Search

In questo articolo, si prende in considerazione un aspetto poco noto degli effetti del trauma. In particolare, quando un’esperienza profondamente negativa resta nella memoria di chi l’ha vissuta, si trasforma nel tempo in una ferita che, non avendo le connotazioni proprie esplicite delle ferite fisiche, diventa “invisibile”. Ma la ferita è presente nel soggetto ed opera in modo da condizionare la sua esistenza, le sue relazioni e spesso anche il suo futuro. Quando un soggetto subisce un abuso non riesce, spesso, a reagire nella maniera adeguata e si trasforma nel tempo in una persona con molte ferite: il dolore c’è, ma è quasi impossibile scoprirne la causa.Dans cet article, un aspect peu connu des effets du traumatisme est pris en considération. Il s’agit du fait que, quand une expérience profondément négative reste dans la mémoire de sa victime, elle se transforme progressivement en blessure qui – du fait qu’elle n’a pas les connotations explicites de blessures physiques – devient « invisible ». Elle n’en est pas moins présente dans le for intérieur du sujet et elle agit de façon à conditionner son existence, ses relations et souvent aussi son avenir. Quand un sujet subit un abus il réussit rarement à réagir de manière adéquate et il devient, au fur et à mesure, une personne marquée par beaucoup de blessures. La douleur existe alors bel et bien, mais il devient quasi-impossible d’en découvrir la cause.In this article, a little-know aspect of trauma’s effects is taken into consideration. In particular, when a person lives a really bad experience, this experience could become, after time, an “invisible” hurt. It is deeply inside the person and influences his life, his relationships, and his future as well. When a person suffers an abuse, he often couldn’t react in the right way: as time goes by, hurts may condition all the aspects of his life. The pain is real, but sometime it is hard to find out the cause of it.

Abstract: Introduction: Endeavors to destigmatize mental illness do not always yield expected results and sometimes proved to be counterproductive. To which stand does the law no 2011-803 of July 5, 2011, help fighting stigmatization of patients with mental and behavioral disorders? Objective: The study aims at showing the stigmatization of mental illness, yet during the public hearing, through the speech for the defense related to the application for a priority preliminary ruling (QPC) concluded by the Constitutional Council decision no 2010-71QPC of November 26, 2010. Method: Through an audio-visual recording of the hearing, the speech for the defense of the defense attorney and the one of the lawyer of an association of counsel and advocacy to the assumed victims of abuse and arbitrary of psychiatry have been examined. Results: Despite their praiseworthy aim to amend care and modality of care for patients suffering from mental and behavioral disorders, the picture of psychiatry they conveyed, the words they used are unbefitting. They developed loathing for the staff. The whole hearing resulted in a stigmatization, a lack of knowledge, a disinformation about mental illness and indeed, a counter-example of struggle against discrimination involving mentally ill patients. Discussion: The confusion kept between patients and detainees, the principle of adversarial proceedings, the notion of defense evoke the concept of fault, the mental illness representation as a fault to be expiated, hence a triad: Judge, priest, healer. One reason for that proximity between psychiatry as known nowadays, justice system and precariousness, date back to far in history. Unfortunately, evidences supporting that idea are found in unbefitting words in the 5th article of the European Convention on Human Rights. On those grounds, it could be said that the 5th article of the European Convention on Human Rights does not respect human dignity and human rights and so, it may need some reformulation, by treating separately the case of patients and by using more convenient words. Conclusions: The swift shifts of laws and precedents pertained to psychiatric exercise, compel the psychiatrist to familiarize himself with legislation and justice. Law-makers and judges might keep themselves informed of mental illness and the care in mental illness. The 5th article of the European Convention on Human Rights should be updated. Patients as well as psychiatrists should bear in mind the French public health code article R 4217-10. [Copyright &y& Elsevier]