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347.More information
Medicine creates a tacit contract of appropriation of the medicalized body that consent forms simply formalize. The story of Frank Verpaelst highlights the primacy of the need for recognition that is inherent to the doctor/patient encounter, whether in the context of teaching, research or care.
Keywords: consentement, assentiment, théorie de la reconnaissance, Axel Honneth, médicalisation, consent, assent, theory of recognition, Axel Honneth, medicalization
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349.More information
Objectives 1) To give a portrait of the evolving mentalities prevailing in Belgium on the collaboration between psychologists and general practitioners, and identify the barriers to the development of the collaboration between those two health professionals 2) To report on the primary care reform in Canada, its role in fostering collaborative practice in primary mental health and on the strategies needed to improve collaboration.Methods Literature search using PubMed and Google Scholar.Results Because of the unmet need of psychologists in primary care, general practitioners and psychologists have a propensity to work together. However to facilitate the collaborative process there needs to be system changes and clear definition of scopes of practices. Both countries are at different levels of implementing change. In Belgium for example it is only very recently that the autonomous practice of clinical psychology has been acknowledged. In Canada although the primary care reform has put forward and supported collaborative care, focus on mental health is insufficient. Early reports on collaborative care in the new models of care inconsistently report improved health outcomes. Strategies to improve collaborative care are looking at teaching future health professionals on how to work together by integrating inter-professional education.Conclusion Both the health care system and graduate training need to support foster and teach collaborative care.
Keywords: soins primaires, généralistes, psychologues, psychothérapie, collaboration, Belgique, Canada, primary health care, psychology, psychotherapy, general practitioners, interdisciplinary, interprofessional, Belgium, Canada
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350.More information
Health Centers propose new socio-medical structures characterized by multidisciplinary teams rooted in neighbourhoods. Very few exist in France.This article tackles one aspect of these centers: user-participation in the elaboration of community health structures and local health policy. The case studied is that of "Villeneuve", a huge government financed residential complex in Grenoble. This project has faced several financial and participation problems.Generally speaking, the problems of user-participation are seen as being related to:the narrow medical or technical definition of health problems.the traditional emphasis of socio-political action on organization within the spere of production rather than in the sphere of social reproduction of labour-power of which health-care is a part.the fact that psychological attitudes towards sickness, which involve a significant emotional investment concerning "private" problems, make it difficult to reveal the political nature problem and the collective nature of its solution.