20 octobre 2015
info:eu-repo/semantics/OpenAccess
Nadine Esnault, « L'éducation thérapeutique entre vérité médicale et histoire du patient », HAL-SHS : sciences de l'éducation, ID : 10670/1.xtql3g
The medical diagnosis is expressed in scientific terms. based on demonstration logic on which is stated that adult patients with a chronic disease, such as asthma in this research. have to respect certain standards to prevent sudden appearance of acute crisis.From the medical point of view. a chronic disease is often considered as not curable. the proposed treatments aim to alleviate the symptoms and make life more comfortable. Despite educational sessions provided to these patients. we observe a phenomenon of non-compliance with the instructions. What could this "non-compliance" mean at the patient's level?As we give further thought to the interpretative level. we will try to understand \.^,fhat the words of the subject might reveal. VVould this approach also reveal. beyond a 'clinical sign" when it comes to refer to the disease as an evidence. a "clinic of meaning" (Dubas. 2004) when it comes to discover the proven disease? Would this behavior result of a denial? VVould the patients obtain side benefits from their illness as shown in Laplantine's work (1986)? Given the patients itinerary. their experiences endured through the emergence of the disease. their educational. social and family history. shouldn't ,Afe be able to understand this compliance or non-compliance? Taking advantage of a study of the accounts from five patients. ."e have attempted to identify the modes of behavior. the identity issues and the proper histories of each one. The methodological orientation of this thesis is therefore within the scope of a clinical and qualitative approach.