Dire la vérité au malade

The issue of medical truth is perceived differently by doctors and patients. From the doctor's point of view: Should a given patient be told the truth? Who should pronounce the diagnosis; when and how? Should the word ?cancer? be used, or is it preferable to speak of a ?malignant lesion Should terminally ill patients be told how much longer they may expect to live? Should the word ?death? be uttered? What should be done when the parents of a seriously ill child refuse to listen, preferring a state of denial? Can a psychotic patient be told that he suffers from schizophrenia? Should mental illnesses be regarded as a separate case? From the patient's point of view: How can I hear the truth and learn to live with the disease? What should I say to friends, family and colleagues? Why are aggression and depression ?normal? reactions? How does a mother react when she fI'ds out that'she may transmit a genetic disorder to her child? Why are genetic diseases particularly difficult to accept? This book should help health professionals deal with emotionally difficult moments of truth. It should also help patients and their loved ones to feel less alone, once they have heard the truth, and to gradually learn to live with their disease.Christine Delaporte is a head of research at the Centre National de la Recherche Scientifique. A doctor, trained as a psychoanalyst, and a biologist, she is particularly interested in psychological problems arising from the disclosure of a serious illness.

Une maladie grave est décelée. La vie va basculer et on apprend, parfois au détour d’un couloir d’hôpital, le mal terrible dont on est atteint. D’autres fois, c’est le médecin qui nous convoque dans son bureau pour prononcer, souvent maladroitement, le diagnostic fatal. Faut-il dire la vérité ? Toute la vérité ? Quand ? Comment ? Qui doit annoncer la maladie ? Faut-il parler à la famille ? Au malade? Quels sont les mots qui informent sans briser l’autre dans ses espoirs et sa volonté de lutter contre la maladie ? Les médecins sont démunis. Les malades et leur famille plongés dans la détresse ou le déni. Christine Delaporte propose une réflexion émouvante et subtile sur ces moments douloureux au cours desquels la vérité se dévoile. Christine Delaporte est directrice de recherche au CNRS, médecin et biologiste. Elle a reçu une formation en psychanalyse.