title: [Is therapeutic deadlock inevitable?].
abstract: Many long-term treatments appear to be an expression of therapeutic deadlock. The situation leads to a questioning of the concept of chronicity and the identification of the determining factors of situations which are apparently blocked, marked by the search for solutions taking a back seat to the taking of action. The interaction between patients' mental apparatus and the care apparatus lies at the heart of the question, interpreted from an institutional, collective and individual perspective, supported by the clinical and psychopathological approach, and the return to the prioritisation of the thought.
authors.affiliation: 6, avenue Leclerc, 69007 Lyon, France. Electronic address: jean-pierre.vignat@orange.fr.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Vignat
mesh_terms: D002908:Chronic Disease; D003674:Defense Mechanisms; D006801:Humans; D008134:Long-Term Care; D009723:Nurse-Patient Relations; D011575:Psychoanalytic Therapy; D011613:Psychotherapy; D011615:Psychotherapy, Group; D011618:Psychotic Disorders / Q000451:nursing* / Q000523:psychology*; D014167:Transference, Psychology
keywords: borderline; cadre thérapeutique; clivage; déliaison; impasse thérapeutique; psychose; psychosis; release; split; therapeutic deadlock; therapeutic framework; état limite