À la fois malade et criminalisé : témoignage d’une double marginalisation

Basé sur deux entrevues semi-dirigées effectuées auprès de personnes qui vivent des problèmes de santé mentale et qui ont vécu des périodes d’incarcération, cet article explore leurs points de vue sur les systèmes de la santé et de la justice. Leurs témoignages illustrent le clivage qui semble exister entre les besoins des personnes atteintes de trouble mental et les soins qui leur sont prodigués. Les auteurs concluent qu’il existe une difficile jonction entre besoins et services qui semble provenir de sources diverses (préjugés, manque de formation du personnel, processus administratif complexe) et les éléments qui la facilitent apparaissent peu nombreux (entraide entre les détenus, organismes d’aide aux personnes ayant un trouble mental).Based on two open-ended interviews with people suffering from a mental illness and who have been incarcerated, this article explores their perspectives on both health and justice systems. In their view, there is a divide between the needs of people with mental health problems and the care that is offered. The difficult juncture between needs and services seems to have numerous explanations (prejudice, lack of training of personnel, difficult administrative process, lack of communication between “inside” and “outside”); and the elements that could facilitate this juncture appear to be scarce (mutual help among inmates, community based mental help organizations).Basándose en dos entrevistas semidirigidas efectuadas con personas que viven con problemas de salud mental y que han vivido períodos de encarcelamiento, este artículo explora sus puntos de vista acerca de los sistemas de salud y justicia. Sus testimonios ilustran la diferencia que existe entre las necesidades de las personas que sufren de trastornos mentales y los cuidados que les son prodigados. Los autores concluyen que existe una conexión difícil entre las necesidades y los servicios, que parece provenir de diversas fuentes (prejuicios, falta de formación del personal, procesos administrativos complejos) y los elementos que la facilitan parecen poco numerosos (ayuda mutua entre los detenidos, organismos de ayuda a personas con trastornos mentales).Este artigo, baseado em duas entrevistas semi-estruturadas realizadas com pessoas que sofrem problemas de saúde mental e que vivenciaram períodos de encarceramento, explora os pontos de vista destas pessoas sobre os sistemas de saúde e de justiça. Seus testemunhos ilustram a brecha que existe entre as necessidades das pessoas que apresentam transtornos mentais e os cuidados que lhes são prestados. Os autores concluem que existe uma difícil relação entre necessidades e serviços por diversos motivos (preconceitos, falta de formação dos funcionários, processo administrativo complexo) e os elementos que a facilitam parecem pouco numerosos (entreajuda entre os detentos, organismos de ajuda às pessoas que apresentam transtornos mentais)

The process of recovery of people with mental illness: The perspectives of patients, family members and care providers: Part 1

<p>Abstract</p> <p>Background</p> <p>It is a qualitative design study that examines points of divergence and convergence in the perspectives on recovery of 36 participants or 12 triads. Each triad comprising a patient, a family member/friend, a care provider and documents the procedural, analytic of triangulating perspectives as a means of understanding the recovery process which is illustrated by four case studies. Variations are considered as they relate to individual characteristics, type of participant (patient, family, member/friend and care provider), and mental illness. This paper which is part of a larger study and is based on a qualitative research design documents the process of recovery of people with mental illness: Developing a Model of Recovery in Mental Health: A middle range theory.</p> <p><b>Methods</b></p> <p>Data were collected in field notes through semi-structured interviews based on three interview guides (one for patients, one for family members/friends, and one for caregivers). Cross analysis and triangulation methods were used to analyse the areas of convergence and divergence on the recovery process of all triads.</p> <p>Results</p> <p>In general, with the 36 participants united in 12 triads, two themes emerge from the cross-analysis process or triangulation of data sources (12 triads analysis in 12 cases studies). Two themes emerge from the analysis process of the content of 36 interviews with participants: (1) <it>Revealing dynamic context</it>, situating patients in their dynamic context; and (2) <it>Relationship issues in a recovery process</it>, furthering our understanding of such issues. We provide four case studies examples (among 12 cases studies) to illustrate the variations in the way recovery is perceived, interpreted and expressed in relation to the different contexts of interaction.</p> <p>Conclusion</p> <p>The perspectives of the three participants (patients, family members/friends and care providers) suggest that recovery depends on constructing meaning around mental illness experiences and that the process is based on each person's dynamic context (e.g., social network, relationship), life experiences and other social determinants (e.g., symptoms, environment). The findings of this study add to existing knowledge about the determinants of the recovery of persons suffering with a mental illness and significant other utilizing public mental health services in Montreal, Canada.</p

La reconnaissance comme puissance spéculative du pacte social. Reflexión sur la lecture hégélienne de Hobbes

Contemporary debates about political identity are deeply grounded in Hegelian’s paradigm of State. Hegel develops an original identity structure, build on a dynamics of recognition which allows interaction between subjective and objective liberty. The purpose of this Hegelian approach is to define a State which would be able to auto-justify and legitimize itself. This article studies the Hegelian theory of recognition, as a critical reading of Hobbes and of the philosophical insufficiency of the contractualist theories. Analyzing the concept of recognition may lead us to a better understanding of multiculturalism and political pluralism, as key concepts in today’s society.La conception hégélienne de l’État pose les paradigmes d’un concept identitaire qui se trouve aujourd’hui au coeur des débats sur la question de l’identité politique. L’originalité de la conception hégélienne est de développer une structure identitaire fondée sur une dynamique de reconnaissance qui permet d’agencer les différents rapports entre la liberté subjective et la liberté objective. Le but de cette articulation est de définir un État de droit rationnel pouvant auto-justifier sa progre légitimité. En lisant la théorie hégélienne de la reconnaissance à partir de sa critique de Hobbes et de l’insuffisance philosophique des théories contractualistes, ce texte cherche, non seulement à contourner les difficultés inhérentes à la lecture du système philosophique de Hegel, mais propose la conception hégélienne de l’État comme une conception indispensable à la compréhension des nouvelles exigentes identitaires. La relecture du concept de reconnaissance nous offrirait ainsi l’occasion de penser plus adéquatement la question du multiculturalisme et du pluralismo politique de nos sociétés actuelles

L'itinéraire de pensée de Hannah Arendt

Parcourant de près l'itinéraire des œuvres de Hannah Arendt (1906- 1975), de sa dissertation doctorale sur Augustin aux dernières 'conférences de The life of the mind, notre thèse propose de retracer l'architecture réflexive de sa pensée politique. Trois axes fondamentaux guident cette recherche: l'unité et la cohérence philosophique de l'ensemble de son œuvre, sa critique de la tradition de pensée occidentale et la résurgence du problème du mal totalitaire. En choisissant le parti de Yamor mundi, qu'Arendt affiche dès sa thèse sur Augustin, nous proposons de suivre d'abord la généalogie de la question du mal totalitaire, ensuite les différents aspects et articulations de sa problématique. C'est sur cette problématique que repose l'articulation de sa phénoménologie politique bâtie sur le triptyque de la vita activa (travail, œuvre, action). Une fois cette étape nécessaire franchie, nous proposons de dégager l'exigence philosophique qu'Arendt pose à l'égard des activités de l'esprit afin de répondre à la problématique du mal politique contemporain

La reconnaissance comme puissance spéculative du pacte social. Reflexión sur la lecture hégélienne de Hobbes

Contemporary debates about political identity are deeply grounded in Hegelian’s paradigm of State. Hegel develops an original identity structure, build on a dynamics of recognition which allows interaction between subjective and objective liberty. The purpose of this Hegelian approach is to define a State which would be able to auto-justify and legitimize itself. This article studies the Hegelian theory of recognition, as a critical reading of Hobbes and of the philosophical insufficiency of the contractualist theories. Analyzing the concept of recognition may lead us to a better understanding of multiculturalism and political pluralism, as key concepts in today’s society