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Master Thesis

Place du psychiatre en centre de la douleur : étude qualitative sur les attentes et représentations des médecins exerçant en structure spécialisée en Isère et en Savoie

Abstract : Introduction: The multiple intrications between chronic pain and psychiatry, which have been deeply studied, support the intervention of a psychiatrist in chronic pain management structures (CPS). However, its place remains undefined. We conducted a qualitative study by interviewing physicians, including psychiatrists, practicing in CPS in order to explore their expectations and representations regarding the role of the psychiatrist in the management of chronic pain patients. Methods: We conducted semi-structured, individual or focus group interviews. The verbatim transcripts were analyzed separately by the two investigators, based on a phenomenological method, followed by a triangulation of data. Results: We included fifteen physicians, including two psychiatrists. We identified three major themes concerning the place of the psychiatrist: complexity (complexity of chronic pain, need for a global approach and interdisciplinarity), paradoxality (paradoxical demands and expectations) and reflexivity (role of explanation and reassurance of teams and patients). These results highlight two main roles for the psychiatrist: a role as a doctor and a role as an interpreter. Conclusions: The psychiatrist appears to be an essential member in CPS, both with chronic pain patients and by his interventions in interdisciplinary teams. Continuing the study of the “elusive” aspect of the psychiatrist's expertise remains open.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02963120
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Submitted on : Friday, October 9, 2020 - 5:29:22 PM
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Marie Calet, Jérôme Bourgeois. Place du psychiatre en centre de la douleur : étude qualitative sur les attentes et représentations des médecins exerçant en structure spécialisée en Isère et en Savoie. Médecine humaine et pathologie. 2020. ⟨dumas-02963120⟩

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