Le burn out des personnels de santé : Le cas de la prise en charge de la maladie d'Alzheimer

Abstract : This thesis, using data collected from 2,602 professional caregivers of patients with Alzheimer's disease, explores the relationship between burnout and identity. Articulating psychoanalysis and sociology, this research shows that burnout, while affecting many aspects of the caregiver's identity, is only one of the possible fates of a variety of fatigue entities, that are sometimes specific to alzheimerology. This research draws up a typology of these fatigue entities. It highlights the presence, in this occupational group, of a latent, sacrificial ideology able of activating mechanisms and processes related to moral narcissism, by altering elements from the organizational context in suffering, whose paradoxical dual effect leads to strengthen the sacrificial position precisely to make it more tolerable. By the way, to describe this cycle fatigue linking psychological impact and group identity, this thesis suggests the concept of exhaustopoiesis, defined as a subjective and integrative process of feeling, appropriating, deviating and rebuilding fatigue– arising from which burnout is set up as a socially addressed part of the identity.
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Philippe Zawieja. Le burn out des personnels de santé : Le cas de la prise en charge de la maladie d'Alzheimer. Psychologie et comportements. Ecole Nationale Supérieure des Mines de Paris, 2014. Français. ⟨NNT : 2014ENMP0061⟩. ⟨tel-01142215⟩

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