Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.011
M.-F. Callu
{"title":"Le risque d’une instrumentalisation du droit dans les institutions éthiques","authors":"M.-F. Callu","doi":"10.1016/j.etiqe.2023.11.011","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.011","url":null,"abstract":"<div><p>Aussi bien dans les comités d’éthique que dans les pratiques professionnelles, est-il possible de se questionner sur une situation difficile en utilisant la démarche éthique et les principes juridiques sans que l’une ou l’autre de ces approches intellectuelles ne prenne pas le pas sur l’autre ? L’éthique a-t-elle un véritable intérêt alors que tout (semble-t-il) est prévu par le droit ? Peut-on aborder les aspects juridiques d’une situation dans un comité d’éthique alors que cette instance n’est là que pour réfléchir d’un point de vue philosophique ?</p></div><div><p>Both in ethics committees and in professional practices, is it possible to question a difficult situation using the ethical approach and legal principles without one of these intellectual approaches take over? The other? Does ethics have a real interest when everything (it seems) is provided for by the law? Can we address the legal aspects of a situation in an ethics committee when this body is only there to reflect from a philosophical point of view?</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 85-87"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.09.008
A. de Broca
{"title":"À l’épreuve du risque en SANTÉ ? Vers une perte de SENS ?","authors":"A. de Broca","doi":"10.1016/j.etiqe.2023.09.008","DOIUrl":"10.1016/j.etiqe.2023.09.008","url":null,"abstract":"<div><p>Le XXI<sup>e</sup> siècle est un siècle de ruptures. Les évolutions technologiques depuis quelques dizaines d’années donnent une impression de toute puissance au point que l’humain se sent soit démiurge soit dépassé. Nous parcourrons dans ce texte quelques-uns des enjeux actuels technologiques avec leurs risques et leurs points positifs. Dans un second temps, sont abordés les deux risques majeurs pour l’humain que ces nouveaux pouvoirs peuvent entraîner, à savoir la perte du sens et la perte de sa dimension historique.</p></div><div><p>The 21st century is a century of disruption. Technological developments over the past few decades have given the impression of omnipotence to the point where humans feel either demiurge or overwhelmed. In this text, we will explore some of the current technological issues with their risks and their positive points. Secondly, we discussed the two major risks for humans that these new powers can bring, namely the loss of meaning and the loss of its historical dimension.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 7-11"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136160554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.012
R. Aubry
{"title":"Consentement « libre et éclairé ». Une exigence éthique pour réduire les risques. À propos de l’avis 136 du CCNE","authors":"R. Aubry","doi":"10.1016/j.etiqe.2023.11.012","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.012","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 75-77"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.12.001
N. Carlin
{"title":"Risques et confiance dans la relation de soin","authors":"N. Carlin","doi":"10.1016/j.etiqe.2023.12.001","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.12.001","url":null,"abstract":"<div><p>L’homme s’est toujours avancé dans le monde avec le souci de maîtriser les dangers, par la connaissance, l’anticipation et la prévision. La notion de risque a permis de mesurer la fréquence et les conséquences d’un dommage dans l’objectif de les éviter ou d’en limiter les impacts. Mais cette vision probabiliste se heurte à bien des niveaux à l’incertitude et l’imprécision, notamment dans la relation de soin. La confiance, qui s’affranchit de l’incertitude et table sur la bienveillance d’autrui, dans un mouvement de réduction de la complexité du monde, s’invite en médiation du risque. La décision partagée est notamment un moment clef où incertitude, risques et confiance cohabitent. L’ambivalence de la notion de risque, à la fois danger et chance, fait opportunément écho à l’ambivalence du patient entre craintes et espoir, car si le pire peut arriver, le meilleur peut également advenir. Sinon, personne jamais ne ferait confiance.</p></div><div><p>Human has always moved forward in the world with the aim of mastering dangers, through knowledge, anticipation and forecasting. The notion of risk has made it possible to measure the frequency and consequences of damage, with the aim of avoiding them or limiting their impact. But this probabilistic vision comes up against uncertainty and imprecision at many levels, particularly in the healthcare relationship. Trust, which frees us from uncertainty and relies on the benevolence of others, in a move to reduce the complexity of the world, is invited to mediate risk. Shared decision-making is a key moment when uncertainty, risk and trust coexist. The ambivalence of the notion of risk, both danger and chance, is aptly echoed in the patient's ambivalence between fear and hope, for if the worst can happen, the best can also happen. Otherwise, no one would ever trust them.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 23-27"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.001
M. Grassin
{"title":"Revisiter la gestion du risque : mettre de la vie dans les systèmes","authors":"M. Grassin","doi":"10.1016/j.etiqe.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.001","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 15-18"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.002
E. Delassus
{"title":"Un risque peut en cacher un autre","authors":"E. Delassus","doi":"10.1016/j.etiqe.2023.11.002","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.002","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 19-22"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.007
V. Avérous
{"title":"La construction du sentiment dramatique face à la situation des hôpitaux : perception d’un début de catastrophe. L’épreuve du risque en santé","authors":"V. Avérous","doi":"10.1016/j.etiqe.2023.11.007","DOIUrl":"10.1016/j.etiqe.2023.11.007","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 37-40"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.008
Ugo Pace , Mélanie Guyot
{"title":"Prendre le risque du hors les murs","authors":"Ugo Pace , Mélanie Guyot","doi":"10.1016/j.etiqe.2023.11.008","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.008","url":null,"abstract":"<div><p>Prendre le risque du hors les murs, c’est déjà essayer de comprendre et de réussir à délimiter ce que sont les murs que nous devrions franchir et quels sont les risques de ce franchissement. Y trouverions-nous quelques bénéfices de sortir hors les murs ? On entend d’ailleurs souvent parler de la balance bénéfice-risque comme ce juste équilibre, cette voie du milieu à trouver et qui permettrait de manière éclairée de déterminer une décision thérapeutique, médicamenteuse, qui viendrait activer la voie de guérison pour certains ou amener vers un nouvel équilibre pour d’autres.</p><p>Il s’agit bien là de fait de murs tantôt physiques, architecturaux qui viennent contenir des troubles définis, caractérisés, catégorisés ; pour les plus graves, les plus marqués, empêchant de fonctionner de manière adéquate dans notre société, l’hospitalisation serait nécessaire.</p></div><div><p>Taking the risk of going off-site in psychiatric hospitalisation for adolescent is important to investigate and promote therapeutic process. In this article, we review hospitalisation in the french history.</p><p>Then we show some aspect of an unit of hospitalisation and how is important to think beyond the wall to promote new coping ressources for the adolescents and their families.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 48-52"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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