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La sinistrose: un concept à réviser

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Douleur et Analgésie

Résumé

La sinistrose, ou névrose de compensation, est un concept pas toujours très clair, malgré qu'il ait été décrit depuis de nombreuses années. Dans cet article, l'auteur cherche à le définir, à le mettre en relation avec la notion d'invalidité. Une revue de la littérature est faite, ce qui permet la description d'un certain nombre de variables prémorbides et aussi une définition plus claire du syndrome. Partant de là, un dépistage précoce pourrait être possible, ce qui est en effet indispensable, car il apparaît bien, une fois que l'accident a eu lieu, que tout se joue très vite. Les interventions médicales semblent d'ailleurs plutôt jouer un rôle de renforcement de la sinistrose. Un certain nombre d'idées personnelles sont avancées, en tenant compte notamment de la réalité en Suisse, où la sinistrose n'a pas valeur de maladie auprès des assurances sociales.

Summary

Compensation neurosis is not a clearly defined concept, despite the fact that it was recognised and described many years ago. In this paper, the author tries to define it and to relate it to the notion of disability. A review of the literature is made, so it is possible to specify a certain number of premorbid factors and to define more clearly the concept of compensation neurosis. Thus, an early screening should be possible, which is very important, for it seems that once the accident has happened, the process of the neurosis follows very quickly. The medical interventions probably produce a strengthening of the neurosis. Personal ideas are proposed, taking into account the law in Switzerland, where compensation neurosis is not seen as an illness by the social insurance.

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Authors and Affiliations

  1. Consultation de la douleur, Service de Psychiatrie et Psychologie Médicale, Hôpital Cantonal Universitaire, 24 rue du Môle, CH-1201, Genève

    P. Rosatti

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  1. P. Rosatti
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Rosatti, P. La sinistrose: un concept à réviser. Doul. et Analg. 2, 61–67 (1989). https://doi.org/10.1007/BF03013058

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