Faire travailler un patient le crâne ouvert

Awake brain surgery implies the active participation of the patient in the operation through motor and cognitive exercises; it aims at removing as many tumors as possible without causing irreversible neurological sequelae. This intervention challenges the operating theatre’s symbolic order and the p...

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Main Author: Nicolas El Haïk-Wagner
Format: Article
Language:fra
Published: Association Anthropologie Médicale Appliquée au Développement et à la Santé 2024-10-01
Series:Anthropologie & Santé
Subjects:
Online Access:https://journals.openedition.org/anthropologiesante/13797
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author Nicolas El Haïk-Wagner
author_facet Nicolas El Haïk-Wagner
author_sort Nicolas El Haïk-Wagner
collection DOAJ
description Awake brain surgery implies the active participation of the patient in the operation through motor and cognitive exercises; it aims at removing as many tumors as possible without causing irreversible neurological sequelae. This intervention challenges the operating theatre’s symbolic order and the professionnals’ collective dispositions, such as the objectification of the patient. Based on observations and interviews in the Department of neurosurgery at a Paris teaching hospital, this article argues that having patients work in awake surgery involves “constraint work,” legitimized by a psycho-cognitive discourse. This discourse does not, however, exhaust the dilemmas professionals face with blurred ethical standards and heightened uncertainty, which make this intervention a shared “test of professionnality.” The workgroup, which shares the “emotional work” and promotes the figure of an “active patient,” helps professionals get through this test.
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institution Kabale University
issn 2111-5028
language fra
publishDate 2024-10-01
publisher Association Anthropologie Médicale Appliquée au Développement et à la Santé
record_format Article
series Anthropologie & Santé
spelling doaj-art-d1dccf48598c4895af4cbf3476e617502024-12-09T11:33:58ZfraAssociation Anthropologie Médicale Appliquée au Développement et à la SantéAnthropologie & Santé2111-50282024-10-012910.4000/12nxsFaire travailler un patient le crâne ouvertNicolas El Haïk-WagnerAwake brain surgery implies the active participation of the patient in the operation through motor and cognitive exercises; it aims at removing as many tumors as possible without causing irreversible neurological sequelae. This intervention challenges the operating theatre’s symbolic order and the professionnals’ collective dispositions, such as the objectification of the patient. Based on observations and interviews in the Department of neurosurgery at a Paris teaching hospital, this article argues that having patients work in awake surgery involves “constraint work,” legitimized by a psycho-cognitive discourse. This discourse does not, however, exhaust the dilemmas professionals face with blurred ethical standards and heightened uncertainty, which make this intervention a shared “test of professionnality.” The workgroup, which shares the “emotional work” and promotes the figure of an “active patient,” helps professionals get through this test.https://journals.openedition.org/anthropologiesante/13797Francepatientconstraintneurosurgeryobjectification
spellingShingle Nicolas El Haïk-Wagner
Faire travailler un patient le crâne ouvert
Anthropologie & Santé
France
patient
constraint
neurosurgery
objectification
title Faire travailler un patient le crâne ouvert
title_full Faire travailler un patient le crâne ouvert
title_fullStr Faire travailler un patient le crâne ouvert
title_full_unstemmed Faire travailler un patient le crâne ouvert
title_short Faire travailler un patient le crâne ouvert
title_sort faire travailler un patient le crane ouvert
topic France
patient
constraint
neurosurgery
objectification
url https://journals.openedition.org/anthropologiesante/13797
work_keys_str_mv AT nicolaselhaikwagner fairetravaillerunpatientlecraneouvert