Pezé Marie
Réseau de consultations « souffrance et travail », Levallois-Perret.
Rev Prat. 2018 Oct;68(8):896-904.
Alert sign of burn out and early diagnosis. The syndrome of mis-adaptation to toxic work organisations and of a frantic acceleration of our neuro-physiological functions, the concept of burn-out is being appropriated by the media and social sphere, rendering nuanced diagnostics impossible. Handling a burn-out requires complex administrative, judicial and medical protocols. This administrative and medical engineering must be mastered, as it's a therapeutic tool that assuages a patient's fear and anxiety better than drugs or therapy. These tools of identification and early care are not part of their usual therapeutic arsenal. The referring physician has been following his patient for a long time, is aware of his medical, physical and psychological history, and will know how to determine if their intense exhaustion is due to a depressive episode, an undiagnosed physical illness, or their work conditions. Often, only he is able to convey the proper arguments of wisdom aiming at the protection of the patient's health.
职业倦怠的警示信号与早期诊断。对有害工作组织的适应不良综合征以及我们神经生理功能的疯狂加速，职业倦怠这一概念正被媒体和社会领域所采用，使得细致入微的诊断变得不可能。应对职业倦怠需要复杂的行政、司法和医疗规程。这种行政和医疗手段必须掌握，因为它是一种治疗工具，比药物或疗法更能缓解患者的恐惧和焦虑。这些识别和早期护理工具并非他们通常治疗手段的一部分。转诊医生长期跟踪其患者，了解患者的医疗、身体和心理病史，并且会知道如何确定他们的极度疲惫是由于抑郁发作、未确诊的身体疾病还是工作环境所致。通常，只有他能够传达旨在保护患者健康的恰当明智观点。
