L'apport de la transdisciplinarité pour les malades difficiles en psychiatrie du sujet âgé

When caring for elderly patients with numerous pathological conditions, the multidisciplinary approaches proposed do not all correspond to a single paradigm. Three models of actions with a transdisciplinary impact can be proposed: coping with different levels of realty and perception; decision-making in cooperation with the patient; open system of analysis accepting minority views. For psychogeriatric patients, the difficulties encountered are often linked to the complex-clinical situation resulting from interactions between multiple diseases or between the disease process and the human environment. A transdisciplinary approach smooths out some of the diagnostic and therapeutic problems so that care can be adapted to the patient's changing condition, the patient being a real partner in the decision-making process.