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Journal articles

L’avance de la parole. Un outil relationnel

Abstract : Raising the issue of alcohol with the patient: a relational toolThe patient’s desire to seek medical attention in addiction me-dicine remains a controversial issue due to the clinician’s perso-nal and theoretical positioning, but also probably due to the geographical site of addiction medicine practice and the objec-tive of the meeting between the patient and the clinician. The meeting with the alcoholic patient generally induces a malaise attributed to the power of the representations of “alcoholics” shared by both the patient and the clinician. In order to de-crease this malaise related to the power and violence of these representations, clinicians must not wait for the patient to seek attention and, more importantly, they must modify their own representations by a process of personal analysis. After clearing the relational space, the clinician must explain how dependence can be considered to be an illness, but must also emphasize the individual sensitivity of each person in relation to alcohol, a substance initially considered by the patient to be a lifelong friend, but which, with time, has become a traitor, against which the patient and the clinician will join forces in the fight against alcohol. This approach contributes to strengthening the therapeutic alliance and restoring the “alcoholic” patient’s dignity, two factors that can contribute to the success of this long and difficult process.
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Submitted on : Tuesday, December 14, 2021 - 10:32:43 AM
Last modification on : Saturday, December 18, 2021 - 3:14:39 AM


  • HAL Id : hal-03478902, version 1


Stéphanie Toutain, M Claudon. L’avance de la parole. Un outil relationnel. Alcoologie et addictologie, Issy-les-Moulineaux : Princeps éd., 2014, 36 (1), pp.49-53. ⟨hal-03478902⟩



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