Le vécu des dissections au laboratoire d'anatomie. Conséquences psychologiques et actions pédagogiques

Bonnaud-Antignac, Angélique; Armstrong, O.; Hamel, Antoine; Rogez, J.-M.; Guilloton, Dominique; Maugars, Y.; Barrier, J

doi:10.1051/pmed:2008332

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Among doctors in training, autopsy definitely constitutes an initiation rite that leaves an indelible impression on the psyche and usually takes the subject by surprise. Several studies carried out among medical students reveal the intensity of the affects that are unfailingly aroused by dissecting a corpse (Bonnaud-Antignac et al, 2008). Whether or not this is a first encounter with death, the autopsy induces a sense of physical and psychic unease, an intense anxiety, connected less with the mere sight of the dead person -autopsy is more than this vision -than with cutting up and opening the corpse.…”

Section: Autopsy As a Revelationmentioning

confidence: 99%

An event in medical life, or the advent of a belief?

Keller

2012

The International Journal of Psychoanalysis

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Freud's ambivalent relations with medicine are well known. Based on his relatively unknown text, A religious experience, published in 1928, the authors present an analysis of the internal reasons for this conflict. Responding to a letter from an American doctor, who tells him about his reactions to an autopsy and the influence it had on his religious faith, Freud suggests an analysis that leads him to make a surprising slip. This slip reveals the conflicts inherent in the practice of autopsy, considered as a peculiar event in medical training that puts a strain on the future medical practitioner's subjectivity. Based on the analysis of unconscious impulses and fantasmatic activity, the authors demonstrate that Freud's theory is still surprisingly relevant today in the light of testimonies from contemporary doctors confronted with autopsy during their training or daily practice.

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Section: Autopsy As a Revelationmentioning

confidence: 99%

An event in medical life, or the advent of a belief?

Keller

2012

The International Journal of Psychoanalysis

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“…Plus rares sont les réflexions et les analyses qui s'interrogent sur le vécu de ceux et de celles qui traversent ces apprentissages-initiations. Aussi, la contribution d'Angélique Bonnaud-Antignac et de ses collaborateurs, qui paraît dans ce numéro, doitelle être examinée avec un intérêt particulier [2] .…”

Section: Voir Savoir Et Devenir Médecinunclassified

“…De la capacité à voir et voir beaucoup, dépend la valeur d'un médecin expérimenté. En effet, Claude Bernard note déjà au milieu du XIX e siècle « qu'on n'arrivera jamais à des généralisations fécondes et lumineuses sur les phénomènes vitaux qu'autant qu'on n'aura expéri-menté soi-même et remué dans l'hôpital, l'amphithéâtre ou le laboratoire, le terrain fétide et palpitant de la vie » [2] .…”

Section: Voir Savoir Et Devenir Médecinunclassified

Voir, savoir et devenir médecin

Bonah¹

2008

Pédagogie Médicale

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“…There is a considerable literature to suggest that, at least initially, some medical students may be emotionally disturbed by the prospect of being in the dissecting room (Becker et al, ; Lief and Fox, ; McGuire, ; Shalev and Nathan, ; Harvill, ; Jordan et al, ; Finkelstein and Mathers, ; Horne et al, ; Evans and Fitzgibbon, ; Druce and Johnsons, ; Lee‐Tsang‐Tan and Kent, ; Abu‐Hijleh et al, ; Dickinson et al, ; Nnodim, ; Tschernig et al, ; Dinsmore et al, ; O'Carroll et al, ; Snelling et al, ; Hancock et al, ; Houwink et al, ; Arráez‐Aybar et al, , , ; Bonnaud‐Antignac et al, ; Schwartz et al, ; Cahill and Ettarh, ; Plaisant et al, , ; Boeckers et al, ; Leboulanger, ; Limbrecht et al, ; Martyn et al, ; Williams et al, ; Wei‐Ting and Ya‐Ping, ; Boeckers and Boeckers, ). Indeed, it has even been suggested that teaching students using cadavers might be considered “unethical” (McLachlan et al, ; McLachlan and Patten, ).…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Responses of Medical Students and Professional Anatomists to Dissecting Different Regions of the Body

et al. 2018

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Although there have been many studies assessing emotional responses of medical students to the dissecting room experience, little is known about whether dissecting particular regions of the human body cause more concern than others. Furthermore, no studies have been conducted on the concerns of professional anatomists. In this study, we assessed the hypothesis that medical students are more concerned about the dissection of the face, the perineum and the extremities of the limbs. We also hypothesized that there are gender differences. For the reactions of a group of professional anatomists from the United States and Europe we hypothesized that they were less concerned than the medical students and showed no differences across the regions of the body. The hypotheses were tested by means of questionnaires distributed to medical students at Cardiff University and at the Descartes Paris University who had recently completed their anatomy courses and to anatomists working at universities in Europe and the USA. Ethical approval for the study was obtained from the ethical committees at the Cardiff School of Biosciences and at Paris and all data was obtained by consent of the respondents and remained confidential. The findings were complex, although the level of concern was low overall. Some regional differences were discerned, particularly concerning the face, the perineum, the hand and the female chest. Anatomists were less concerned than the students and female students and female anatomists showed more concern than their male counterparts. Few differences were discerned however between student respondents who had positive and neutral attitudes to gender "politics" and those who espoused negative views. We recommend that, at the start of an anatomy dissection course, time is spent dealing with sensitive issues (including equality and diversity issues), emotional responses, and matters pertaining to mortality. However, we argue that this should not involve hiding regions of the body, nor overreacting to the natural anxiety of students, since doing either of these things could enhance negative reactions and stifle the progress of the student from *Correspondence to: B J Moxham,

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Le vécu des dissections au laboratoire d'anatomie. Conséquences psychologiques et actions pédagogiques

Cited by 4 publications

References 11 publications

An event in medical life, or the advent of a belief?

An event in medical life, or the advent of a belief?

Voir, savoir et devenir médecin

Attitudes and Responses of Medical Students and Professional Anatomists to Dissecting Different Regions of the Body

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