Post-traumatic stress disorder and psychosis : the role of empowerment

PTSD and psychosis is now a recognized and documented comorbidity. Its incidence is not determined, but according to some studies, it can vary between 11% and 67% after an acute psychotic episode. Post-traumatic symptoms are, and are therefore, poorly recognized and often confused with the manifestations of a psychotic type. However, PTSD syndrome presents, even in a clinical context of comorbidity with a sufficient typicality (DSM-IV) for three-quarters of patients and subclinical appearance for the two-thirds of patients. The stress factor, in these circumstances, is directly associated with psychotic symptomatology (acute auditory hallucinations, persecution threats, delusions) than the subjective perception of the patient regarding the impact of psychosis on their life and identity. The status of "mentally ill" is a subjective perception of the patient. This survey highlights that the triggering factor of this anxious symptomatology is the experience of hospitalization in a specialized environment (often under duress). According to C. Rodwell [25], the notion of independence and subjective involvement (empowerment) in people living with illness and care experiences has become increasingly important. The patient who has suffered an acute psychotic episode, and in addition their first, lives through a deep sense of loss of autonomy linked to this psychotic breakdown