["Sens et motions": a supportive media therapy in oncology]

Art therapy is overused in oncology support care, to the point of appearing as an improved form of animation. In the absence of a clearly defined system, there are few guidelines for practice. Here we propose and describe "Sens et motions", an original, reproducible and assessable approach to cancer care.

Some Questions Raised by the Practice of Online Analysis

In this paper the author explores some of the issues raised by the practice of online analysis. In particular, he emphasizes the difference between the setting and the frame and proposes a theoretical approach of the latter as emerging within the transferential dynamic.

[Depression and music therapy: the receptive composite montage with a projective focus]

Depression is a frequent mood disorder that requires a consensual therapeutic arsenal combining psychotropic drugs and psychotherapies. When depression requires hospitalization, particularly in the context of a major depressive disorder, having an integrative tool that induces a state of relaxation, positive mood and anticipation within twenty minutes is useful for patients and care teams. The Receptive Projective Composite Montage is a standardized music therapy device with evaluated effectiveness that can fulfill this role.

[Accompanying the pediatric/adult service transition in chronically ill patients]

The transition is a key step for adolescents with chronic illnesses, as they are at risk of a disruption in care, complications and even mortality. Accompanying this process is based on two axes: autonomization of the young person (acquisition of knowledge and know-how in a perspective of empowerment) and structuring of the care pathway (transition measures, pediatric/adult service coordination).

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The use of observation has refined the development of our care practices. Its application in different intervention measures has shown us the importance of focusing on small matters. The value we place on them is for the child. The therapeutics is in this attention. These practices have allowed us to create different specific and adapted measures.

[What response in the face of health emergencies?]

Heat wave, extreme cold, air pollution, epidemics, nuclear plant accidents, production incidents in the pharmaceutical or agro-food sectors, bioterrorism, social movements: over the last thirty years, health emergencies have multiplied. What is the strategy to adopt?

[Care mechanisms and therapeutic aspects of the management of psychiatric emergencies in the Campus University Hospital (Lome)]

INTRODUCTION

the objectives were to describe the mechanisms of psychiatric emergency care in a context of limited human resources and the existing therapeutic modalities within the general evaluation framework of the activity of the emergency service.

METHODOLOGY

Our study was set in the Clinic of Psychiatry and Medical Psychology (CPMP) and the Emergency Medical Service (EMS) of the Campus University Hospital (Lome). It was a prospective study including a descriptive and analytical focus involving patients admitted from January 1 to December 31, 2013.

RESULTS

the psychiatric emergencies during working hours were taken care of by the CPMP, out of our care and during holidays by the EMS. We identified 4977 admitted patients of which 275 cases for psychiatric emergencies, that is a frequency of 5.52% of the cases. The greatest activity was recorded in the afternoon (49.09%). The entourage of the patients (58.18%) was the highest applicant for urgent care. The majority of hospitalized patients (57.14%) were admitted under constraint and physical constraint during care was imposed for 14.55% of cases. Acute and transient psychotic disorders (39.64%), reaction to severe stress and adjustment disorder (33.45%) were predominant diagnoses.

CONCLUSION

the specific difficulties in psychiatric emergency require the establishment of a legal framework and a better organization.