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Schizophrenia is a chronic mental pathology with polymorphous symptoms that have an invalidating impact on an emotional, interpersonal, behavioural and social level. In certain cases this pathology can increase the risk of self-harm or harm to others, making it necessary to put protocoles in place for specifically-adapted treatment, put forward notably by care units that deal with dangerous patients. The patient's therapeutic education, orientated towards acquiring knowledge about the illness and skills for dealing with it in day-to-day life, is now a recognised practice, having proven its effectiveness in the treatment of chronic psychiatric patients. There is significant interest in this method for treating dangerous mental patients. In this interview, the psychologist Diane Brulin-Solignac shares her knowledge and experience of this therapeutic practice.  相似文献   
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ObjectivesThis work consists in a study of the links between the concept of violence and military environment where its problematic is particularly acute. Violence is at the heart of the profession of arms, which conveys a transgression, the prohibition of murder, which itself is at the foundation of the organization of our society.MethodsThe soldier occupies a position of exception by this possibility of giving death, which finds its legitimacy in a regulated use of the force, while responding to very precise conditions of use of the weapons. The power granted to the soldier is none the less marked up, presupposing a regulated use of the armed force, which implies its control, but commits jointly the possible overflow of these conditions of employment; sometimes there is an insidious sliding, much more obvious elsewhere, towards a deregulated violence, attesting a loss of control of the force. These specific coordinates of emergence of violence are here detailed, to specify the springs and the repercussions, beyond contextual considerations.ResultsTwo expressions in mirror of violence have been pinpointed in order to be clarified. The one which refers to a controlled and framed violence, then lever and driving force of the war action, and the other consisting of a out of frame violence, in connection with a use against the use of force; we did the hypothesis that this deregulated violence is the expression of a point of impossibility for the subject, a form of impasse both in his own psychic functioning and in his relationship to the group.ConclusionsThe military environment, which is itself violence holder, is structured in such a way that it can frame and control the intrinsic violence to warlike action. But as soon as the violence comes to express itself out of frame, it is outside the precise and regulated context of the use of the armed force, it becomes destructive, hindering the work of symbolization of the psyche, to lead to breaking the links of the subject with himself and with his group.  相似文献   
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ObjetivoConocer las opiniones de los profesionales sanitarios que trabajan en el Punto de Atención Continuada de Ourense (PAC) con relación a las agresiones laborales.DiseñoEstudio cualitativo con enfoque fenomenológico realizado entre enero y mayo del 2019.EmplazamientoPAC.ParticipantesVeinte profesionales de distintas categorías.MédodoMuestreo estructural. Se emplearon entrevistas abiertas grabadas en audio, previo consentimiento de los participantes.ResultadosLos profesionales entrevistados manifiestas haber sido víctimas de agresiones, sobre todo verbales. Estas agresiones según los participantes son tan habituales que las han normalizado dentro de su jornada laboral. Ninguno ha denunciado nunca este tipo de conductas, en gran medida porque consideran que la burocracia y los trámites administrativos son tediosos, y otros por desconocimiento del procedimiento. Este tipo de situaciones, a nivel laboral, les causa sentimientos de tristeza, rabia e impotencia y son la causa, según ellos, del aumento de la medicina defensiva. Los profesionales consideran que la causa del aumento de las agresiones entre el colectivo es la mala educación y la gestión inadecuada del empoderamiento del paciente.ConclusionesLos profesionales sanitarios sufren continuamente agresiones, sobre todo de tipo verbal, siendo algo habitual en su día a día. Estas agresiones no son denunciadas, pero les causan múltiples sentimientos negativos y disruptivos, llegando a modificar su manera de trabajar.Palabras clave: Violencia laboral, Personal de salud, Agresión, Violencia  相似文献   
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目的 探讨模拟演练干预在儿科实习护生应对医院暴力能力中的应用效果。方法 采用随机数字表法将在儿科实习的68名护生随机分为观察组和对照组,每组34例,对照组采用常规护理教学方式,观察组在对照组基础上实施模拟演练干预。干预1个月后,采用模拟教学评价量表、实习护生工作场所暴力管理能力量表对其进行效果评价。结果 干预后观察组儿科实习护生模拟教学评价量表总分及各维度得分、实习护士工作场所暴力管理能力量表总分及各维度得分均高于对照组(P<0.001)。结论 模拟演练干预方法能够有效提高儿科实习护生应对医院暴力能力,同时也提高了儿科护理教学水平,护生满意度上升。  相似文献   
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ObjectiveBased on the premises that attachment theory is an innovative paradigm for studying crime in its various facets, this article aims to present and clarify the current state of knowledge about the relationship between attachment and criminal behavior.MethodsA systematic literature review identifying all meta-analyses and reviews published over the past twenty years – from 1998 to 2018 inclusive – was therefore conducted in order to question the clinical and even explanatory value of the various attachment styles with respect to a certain type of offending. The bibliographic databases Science Direct, PsycInfo, PsycArticles, EMBASE and PubMed were examined using the following keywords and boolean operators: (attachment style) AND (criminal behavior) AND (offenders).ResultsThe data indicate that an insecure attachment style is significantly associated with all types of crime (violent behaviors, sexual violence, domestic violence, rule-breaking and antisocial behaviors), regardless of gender or age. The results also provides a network of correspondences and entanglements between particular attachment patterns and specific criminal acts; perpetrators of sexual violence are indeed characterized by a more anxious attachment style than perpetrators of violent offences, who themselves are more insecure in their relationships than perpetrators of non-sexual violence.ConclusionsThe present review emphasizes the decisive role – and the discriminatory value – of attachment dynamics in the protean nature of criminal behaviors.  相似文献   
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BackgroundWomen constitute around 17% of criminal offenders. However, few studies have addressed criminality in females. The current study aims to determine the prevalence of violence inflicted upon a sample of 91 female criminals during their adult life and compare it to the general female population, in order to provide a better understanding of female crime.MaterialData was collected, between 2014 and 2019, from the criminal expertise files of an expert at the Rennes Court of Appeal for women aged over 15. History of violence experienced as defined by the WHO criteria, where included.ResultsNinety-one criminal expertise files were included. The prevalence of violence experienced during adulthood was 57.1%, a prevalence significantly higher than that of the general European and international female population. Furthermore, these women reported experiences of violence independently of their age in 76.1% of cases.ConclusionOur study highlights an important prevalence of experiences of violence in the life course of criminal women. This victimization appears to be closely related to criminality in women and seems to be a key point in understanding female criminality. In addition, psychiatric disorders are frequent in this population and are over-represented by substance use and personality disorders. The latter two disorders appear to be conditioned by a history of experienced violence, seem associated with crime and to increase the risk of committing a violent act. Therefore, experiences of violence seem to be a predisposing factor to the development of medico-legal issues.  相似文献   
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