Psychotherapies
Volume 32, Issue 3, 2012, Pages 191-197

Working with migrant patients in crisis: From the injunction to act out to the return to psychopathology [Travail de crise avec les patients migrants: De l'injonction à l'agir au retour à la psychopathologie] (Review)

Bartolomei J.* , Zimmermann J. , Di Giorgio S. , Rey-Bellet P.
  • a Département de Santé Mentale et Psychiatrie, Hôpitaux Universitaires de Genève, CTB et Consultation - Secteur 3 Servette, Switzerland
  • b Département de Santé Mentale et Psychiatrie, CTB - Secteur 3 Servette, Hôpitaux Universitaires de Genève, Switzerland
  • c Departement de Sante Mentale et Psychiatrie, Medecin Responsable des Urgences Psychiatriques, Hôpitaux Universitaires de Genève, Switzerland
  • d Service et Responsable du Secteur 3 Servette, Département de Santé Mentale et Psychiatrie, Hôpitaux Universitaires de Genève, Switzerland

Abstract

As doctors in psychiatry and psychotherapy in an out-patient psychiatric center to which adult migrant patients are referred we propose, through a number of clinical vignettes, to bring up the complexity of the therapeutic attitude with the migrant patient in crisis after a decision for his/her expulsion has been pronounced. Far from listing recommandations, we wish above all to question the transferential and countertransferential repercussions in a situation where an administrative decision is imposed on patient and on therapist. What are the risks of making light of a psychopathological reflection due to the injunction to act out brought by the patient and/or his environment and/or the therapist himself?

Author Keywords

[No Keywords available]

Index Keywords

patient attitude mental hospital Review Environment vignette hospital management outpatient department clinical decision making psychotherapist risk psychotherapy mental disease human migration physician
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866350410&doi=10.3917%2fpsys.123.0191&partnerID=40&md5=b0ffdf7cedb3a64ee2357d4573cff1fb
DOI: 10.3917/psys.123.0191
ISSN: 0251737X
Original Language: French