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Master Thesis

Le vécu des adolescents en chambre de soins intensifs : une étude qualitative

Abstract : While the last HAS recommendations published in 2017 frame the use of seclusion with adults, nothing is said about the specificities in adolescent population. Regarding this, we lead a qualitative study on the experience of adolescents in seclusion room. The first aim was to deepen our knowledge about this subject. The secondary aim was to figure out new theory basis of a healthcare evaluation protocole. The participants of the study have been included in the « Lits Ados » unit of Robert Ballanger hospital. A minimum of 6 month delay since the exit of the seclusion room was necessary. The testimonies have been collected by semi-structured interviews with the help of a photo-elicitation mediation. A qualitative analysis using the Interpretative Phenomenological Analysis method have been done then. In total, 4 patients on the 21 solicited have been included. Our results show that the living experience of adolescents in the seclusion room is organized around three axes: a negative, and sometimes traumatic experience; the establishing of a face to face relationship between the patient and the staff as a base of a painful linving of passivity but essential for the reconstruction of a containing envelope and a living of primary dependance bringing the adolescent to an unbearable regression state. Given these results, we conclude to the necessity of creating the conditions of a dialogue based on the patient’s living experience during post-seclusion interviews in order to release the patient and the staff of the tension generated by this measure.
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https://dumas.ccsd.cnrs.fr/dumas-01875803
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  • HAL Id : dumas-01875803, version 1

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Julien Amar. Le vécu des adolescents en chambre de soins intensifs : une étude qualitative. Psychiatrie et santé mentale. 2017. ⟨dumas-01875803⟩

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