therapeutic relationship: between alliance and distance. News in transactional analysis. [online] 2012/4, n°144, p. 12-40 [Consulted on 14/04/2024]. Davailable at: https://www.cairn.info/revue-actualites-en-analyse-transactionnelle-2012-4-page-12.htm In addition, « the therapeutic distance recommended to the psychotherapist to abstain from any intervention, from any comment on the matters and choices that belong to the patient (NASIELSKI, Salomon p.17). NASIELSKI, Salomon. Management of the therapeutic relationship: between alliance and distance. [...]
[...] In the face of death, caregivers must demonstrate empathy. Jacques Hochmann, psychiatrist, reiterates Freud's definition of empathy as follows: "Empathy would be a process that not only allows us to understand others and become aware of their different psychic reality, but it would also allow us to understand unconscious thoughts and feelings that remain unknown to the person experiencing them." It's not just putting oneself "in someone else's place,"."HOCHMANN p.54). HOCHMANN, Jacques. A History of Empathy: Knowledge of Others, Concern for the Neighbour. [...]
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