Questionnement éthique dans la clinique de l’éveil de coma : un cheminement nécessaire au processus de subjectivation du patient et… du soignant

Abstract

For the last six years, our clinical practice of patients in coma arousal care has led us to wonder about the subjective precariousness. In this clinical care, we must think about the ethical question of patient's subjective existence continuity. We wonder how the patient can be considered as a subject. On the one hand, it is based on the clinical and neuropsychological coma arousal care and on the other hand on particular patient–caregiver relationship, illustrated by a clinical situation. It seems that it depends on the ethical behaviour of the caregiver in front of a patient in an important subjective precariourness while the caregiver is powerful.