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  1. Medicine and the manic defence. Commentary.

    Article - En anglais

    Objective 

    The aim of this paper is to explore the relevance of the concept of the manic defence to understanding the treatment behaviours of doctors, and psychiatrists in particular.

    Method 

    The manic defence and manic reparation are defined.

    Treatment approaches by doctors in physical and psychiatric medicine are examined within the perspective offered by these concepts.

    Results 

    Evidence for the operation of a manic defence can often be discerned in treatment approaches to psychological and psychosomatic disorders.

    Widespread reliance on the prescribing of antidepressant medication for depression provides an example.

    Conclusions 

    In the face of psychological and psychosomatic presentations, doctors may resort to reductionist aetiological formulations which promote active but reductionist treatments.

    Such approaches represent the enactment of a manic defence against depressive anxieties that might otherwise be experienced by patient and/or practitioner.

    Mots-clés Pascal : Médecin généraliste, Psychiatre, Personnel sanitaire, Santé mentale, Attitude, Rôle professionnel, Mécanisme défense, Personnalité, Pratique professionnelle, Traitement, Trouble psychiatrique, Homme

    Mots-clés Pascal anglais : General practitioner, Psychiatrist, Health staff, Mental health, Attitude, Occupational role, Defense mechanism, Personality, Professional practice, Treatment, Mental disorder, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0348993

    Code Inist : 002B18H04. Création : 27/11/1998.