title: [The powerlessness of care: practice analysis as a way out].
abstract: Some clinical situations, particularly associated with psychosis, push the teams in their entrenchment. Here, the caregiver's professional ideal is attacked from all sides in the face of the patient's resistance and denial, resulting in a feeling of therapeutic deadlock. The caregiving team, through discussion, will perhaps find a way out through the implementation of therapeutic strategies, encompassing a process of creation, consolidation and relaxing of a professional stance.
authors.affiliation: Hôpital de nuit An-Tremen Sociothérapie, EPSM Morbihan, 22, rue de l'Hôpital, 56890 Saint-Avé, France. Electronic address: stephane.tregouet@epsm-morbihan.fr.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Trégouet
mesh_terms: D000328:Adult; D003379:Countertransference; D003674:Defense Mechanisms; D003717:Denial, Psychological; D005260:Female; D006801:Humans; D009723:Nurse-Patient Relations; D009769:Object Attachment; D010348:Patient Care Team; D011209:Power, Psychological; D011618:Psychotic Disorders / Q000451:nursing* / Q000523:psychology*; D012951:Socialization
keywords: cadre de soin; care framework; clinical aspect of extreme situations; clinique de l’extrême; contre-transfert; countertransference; feeling of helplessness; nursing stance; posture soignante; sentiment d’impuissance