This Master's thesis explores the adaptation of the PRECE technique for reflective learning and relapse management in patients with schizophrenia and bipolar disorders.
Extract
[...] Thus, the needs of patients would be better respected and their understanding of the approach would be increased. Another factor to review to integrate the 'PRECE' technique into the ETP methods is the training of caregivers. In fact, training caregivers in this method seems essential to the success of its implementation. In order for this method to become an effective complementary support, it must be applied effectively. Finally, this method cannot be effective alone. It would also be relevant to consider a combined use with other psychoeducational techniques. [...]
[...] My experience has allowed me to highlight this factor. Finally, in terms of reflective learning, the vast majority of patients recognized that the schema could allow them to better identify some significant and precursor signs of a relapse. The schema therefore allows them to reinforce their capacity for self-surveillance. As for emotional regulation, it has also shown variable and debatable effects. In fact, some patients feel a better mastery of their emotions over time, while others do not, so these results are not significant enough. [...]
[...] I would like to define the PRECE technique first. PRECE is an acronym that can be developed as follows:" Reflective Practice and Emotional Competences. This technique is a pedagogical method intended for nursing students that I wanted to adapt to another framework, that of patient therapeutic education in a specific context, namely in the field of psychiatry with patients from two populations: patients with schizophrenia and patients with bipolar disorder. The problem of this research is to know if this method 'PRECE' can, in fact, be adapted to ETP, in the context that I have just defined. [...]
[...] However, there are still some challenges to be overcome for it to be applied with confidence, particularly concerning memory and emotional management. In fact, the difficulty of remembrance can be explained by different factors, including cognitive disorders and intrinsic memory disorders inherent to these two pathologies. This reinforces the complexity related to memory. However, visual representation seems to appear as a very powerful lever to structure the experience. The graphics facilitate the recognition of relapse signs in the patient while consolidating his memory. [...]
[...] Material and method The exploratory study that served as the basis for my reflections was conducted in a psychiatric service of a Parisian hospital, comprising nine stabilized patients, some of whom suffered from schizophrenia and others from bipolar disorder. All inclusion criteria were carefully defined, including their willingness to participate, the stable phase of the disease, and prior knowledge of a relapse. The data were collected and organized during two semi-structured interviews. They were spaced about two weeks apart, a period during which the PRECE technique could be applied by the patients. During the first session, the patients were invited to recount their last relapse using a graphical tool. [...]
