2024-02-25 09:40:39
Elise, Marie, Léa, Juliette, Célia, Oriana… There are around ten of them participating, this Monday in mid-December, in their first group psychotherapy sequence offered by the Center for Emotional Regulation (CARE) , an innovative place and system opened, in March 2022, in Pavilion M of the Edouard-Herriot hospital in Lyon (Hospices Civils de Lyon). This same building which houses the psychiatry unit of crisis.
The proximity is not a coincidence: all – or almost – of these young women (whose first name has been changed) gathered at 2 p.m. in the activity room on the first floor of the building experienced emergency hospitalization for a suicidal crisis , before arriving here. Very young women – half are between 18 and 20 years old, the oldest is 27 years old – who have another thing in common: having been diagnosed, during their previous hospitalization(s), for a disorder of borderline personality.
This disorder, mentioned in 1938 by the American psychoanalyst Adolph Stern, and whose model of understanding has evolved significantly since the 1980s, is still little known. However, it is found in 9% of people presenting to emergencies (medical and psychiatric), and in 20% of patients hospitalized in psychiatry, explains the pair of caregivers, who inaugurate the session, psychiatrist Emeline Houchois and nurse Aurane Savolle . A way of anchoring their psychological suffering in a shared reality, without trivializing it.
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This first sequence will be followed by around twenty others, over six months, offered on a voluntary basis and organized in several cycles or modules: first, four introductory sessions to understanding borderline disorder, then five sessions around “distress tolerance”, followed by six others on “interpersonal effectiveness” (better reacting to mental disturbances), concluded by six sessions, again, on “emotional regulation” (to develop coping strategies). calming in crisis situations).
At each meeting, the speakers change – doctors, nurses or psychologists, all very involved in the program since its launch. But the same “common thread”: include patients as far as possible in this care pathway to allow them to understand their disorder. “The objective is to place them in the position of actors of therapy, almost of co-therapists, on the principle of psychoeducation, to soothe discomfort and avoid suicidal reiteration. But also to open, in a collaborative relationship, a path towards healing that they can pursue independently”, explains psychiatrist Charline Magnin, who initiated the CARE system.
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