La supervision d'une équipe de soins palliatifs pédiatriques peut-elle permettre de penser la vie ?

How to ensure the psychological support of the regional resources teams of pediatric palliative care? While many palliative care professionals deplore the difficulty to sustain psychological supportive organization within their team, it appeared interesting to describe the supervision of the Midi-Pyrénées paediatric palliative care team (Toulouse, France), in place since 2013 and which continues to win the approval of all. Lead by an external pedopsychiatrist, this supervision takes place at the hospital during work time. Practical and organizational arrangements are analyzed as well as the movements of anger, depression and aggression that sometimes can be deployed. The containing function of the frame as well as of the supervisor, trained in group facilitation, is described. The attempt to think the unthinkable, the will to get over past sideration triggered by the violent nature of the situations encountered and the search for meaning are portrayed. The caregivers and the group leader will then bear witness of their current experience and how it has evolved over time. Finally, an analysis of the effects of this psychological support organization on the team is developed along with the tools used and the limits of this supervision. The importance of this time for thinking, its impact on team cohesion, and the level of maturity of the team it reveals, are finally be highlighted.