Facteurs associés à l’alliance thérapeutique chez les patients ayant des troubles psychotiques
This internship report examines the factors associated in therapeutic alliance with patients with psychotic disorders. A literature review based on the factors related to therapeutic alliance and psychotic disorders was performed. Thereafter, a description of the training environment, le Centre d’Hébergement l’Entre-Toit, was performed. A presentation of the methodology used to carry out the five case studies precedes the presentation of the data and the analysis along with the interpretation of those aforementioned data. In the analysis, collected data points out that some dimensions seem to play a role of moderate importance in the creation and maintenance of a therapeutic alliance. On the other hand, some dimensions studied did not provide conclusive results. In addition, it turns out that factors associated with therapeutic alliance do not seem to have the same impact for all persons with psychotic disorders. Based on the results, recommendations are formulated to guide professionals working with clients who have psychotic disorders. These recommendations emphasize important elements in order to achieve the maximum efficiency level of therapeutic alliance between the client and the counsellor. The aim of a better therapeutic alliance is part of an effort to increase treatment adherence and reduce risk of relapse and the risk to commit a violent act .
comportements violents therapeutic alliance psychotic disorders compliance violent behavior forensic psychiatry working alliance