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Acute and chronic traumatic impact of schizophrenic disorders on family caregivers (from the viewpoint of caregiver exhaustion and vicarious trauma in psychiatry) Volume 94, issue 3, Mars 2018

Author
Psychiatre, thérapeute familial,
chef du pôle de thérapie familiale,
CH Paul-Guiraud Villejuif,
80 rue de Verdun, 94800 Villejuif, France
* Correspondance
  • Key words: monitoring, support, post traumatic syndrome, family of mentally ill, family psychotherapy, psychoeducation, schizophrenia
  • DOI : 10.1684/ipe.2018.1767
  • Page(s) : 169-75
  • Published in: 2018

The notions of exhaustion, burn-out, or Still's syndrome in family post-traumatic stress disorder are practically absent in the professional psychiatric literature, although it does exist in other disciplines such as in gerontology or palliative care. However, since the 1950s, initially with family therapy, then with psychoeducation, specific work with families who had a relative with schizophrenia has been developed. The signs identified by these currents in family functioning (double-bonds, expressed emotion, deviant behavior) are closely related to caregiver burn-out or family post-traumatic stress disorder. It is then a question of identifying families confronted with such a phenomenon, in order to implement a specific family therapy which takes into account traumatic effects such as severe loss of autonomy. This approach is complimentary to peer group and family psychoeducation.