Psychodynamique et évolution des pratiques en santé au travail
Transcription
Psychodynamique et évolution des pratiques en santé au travail
!" # $ " % & ' "% ( ) * + , "- " . ' . "/ , "0 & & , 22 , " 1& , , $ "3 ( * 4 &' " * ( & &' * ,* & "3 2 2 & & & + "3 * & , * 1 ) 6"# " & , & " & " & & ( 5 2 & ) 1 1 "7 & ( * & 89": & ) & * % & ) " 89 & ) "3 " 2 " ;2< , . . = 2 & , & + " . * 3 "3 = * . . , " = , = = " > < = ? * =, = " @ . = "% ' 2 . , 2 "% = "# , 5 2 * = = A , = ' ) ' = 5 6" 2 2 , < " = = ) , 6 B C" ' + 2)2 = 2)2 "% 2 = < , "% ) = $ =' * D D* ( " * B & , . " ( = ) DD* * "1 = , B9 = ' * ) ' + " %=0 ; BF" = E " % ) ,* E 0 E # 0 A GC H ; " %& & & "; & ) & * , , & . &, ) * % ) & ,2 % ) ( + " ' & ) * ) ) & " . , * $ I " %= = ) "% = "> " , & "; ' = ( E % $5 ' , , , " 2+ 2 3 ' = ' 6" = % , + & ' & ' < ' "3 ,* " + = "% * $ ) = ' "3 % * 5 : ' $ 5% 6"3 $ * & : " = , 6 A% * , C" & $ + , ) " %& + 5 6" > * " ' ' ( $ = = * , "%= =' ) =, :2% % < ) & = , " , , "1 , = ' 89 ' $ & , ) ) " 2 % , ) , "# 4 = " , H/ = ( " > + = " 2; & & A- , J- $ &' 2 JC " %&' ) " & & ) 2# " & /& 5 " 6"% ) ' , ) ' ' "% " & < & "# & " ' ' & = ) = + '" () I & = , * " , , %& ' & ' "3 & ) & & * " % "% & ) & ; ) & "%& * " + ( " & K , 5 ( & & @ " &' & & , ) / L ' # " 3 * 8 A . C * " 3 " * , ' ( ( ' ) ( & "% 89 & ) . " * ) 2% ) &, & 2 89" ' ;2% 89 & 2 B9 " . ' % , & ,* $ >/""" # , ( '"> , , & * , """% * * = = + = "% " 3 * 5 ( : C" = = , = = ) = 5# 6 A" M: M 6" 6 ' N % = N "> " N , , N) & ' " & , & , & , ( % * ) ) * " 8! M 8B 2 ' " ) = "3 , "3 & , !9 > =' & , + O , 7 O E7 2 E =* & * " * = " = ) " = ,, = , ' + * " ) ,( = ,2 E "% ' + ' " " ) . . " , = * ) " = = = " & A C$ & 2 & ) " P "> - , 2 """ ( & + = ,* !9 " $ 7 2 !F$ = ; F99 ? = ; & ; 2 2 2 !L$ !8$% ! $ 0 " * + * " ) " & " ; ' ' "% & * =' "% '2 + " ) ; Q """ , ' & &' '$ ) &' & ,( " ) P & & & % ) ) " &' &' "RA% F ( B8C" + "3 !L ' 0 E , 5 = ' ,* 6" # & ' 2 + & ,, "% + '2 + " & = . "% = = " ) + . . , %= . "%) S " . , ) ) 2 . " " , , " " , B8 , $5 7 L99 999 8 @ B8U G99 # E T !8U 99 # E G99 " ) S & , GL9 999 E V99 "3 @ T , 6" @ K & ' = + " "> & 3 , ) K( , " $N> = N" I $N 6 :2% , . . = & K = '2 AW ) & 0;# = < " K) .C ' ) ; X & " %= , ' , " 3 , ' %= " " = , 3 = = = , , ' "% , % * * " + 0;# + J6 + 0;# & , ' + ( $5 ; ) $ = "% = 3 2 = = = 0;# " = ( " %= < < < 9 ) =' = ) "% 2 + = = K " ; + ' K " "% ( , E "% & ) " ' 2 # & " " & & %& ) " "3 * & " = & < , & "3 , ' ) & ' ' " . ) & " " ( , & & " * & ) ) ) " * & ) & # " + @ ' * " %& , , , & & 2 + ) & * ": ) &' " 10 % , , 22 & & " * "1 & ' !9 & + , "% , * ) & & , , " " & ) & ' & "3 ) & & "3 ' "0 * & ) "3 , , & & & < + "% A B8C ( * , "% ) , 2 "% ) , , " , , "# "3 "0 & ) & S " 2% ; 2 7 & % , ( $ " * K = " ) " ' * " 11 % = A : = C , , " ) * , , ,, '" & + ' = ' A + ) * ; C ) ' "% * "% @ & % " = + = ; = * , . =' C"% "% A:" ) " ) 2 ( = S + " % & ( ( ' " ' ', , & , , < A "0 & & LC ) & * , ) , * , , ' ,( % " ,( " %& = = ' "%& & & "% , 0 K 2 , ' ' " 2 " 12 ,( "%& ) . & "% , , & , " = ) ' "% , ' = , "%& , ) ' + * " % , &,( ' "% & ' ,* "3 . & ' " ' ,( &( * , , & ' "# & & "3 " #+ & & ) , & K ( ,* & ' , , " $ " . & , & " ( "% = ) & "% " & & , & & "# , ) & " %& " ' & + & ,( 13 ( P " ( & & & & , &' ) = ( = < I " & =' & S ) , ' $S * =( ) J3 2 "0 J >S , ( ' J >S ( J3 J = = = ) = , " , =' ' = K , J , . 2 M = * 2 ) = " / + $N 0 & , 2 & JN , ) ' =' ) 2 * " :2 , % B9 & " + ) H E ; * & , , & 1 & H , & + " ' , 14 $ ) % ' ; H , & ( ) " , * ) & " & ( ) , "3 , K ( + & ) ) ( "% * & ; , 4 & + $ &' " , * ) & , $ * & & %&,( " & & * ' & ' ) =,( 5 ; & " "3 = ) , = H ( N N = N= + = ( ' 2 N A V!C" %& , * ) ; N , & , , * & &' " ) & & ) = " " , K & ) , & & & " & ' ": & "# = = 8? "% & , H , ) ) A ( ? L? # ,, L? , 15 & C"%& ' A , 4 ( & GC / & & "# " = "%& & & ) ) " , < , 3 % ' 2 , ) , " " . * , = = @ "% "% = "% ' , = ' , " & , 5 ) 6 & , & 6 AH , & & & & # 5 8C"%& & & ' + ) & & " & $ "3 ) ' + "3 " S + ' ' K , ) "7 S * , = = ) ) " = = = ' = = . = = ' "% & " 2 * & "% ( & & 1 - Cette affirmation apparemment raisonnable mériterait d’être fortement nuancé mais cela nécessiterait une discussion qui dépasse le cadre de cette contribution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