EPA-0536 - Observation on the therapeutic use of sloppiness and co-creativity in the institutional care pathway - 01/08/14
Résumé |
Introduction |
Sloppiness refers to the indeterminate, untidy or approximate qualities of the exchange of meaning between patient and psychotherapeutics (Boston Change Process Study Group, 2005). In an institutional’good-enough’ Day-Hospital, patients move around psychiatry, physicians, phychotherapists, rehabilitation groups giving arise a relational field where something happens. Beyond known therapeutic factors,’something else’ arises from intrinsic indeterminancy of the relationship among minds.
Aims |
Our work is an attempt to elaborate and explore the idea of sloppiness and co-creativity as a model of therapeutic teamwork organization in an institutional Day-Hospital.
The sloppiness as a model of teamwork organization may permit to individuate features relevant in a co-creation process among teamwork members and patient in severe psychiatric disorder.
Methods |
We present four case reports belonging to different diagnostic classes: psychosis, affective disorder, personality disorder and anxiety disorder.
Results |
Long time clinical observation suggests that different features significantly affect clinical outcome in different patients. So, sloppiness has a pivotal role in the therapeutic process leading to a change because,’playing’ among teamwork in a unstructured relational space, patients drawn on what they authentically need.
Conclusion |
Sloppiness and co-creativity might represent’something else’ which allow patient to create his personal therapeutic pathway, and teamwork to fine-tune dynamically therapeutic act on patient. So sloppiness, as a tool of encounter between patient and teamwork in an institutional Day- Hospital, might advance co-creativity process leading to an individual care pathway good-fitted on patient.
Le texte complet de cet article est disponible en PDF.Vol 29 - N° S1
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