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Master Thesis

Les affects des médecins généralistes : leurs approches et leurs solutions pour ne pas déborder le cadre de la relation médecin-patient : une étude qualitative exploratoire auprès de 24 médecins généralistes du grand Sud-Ouest

Abstract : Introduction: The physician-patient relationship, mainstay of general practice, is the fruit of the meeting of subjectivities of the doctor and his patient. The main objective of this work is to know how the general practitioners apprehend their counter-transference feelings to preserve the physician patient relationship during an office visit. Method: A qualitative study including 24 GPs was conducted from September 2014 to March 2015. Semi-structured interviews were analyzed by thematic and lexical analysis. Results: This work highlights the omnipresence of counter-transference feelings during an office visit. These emotions occur in a relational framework that is specific to the GP. The experience of GPs is ambivalent; it is dependent on the GP’s personality and the feeling’s type. Some practitioners freely express their feelings, others contain them and others perform a work of distancing from them. To manage their emotions, doctors develop personal solutions throughout their professional experience. Verbalization of their affects and establishing a "right distance" are current. In matters of outbreak, GPs fear the breakdown of the physician-patient relationship and their own psycho-emotional overflow. Most doctors perceive the impact of their feelings on the physician-patient relationship, and many regret a lack of training on the physician-patient relationship in general and managing their own emotions in particular. Conclusion: This work highlights the major role of the physician’s subjectivity in the physician-patient relationship and begins a reflection on the need of training for a better understanding of counter-transference feelings.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01237866
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Submitted on : Thursday, December 3, 2015 - 6:44:13 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:30 PM
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Maïté-Safi Vodounnou. Les affects des médecins généralistes : leurs approches et leurs solutions pour ne pas déborder le cadre de la relation médecin-patient : une étude qualitative exploratoire auprès de 24 médecins généralistes du grand Sud-Ouest. Médecine humaine et pathologie. 2015. ⟨dumas-01237866⟩

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