Abstracts
Résumé
Le dévoilement de soi des patients est essentiel au travail des professionnels de la santé, et ceci est encore plus critique en santé mentale où la parole du patient est le reflet du contenu de la psyché. Le dévoilement de soi concerne alors des symptômes invisibles qui sont associés à des problèmes de santé où la discrimination et la stigmatisation sont encore très présentes. Cet article explore les enjeux éthiques de ce phénomène encore très peu étudié. Le dévoilement en tant que processus décisionnel, interpersonnel, dynamique et complexe sera défini et approfondi à l’aide d’exemples tirés de la recherche. Par la suite, la vulnérabilité de la personne qui se dévoile sera abordée, suivie des enjeux liés aux normes de pratique professionnelle associées au dévoilement des patients et à leur responsabilité avers celui-ci. Ces éléments mettent en lumière de nombreuses questions éthiques et nous amènent, en dernier lieu, à une amorce de proposition pour positionner les professionnels impliqués.
Mots-clés :
- bienveillance,
- confiance,
- confidentialité,
- dévoilement,
- santé mentale,
- psychiatrie,
- relation thérapeutique,
- service de santé mentale
Abstract
Patient self-disclosure is essential to the work of health professionals, and this is even more critical in mental health where speech is a reflection of the content of thought. Self-disclosure is then about invisible symptoms that are associated with health problems where discrimination and stigmatization are still very prevalent. This article explores the ethical issues of this phenomenon which has received very little study. Disclosure as a decision-making, interpersonal, dynamic and complex process will be defined and deepened with the help of examples from research. Subsequently, the vulnerability of the person who discloses will be addressed, followed by issues of quality of care and related to the standards of professional practice associated with patient disclosure and their associated responsibility. These elements highlight many ethical issues and ultimately lead us to a proposal to situate the professionals involved.
Keywords:
- benevolence,
- trust,
- confidentiality,
- disclosure,
- mental health,
- psychiatry,
- therapeutic relationship,
- mental health services
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Appendices
Remerciements / Acknowledgements
Je remercie Laurence Caron et l’Association Québécoise pour la réadaptation psychosociale pour leur intérêt pour la thématique du dévoilement de soi dans les services de santé mentale, de même que pour les nombreuses discussions qui ont permis de faire évoluer les idées présentées dans ce texte.
I would like to thank Laurence Caron and the Quebec Association for Psychosocial Rehabilitation for their interest in the topic of self-disclosure in mental health services, as well as for the many discussions that helped develop the ideas presented in this text.
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