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Observance au traitement neuroleptique dans la schizophrénie : rapports aux limites et au corps

Abstract : Observance to neuroleptic treatment is a major problem in schizophrenia treatment and relapse prevention. Among involved factors, therapeutic alliance with prescriber and patient’s insight are the most frequently cited ones. For this pathology, in which the psychosomatic integrity is often compromised, we wondered about the impact that could have this molecule that generates a large panel of sometimes invalidating physical and psychological effects. Inorder to answer that question, we used the Rorschach test and the Medication Adherence Rating Scale (MARS). We discovered that the less observant subjects of our study had more porous psychic borders and more persuasive body-related anxiety than those who did not report observance problems. Those subjects, to whom both treatment and the prescriber are subject to experiences of persecution, could thus try and preserve their psychosomatic integrity from an intrusion or a partition by refusing their treatment.
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A. Massin, Damien Fouques. Observance au traitement neuroleptique dans la schizophrénie : rapports aux limites et au corps. Etudes et Pratiques en Psychologie, Département Recherche de l'Ecole de Psychologues Praticiens Paris/Lyon, 2017, 6 (1), pp.52--69. ⟨10.17019/2017.EPP.6.1-05⟩. ⟨hal-01754719⟩

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