“Behave like a responsible adult” – Relation between social identity and psychosocial skills at stake in self-management of a chronic disease

Fonte, David; Lagouanelle-Simeoni, Marie Claude; Apostolidis, Thémis

doi:10.1080/15298868.2017.1371636

Cited by 7 publications

(5 citation statements)

References 49 publications

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“…As duas pesquisas anteriores concluíram sobre a necessidade de melhor levar em conta os aspectos psicossociais do autocuidado nos programas de educação terapêutica. Para responder a esse desafio, uma terceira pesquisa foi realizada com o objetivo de explorar as expectativas e necessidades de cada um dos atores na situação terapêutica Apostolidis, 2018). Essa exploração foi realizada utilizando dez grupos focais constituídos por adolescentes com diabetes, seus pais e profissionais de saúde.…”

Section: Tabela 1 -Síntese Dos Objetivos Métodos E Resultados De Cadunclassified

Representações sociais e educação terapêutica: questões teórico-práticas

et al. 2020

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Resumo Apresentamos a contribuição da psicologia social da saúde por meio da abordagem sociorrepresentacional para refletir acerca da educação terapêutica do(a) adolescente com diabetes mellitus tipo 1. O adoecimento crônico na adolescência coloca desafios específicos para o cuidado, o olhar psicossocial permite compreender a prática de avaliação e o fortalecimento das habilidades do paciente contextualizando a educação terapêutica enquanto conjunto de relações sociossimbólicas entre os atores da situação. Essa abordagem pode servir como uma ferramenta teórico-metodológica e prática para alcançar um diagnóstico psicossocial e um planejamento de intervenção. Um programa de três pesquisas realizadas na França com adolescentes diabéticos, suas famílias e profissionais ilustra questões e desafios contemporâneos no campo da educação terapêutica, centrando sua análise nos significados que os atores mobilizam para, assim, determinar estratégias de intervenção adaptadas às tensões psicossociais que possam surgir no cuidado. Ressaltamos a importância das dinâmicas socioidentitária e ideológica advindas do contexto social e cultural de referência dos atores engajados na educação terapêutica.

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Section: Tabela 1 -Síntese Dos Objetivos Métodos E Resultados De Cadunclassified

Representações sociais e educação terapêutica: questões teórico-práticas

et al. 2020

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“…Specifically, the archetype of the reckless adolescent would only make sense in a relation of opposition to the archetype of the autonomous and responsible adult as can be promoted in the ideological context of Western liberal societies (Arnett, 2006). This opposition is interesting to point out, since it has been shown that the adoption of diabetes self-management behaviours is associated with the acquisition of an adult identity in the neoliberal context (Fonte et al, 2018). Thus, in the context of therapeutic education, professionals and parents are always likely to maintain a climate of distrust towards adolescents with diabetes because they would presume an adherence on their part to values that are at odds with those of the adult world.…”

Section: Discussionmentioning

confidence: 99%

‘Adolescents are reckless’: Representations at stake in the construction of the relationship of trust in paediatric diabetology

Fonte

Colson²,

Côté

et al. 2018

J Health Psychol

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A total of 10 focus groups were held with adolescents living with diabetes, their parents and health professionals in order to explore their needs in therapeutic education. The analysis showed that the relationship of trust was a central concern for a number of participants. Several adults were divided between a feeling of confidence inspired by the need to empower adolescents to cope with the chronic condition and a sense of distrust inspired by the idea of carelessness and irresponsibility thought to characterize adolescence. Adolescents, for their part, seemed relatively clear-sighted about how they can be perceived, and blamed adults for not trusting them. These findings emphasize the importance of considering the representations at stake in the dynamics of the therapeutic relationship in order to better understand the construction of the relational climate.

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“…In self-management as commonly 'done', the patient is expected to take responsibility for their condition. Fonte and colleagues 20 argue that although the process of assuming responsibility is a key self-management skill, the literature has tended to ignore the psychosocial processes that are involved with taking on this responsibility. In their paper, they frame the process of taking responsibility as presenting oneself as an adult.…”

Section: So Where Does 'Life-context' Fit?mentioning

confidence: 99%

The Pain Self-Management Paradox: Why Do We Focus on the Individual When Life Context Plays Such a Major Role?

Rodham

2021

Pain Manag.

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Although there has been a drive toward pain self-management, self-management has not yet in my opinion been successfully defined or evaluated and neither has it been consistently translated from idea to practice. In this perspective article, I identify gaps in our approach to pain management and argue that even though we know life context plays a huge role in influencing our health, by and large we fail to take this into account. I argue for a shift in focus away from the ‘self’ and explore how we might be able to do this within the constraints of our tired and over-stretched health system.

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“Behave like a responsible adult” – Relation between social identity and psychosocial skills at stake in self-management of a chronic disease

Abstract: International audienc

Cited by 7 publications

References 49 publications

Representações sociais e educação terapêutica: questões teórico-práticas

Representações sociais e educação terapêutica: questões teórico-práticas

‘Adolescents are reckless’: Representations at stake in the construction of the relationship of trust in paediatric diabetology

The Pain Self-Management Paradox: Why Do We Focus on the Individual When Life Context Plays Such a Major Role?

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