Abstracts
Résumé
Les soignants d’hôpitaux habitant et travaillant aux frontières turco-syriennes sont aussi des migrants ou des réfugiés syriens. Comme la population sinistrée, ils exercent leur activité professionnelle au rythme de la guerre et nécessitent également un accompagnement. Dans le cadre de l’Unité psychosociale d’une ONG internationale, un soutien psychologique en visio-conférence est proposé aux soignants en Syrie et en Turquie. Cet article propose un commentaire et une réflexion clinique sur le quotidien de ces soignants, leur santé mentale, ainsi que sur leurs mécanismes de survie psychiques, groupaux et culturels. Quatre vignettes cliniques sont commentées et discutées pour comprendre la complexité des expériences à caractère traumatique et les processus de résilience en situation de guerre, afin d’identifier des pistes d’interventions adaptées.
Mots-clés :
- traumatisme de guerre,
- professionnels de santé,
- réfugiés,
- relation de soin,
- résilience,
- accompagnement
Abstract
Caregivers in hospitals who are living and working on the Turkish-Syrian borders are also Syrian migrants or refugees. Like the disaster-stricken population, they carry out their professional activities at the rate of war and also require accompaniment. Within the framework of the Psychosocial Unit of an international NGO, psychological support in videoconference is offered to caregivers in Syria and Turkey. This article proposes a commentary and a clinical reflection on the daily life of these caregivers, their mental health, as well as on their psychic, group and cultural survival mechanisms. In order to identify appropriate avenues of intervention, four clinical cases are discussed to understand the complexity of traumatic experiences and resilience processes in war situations.
Keywords:
- war trauma,
- caregivers,
- refugees,
- care relationship,
- resilience,
- accompaniment
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Appendices
Bibliographie
- Acarturk, Konuk, E., Cetinkaya, M., Senay, I., Sijbrandii, M., Cuijpers, P. et Aker, T. (2015) EMDR for Syrian refugees with posttraumatic stress disorder symptoms: results of a pilot randomized controlled trial. European Journal of Psychotraumatology, 6, doi : 10.3402/ejpt.v6.2741410.3402/ejpt.v6.27414 Google Scholar Search this bibliographic reference on Google Scholar
- Agier, M. (2008). Gérer les indésirables. Des camps de réfugiés au gouvernement humanitaire. Paris, France : Flammarion.Google Scholar Search this bibliographic reference on Google Scholar
- Agier, M. (2014). Un monde de camps. Paris, France : La Découverte.Google Scholar Search this bibliographic reference on Google Scholar
- Al Akash R et Boswall K. (2015). Listening to the voices of Syrian women refugees in Jordan: Ethnographies of Displacement and Emplacement. Intervention, 13 : in press. 10.1097/WTF.0000000000000097 Google Scholar Search this bibliographic reference on Google Scholar
- Altounian, J. (2000). La survivance : traduire le trauma collectif. Paris, France : Dunod.Google Scholar Search this bibliographic reference on Google Scholar
- Anaut, A. (2005). Le concept de résilience et ses applications cliniques. Recherches en soins infirmiers, 82(3), 4-11.10.3917/rsi.082.0004 Google Scholar Search this bibliographic reference on Google Scholar
- Anaut, M (2015). Psychologie de la résilience. Paris, France : Armand Colin.10.14375/NP.9782200612030 Google Scholar Search this bibliographic reference on Google Scholar
- Anaut, M. (2014). L’humour entre le rire et les larmes. Traumatisme et résilience. Paris, France : Odile Jacob.Google Scholar Search this bibliographic reference on Google Scholar
- Anzieu D. (1974). Psychanalyse du génie créateur. Paris, France: Dunod.Google Scholar Search this bibliographic reference on Google Scholar
- Anzieu, D. (1980). Le Corps de l’oeuvre. Paris, France : Gallimard.Google Scholar Search this bibliographic reference on Google Scholar
- Anzieu, D. (1987). Les enveloppes psychiques. Paris, France : Dunod.Google Scholar Search this bibliographic reference on Google Scholar
- Aulagnier, P. (1984). L’Apprenti historien et le maître sorcier. Paris, France : PUF.Google Scholar Search this bibliographic reference on Google Scholar
- Baubet, Th., Le Roch, K., Bitar, D. et Moro, M-R. (2003). Soigner malgré tout : trauma, culture et soin. Grenoble, France : La pensée sauvage.10.3917/lps.baube.2003.01.0016 Google Scholar Search this bibliographic reference on Google Scholar
- Bessoles, Ph. (2005). Barbarie et traumatisme. Clinique de la terreur. Champs Psychosomatiques, 38, 31-49.10.3917/cpsy.038.0031 Google Scholar Search this bibliographic reference on Google Scholar
- Bettelheim, B. (1979). Survivre. Paris, France : Robert Laffont.Google Scholar Search this bibliographic reference on Google Scholar
- Bierens de Haan, B. (1997). Engagement humanitaire et conflits armés : Le facteur stress. Genève, Suisse : CICR Publications.Google Scholar Search this bibliographic reference on Google Scholar
- Blanc, J., Rahill, G-J., Laconi, S. et Mouchenik, Y. (2016). Religious Beliefs, PTSD, Depression and Resilience in Survivors of the 2010 Haiti Earthquake. Journal of affective disorders, 15(190), 697-703. doi: 10.1016/j.jad.2015.10.04610.1016/j.jad.2015.10.046 Google Scholar Search this bibliographic reference on Google Scholar
- Boehnlein, J-K. (2002). La place de la culture dans les études sur le traumatisme : une perspective américaine. L’Évolution psychiatrique, 67, 712-723.10.1016/S0014-3855(02)00170-6 Google Scholar Search this bibliographic reference on Google Scholar
- Brauman, R. et Dufourg, F. (2016). Diplomatie de l’ingérence. Bordeaux, France : Elytis. Google Scholar Search this bibliographic reference on Google Scholar
- Cénat J., Derivois D. et Merisier G. (2013). École et résilience chez les enfants et adolescents dans l’Haïti post-séisme. Revue québécoise de psychologie, 34(2), 189–201.Google Scholar Search this bibliographic reference on Google Scholar
- Cyrulnik, B. (2004). Parler d’amour au bord du gouffre. Paris, France : Odile Jacob.Google Scholar Search this bibliographic reference on Google Scholar
- Derivois, D (2010). Les adolescents victimes/délinquants. Bruxelles, Belgique : De Boeck.Google Scholar Search this bibliographic reference on Google Scholar
- Derivois, D. (2012). L’hypothèse d’une résilience de l’esprit et des esprits en Haîti. Sciences Croisées, 11. Récupéré à http://sciences-croisees.com/N11/Derivois.pdf.Google Scholar Search this bibliographic reference on Google Scholar
- Derivois, D. (2015). Globality as a clinical posture. International Journal of Culture and Mental Health, 8(3), 300-315.10.1080/17542863.2015.1005107 Google Scholar Search this bibliographic reference on Google Scholar
- Evces, M.-R. (2015). What is vicarious trauma? Dans G. Quitangon et M. Evces (dir.), Vicarious trauma and disaster mental health : Understanding risks and promoting resilience (p. 9- 23). New York, NY : Routledge/Taylor et Francis Group.Google Scholar Search this bibliographic reference on Google Scholar
- Fassin, D. et Rechtman, R. (2007). L’Empire du traumatisme. Enquête sur la condition de victime. Paris, France : Flammarion.Google Scholar Search this bibliographic reference on Google Scholar
- Finklestein, M., Stein, E., Green, T. Bronstein, I et Solomon, Z. (2015). Posttraumatic stress disorder and vicarious trauma in mental health professionals. Health et Social Work, 40(2), 25-31.10.1093/hsw/hlv026 Google Scholar Search this bibliographic reference on Google Scholar
- Freud, S. (1927). L’humour. In S. Freud (Éds). Oeuvres complètes (vol 18, p. 133-140). Paris, France : Presses universitaires de France. Google Scholar Search this bibliographic reference on Google Scholar
- Hassan, G., Kirmayer, L., Mekki- Berrada A., Quosh, C., el Chammay R., Deville-Stoetzel, J. B., … Ventevogel, P. (2015). Culture, context and the mental health and psychosocial wellbeing of Syrians. Genève, Suisse : United Nation High Commissioner for Refugees.Google Scholar Search this bibliographic reference on Google Scholar
- Hassan, G., Ventevogel, P., Jefee-Bahloul, H., Barkil-Oteo, A. et Kirmayer, L. J. (2016). Mental health and psychosocial wellbeing of Syrians affected by armed conflict. Epidemiology and Psychiatric Sciences, 25(2), 129-141.10.1017/S2045796016000044 Google Scholar Search this bibliographic reference on Google Scholar
- International Medical Corps, UNICEF. (2012) Displaced Syrians in Za’atari camp : Rapid mental health and psychosocial support assessment analysis and Interpretations of findings. Amman, Jordanie : UNICEF.Google Scholar Search this bibliographic reference on Google Scholar
- International Rescue Committee. (2014). Are we listening? Acting on our commitments to women and girls affected by the Syrian conflict. New York, NY : IRC.Google Scholar Search this bibliographic reference on Google Scholar
- Jarzombek, M. (2002). L’onde traumatique. Les cahiers de médicologie, 1(13), 217-226.10.3917/cdm.013.0217 Google Scholar Search this bibliographic reference on Google Scholar
- Josse, E. et Dubois, V. (2009). Interventions humanitaires en santé mentale dans les violences de masse. Bruxelles, Belgique : De Boeck Superieur.10.3917/dbu.josse.2009.01 Google Scholar Search this bibliographic reference on Google Scholar
- Kaës, R. (1976). Analyse intertransférentielle, fonction alpha et groupe conteneur. L’Évolution psychiatrique, 2, 239-247.Google Scholar Search this bibliographic reference on Google Scholar
- Lazali, K. (2009). Politiques du traumatisme du collectif à l’individuel. A propos de… “L’empire du Traumatisme. Enquête sur la condition de victime” de Didier Fassin et Richard Rechtman. L’Evolution psychiatrique, 74, 622-628.10.1016/j.evopsy.2009.09.001 Google Scholar Search this bibliographic reference on Google Scholar
- Linden, M. et Rutkowski, K. (2013). Hurting memories and beneficial forgetting: posttraumatic stress disorders, bigraphical devlopments and social conflict. Londres, Royaume-Uni : Elsevier.Google Scholar Search this bibliographic reference on Google Scholar
- Moïsi, D. (2008). La géopolitique de l’émotion. Paris, France : Flammarion.Google Scholar Search this bibliographic reference on Google Scholar
- Pandolfi, M. et Corbet, A. (2011). De l’humanitaire imparfait. Ethnologie française, 41(3), 465-472.10.3917/ethn.113.0465 Google Scholar Search this bibliographic reference on Google Scholar
- Pestre, E. (2010). La vie psychique des réfugiés. Paris, France : Éditions Payot et Rivages.Google Scholar Search this bibliographic reference on Google Scholar
- Pottie, K, Greenaway, Ch., Hassan, Gh., Hui, Ch. et Kirmayer, L-J. (2016). Caring for a newly arrived Syrian refugee family. Canadian Medical Association Journal, 188(3), 207-211.10.1503/cmaj.151422 Google Scholar Search this bibliographic reference on Google Scholar
- Quosh, C., Eloul, L. et Ajlani, R. (2013). Mental health of refugees and displaced persons in Syria and surrounding countries: a systematic review. Intervention, 11(3), 276-294.10.1097/WTF.0000000000000013 Google Scholar Search this bibliographic reference on Google Scholar
- Rousseau, C., Guzder, J., Santhanam-Martin, R. et De la Aleda, E. (2014). Trauma, culture, and clinical work: The “House of Stories” as a pedagogical approach to transcultural. Traumatology, 20, 191-198.10.1037/h0099850 Google Scholar Search this bibliographic reference on Google Scholar
- Saïas, T. (2009). Cadre et concepts-clés de la psychologie communautaire. Pratiques psychologiques, 15(1), 7-16. 10.1016/j.prps.2008.03.005 Google Scholar Search this bibliographic reference on Google Scholar
- Serniklaes, O. (2003). Intervenants psychosociaux face aux victimes. Processus psychodynamique de la traumatisation indirecte. Journal international de victimologie, 1. Récupéré de http://www.jidv.com/Google Scholar Search this bibliographic reference on Google Scholar
- The international Women’s Human Rights (IWHR) Clinic at the city university of New York (CUNY) School of law, the women’s international league for peace and freedom (WiLPF). (2014). Seeking accountability and demanding change : A report on women’s human rights violations in Syria before and during the conflict. Genève, Suisse: United Nations Committee To End All Forms of Discrimination Against Women (Cedaw).Google Scholar Search this bibliographic reference on Google Scholar
- United Nation Office for the Coordination of Humanitarian Affairs (2016). Word humanitarian day 2016. Récupéré de http://www.unocha.org/whd2016.Google Scholar Search this bibliographic reference on Google Scholar
- United Nations High Commissioner for Refugees. (2014). Woman alone : The fight for survival by Syria’s refugee women. Genève, Suisse : United Nations High Commissioner for Refugees.Google Scholar Search this bibliographic reference on Google Scholar
- United Nations High Commissioner for Refugees. (2017). Urgence en Syrie. Récupéré de http://www.unhcr.org/fr/urgence-en-syrie.html.Google Scholar Search this bibliographic reference on Google Scholar
