Est-ce que vraiment, les médecins sont (comme) des anges ?
Éthique & Santé, ISSN: 1765-4629, Vol: 19, Issue: 4, Page: 196-201
2022
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Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Article Description
Une polémique sur une page Facebook® fréquentée majoritairement par des médecins a suscité cet article. Cette dernière a éclaté à propos d’une femme qui demandait à être examinée par une femme médecin, dans un contexte d’examen gynécologique faisant suite à un viol. La teneur des positions qui ont été exprimées donne l’occasion de discuter du rôle des soignants dans un contexte de traumatisme, présent comme passé. Deux approches ont été mobilisées pour guider l’analyse : le pragmatisme et le modèle de l’université de Buffalo axé sur la non-réactivation des traumatismes. Selon l’acception pragmatiste, le premier devoir des soignants est de faire en sorte que l’expérience de soins soit la plus positive possible. Quant au modèle de Buffalo, il précise qu’il s’agit plus particulièrement de favoriser la sécurité émotionnelle des patients et que cet objectif devrait orienter tous les services de soins rendus. Il invite à réaliser que les personnes ayant subi des traumatismes sont devenues réactives à des situations auxquelles des individus non concernés ne seraient pas sensibles, parmi lesquelles en particulier, le manque de contrôle sur leur situation. Enfin, si le modèle de Buffalo est particulièrement pertinent dans le cadre de services de santé accueillant un public susceptible d’avoir connu des traumatismes, les mêmes principes pourraient être convoqués au-delà. En effet, ils valent de manière générale car ils correspondent à ce que l’on a raison d’estimer : le développement de l’ empowerment des personnes, au sein d’institutions justes et bientraitantes. A recent controversy on a Facebook® group frequented mostly by doctors prompted this article. This one broke out about a woman who asked to be examined by a female doctor, in the context of a gynecological examination following a rape. The content of the positions that were expressed provides an opportunity to discuss the role of caregivers in a context of trauma, both present and past. Two approaches were used to guide the analysis: pragmatism and the University at Buffalo model of non-reactivation of trauma. For pragmatists, the primary duty of caregivers is to make the care experience as positive as possible. Buffalo's model specifies that this is specifically about fostering patients’ emotional safety and that this goal should guide all services rendered. It invites to acknowledge that people who have experienced trauma have become reactive to situations to which unaffected individuals would not be sensitive. This is particularly true regarding the lack of control over their situation. Finally, while Buffalo's model is particularly relevant in the context of care services for people who may have experienced trauma, the same principles could be applied beyond that. Indeed, they are valid in a general way because they correspond to what is rightly considered: the development of empowerment of people, within fair and caring institutions.
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