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            <title xml:lang="en">Roles and responsibilities of the psychologist in palliative care during shared decision-making</title>
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                <title xml:lang="en">Roles and responsibilities of the psychologist in palliative care during shared decision-making</title>
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                <title level="j">Médecine Palliative</title>
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                <term xml:lang="en">Psychologists</term>
                <term xml:lang="en">Palliative care</term>
                <term xml:lang="en">Decision-making</term>
                <term xml:lang="en">Practice guidelines</term>
                <term xml:lang="en">Interpersonal relations</term>
                <term xml:lang="fr">Psychologue</term>
                <term xml:lang="fr">Soins palliatifs</term>
                <term xml:lang="fr">Décision médicale partagée</term>
                <term xml:lang="fr">Intersubjectivité</term>
                <term xml:lang="fr">Référentiels de psychologues en soins palliatifs</term>
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              <p>IntroductionThe founding texts of palliative care emphasize the unique value of psychological intervention at the heart of supporting patients, families and teams.ObjectiveThis reflection explores specificities of the role of the psychologist in palliative care, particularly during shared medical decision-making.ContextIn a societal context marked by increasingly complex ethical and human issues, the presence of psychologists is essential, particularly when it comes to collective decisions concerning the end of life.MethodA review of reference texts and contributions from contemporary clinicians supported the development of a clinical theory based on professional experience.ResultsThe analysis highlights the richness of the psychologist's approach, which is specific to palliative care. The psychologist's role in the decision-making process depends on the structure of their function and the institutional framework that governs their clinical work. As a part of the care team, they contribute in a structured way to shared decision-making at the end of life.ConclusionReflection and research on the impact of decision-making process on the clinical practice of psychologists at the end of life will shed light on the specificity of their role within the team and support the development of knowledge useful to professionals in these situations.</p>
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              <p>IntroductionLes textes fondateurs des soins palliatifs soulignent la valeur singulière de l’intervention psychologique au cœur de l’accompagnement des patients, des familles et des équipes.ObjectifCette réflexion propose d’explorer les spécificités de la fonction du psychologue en soins palliatifs, notamment lors de la décision médicale partagée.ContexteDans un contexte sociétal marqué par des enjeux éthiques et humains toujours plus complexes, la présence du psychologue s’avère essentielle, en particulier lors des décisions collectives engageant la fin de vie.MéthodeUne relecture des textes de référence et des contributions de cliniciens contemporains a soutenu une élaboration théorico-clinique à la faveur de l’expérience professionnelle.RésultatsL’analyse met en lumière la richesse de l’approche du psychologue, spécifique aux soins palliatifs. La place du psychologue dans le processus décisionnel dépend de la structuration de sa fonction et du cadre institutionnel qui encadre son travail clinique. Intégré à l’équipe de soins, il contribue de manière structurée à la décision partagée en fin de vie.ConclusionLa réflexion et une recherche sur l’impact des processus décisionnels sur la pratique clinique du psychologue en fin de vie permettront d’éclairer sur la spécificité de son rôle au sein de l’équipe et à soutenir le développement de connaissances utiles aux professionnels dans ces situations.</p>
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