Approche clinique du burnout chez les soignants : mise en évidence et caractérisation d'une position subjective

par Lionel Daloz

Thèse de doctorat en Psychologie

Sous la direction de Hervé Bénony.

Soutenue en 2004

à Dijon , en partenariat avec Laboratoire de Psychopathologie et de Psychologie Médicale (LPPM) (Dijon) (laboratoire) .

Le président du jury était Maurice Giroud.

Le jury était composé de Bernard Bonin, Daniel Gilibert.

Les rapporteurs étaient Claude de Tychey, Djaouida Petot.

Consulter en bibliothèque

La version de soutenance existe sous forme papier


  • Détails : 2 vol. (310 f.)
  • Annexes : The notion of burnout describes psychic and relational troubles among previously motivated medical staff who have become aggressive, cynical and evasive. It is meant to affect one quarter of the medical staff, but its approach is difficult, evolving with hidden dynamics, in a mixed context of claim and denial. This existential aspects, wavering between personal subjectivity and social dimensions. The first part of the literature review tries to highlight the burnout notion with its limits and interests. In a second part, a critical analysis is proposed in reference to a clinical psychology perspective – a perspective seldom used. The issue of related suffering as well as the distinction with depression proves to be the most sensitive – especially when considered in its aspect the theoretically linked to work. Following this, the conceptual hypothesis makes it possible to consider the individualization of burnout within a non-affected professional life on the on hand, and depression on the order. Thus, differences in self-esteem (SEI) and the subjective quality of life (PQVS), psychopathology’s self-questionnaires (BDI, GHQ, SCL), are tested whilst research interviews are also conducted. The survey was carried out on 137 medical workers (nurses, nursing auxiliaries and physiotherapist, of an average age of 37.9 +- 7.59 – variables with no particular effects on burnout, like gender and type of work), as well as about a hundred subjects seen in research interviews. Burnout rate is high (discussed in terms of six sub-scores), although the subjects consider themselves in goo or even in excellent health “compared to people of the same age”. The presence of burnout is significantly accompanied by a poor quality of professional life (especially when the subjects have frequent emotional disorders, p=.000), a poor quality of life in general (p=.000), by a low self-esteem on the whole (p=.000) and professionally (p=.000), but not affecting other areas of life (unlike depressive subjects). The reality of the (considered through the PQVS). From a second perspective, burnout subjects do not significantly show depression or other psychic disorders, even if such trends are possible. These results compel one to think of an intermediary between normality and pathology. This model would allow one to distinguish a particular level. The interviews confirm and enlighten this subject complaint, his/her subjective position, and manifest their utility beyond the result of the MBI (criticized here). We finally propose an interpretation in terms of the subject’s subjective potion more than in terms of medical staff at work, combining the crisis aspect and then profound deception (Vs depressive despair) – differentiated from a professional life without exhaustion, stress phenomena and depression, as well as specification elements. Despite methodological limits and the necessary precaution when referring to this overly used notion, we may put forward that burnout is a useful notion as regards the analysis of suffering at work, or even in that of depression generated by relation to work – and anticipate its prevention and detection with more subtlety.. Bibliographie f. 240-261

Où se trouve cette thèse ?

  • Bibliothèque : Université de Bourgogne. Service commun de la documentation. Section Droit-Lettres.
  • Non disponible pour le PEB
  • Cote : T458
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