title: [Deadlock in a crisis unit, from helplessness to containment].
abstract: The case of a young woman hospitalised in a psychiatric unit illustrates the deadlock which invades institutional life and presents possible solutions for overcoming it. This deadlock is in fact two-fold: that of the patient and that of the team caring for her. The patient's suffering is echoed by that of the caregivers, whose attempts to re-establish a bond, to give meaning to the procedures carried out, are lost in the meanders of an instability which has been reinforced over time by the pleasure of repetition.
authors.affiliation: CH Saint-Jean-de-Dieu, 290, route de Vienne, 69008 Lyon, France. Electronic address: jmcquilici@orange.fr.
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Quilici
mesh_terms: D000293:Adolescent; D002649:Child Abuse / Q000523:psychology; D003131:Combined Modality Therapy; D003419:Crisis Intervention; D003674:Defense Mechanisms; D005260:Female; D006380:Helplessness, Learned; D006760:Hospitalization; D006801:Humans; D007062:Identification, Psychological; D007389:Internal-External Control; D009723:Nurse-Patient Relations; D009769:Object Attachment; D011385:Projection; D011573:Psychoanalytic Interpretation; D014754:Violence / Q000523:psychology
keywords: cadre; clivage; containment; contenance; crise; crisis; deadlock; destructiveness; destructivité; framework; identification projective; impasse; projective identification; split; tyrannie; tyranny