[The psychotic patient, the community , the hospital... and others. Therapeutic continuity. A problematic triangle].
Through a long experience of the follow-up of psychotic patients in extrahospital milieu and the difficult and sometime inexistant collaboration between the hospital and the extrahospital structures, the author brings a complementary concept of continuity and therapeutical triangulation and his application for those patients. Calling again how the institutional models tend to reproduce the psychotic model of the family, be places at the gravity center of the care system a stable relation between the psychotic and his therapist in a constant, real or symbolic, with the thirds, persons or institutions, who go on.
D003156:Community Mental Health Services; D003266:Continuity of Patient Care; D003688:Deinstitutionalization; D006778:Hospitals, Psychiatric; D006801:Humans; D007373:Interinstitutional Relations; D011320:Primary Health Care; D011618:Psychotic Disorders / Q000628:therapy*
Le psychotique, le secteur, l'hôpital... et les autres. Continuité thérapeutique. Triangulation problématique.