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Clinical effects of new technologies in medical imagery : the example of breast screening


Bulletin du Cancer. Volume 94, Number 11, 1008-16, novembre 2007, article original

Résumé   Article gratuit  

Author(s) : Marie Charavel, Jean Dominique Tigaud, Philippe Chabert, Nathalie Précausta, Corinne Rannou-Haverlant, Patrice Mathevet

Summary : In the frame of cancer screening, we present a new psychological concept elaborated from our clinical practice of women affected by a breast cancer. The experience of these women is different depending on whether the cancer is discovered in an asymptomatic context or not. We introduce the concept of « anticipatrice medicine » in order to define the implication of diagnosis precocity on the therapeutic strategy, because of a modification of some main parameters which make up the ordinary personal concept. These parameters are : the time in which disease anticipates the symptom and the space where the treatment anticipates the disease. We discuss the paradoxical experience of screening which imposes a medical intervention before any symptom that is for the patient to be treated before any feeling of the disease, and to experience the disease through the experience of a treatment. The different elements of this paradoxical experience are successively identified and analysed. Finally we propose four directions of research in the field of interaction between human and medical technologies.

Keywords : screening, breast cancer, anticipatrice medicine, paradoxical experience

 

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