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[Discussion group: for caregivers confronted with death in the hospital environment]
1Service de Médecine Interne et Laboratoire d'Investigation Clinique H. Tagnon, Centre des tumeurs de l'Université Libre de Bruxelles.
Abstract:
Caregivers facing death and supporting dying patients don't have often the possibility to express their suffering inherent in their practice. Repression of affects can be harmful increased by all the "unsaid" and leads to splitting defence mechanisms among them. Caregivers will verbalize this suffering if a specific space and time for talking is provided. Paradoxically the medical team found it unnecessary and equated to a "one more meeting". A talking group is considered as a tool for the caregivers and will adapt itself to the institutional functioning. It has not to be denatured from its real function. It has to avoid pitfalls such as paying back conflicts. This group will survive the institutional assaults if some specific requirements are respected. Thus, the group will achieve, or at least facilitate better relationships between caregivers and patients.