Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Quatrième de couverture : "Dans ce livre-événement, Stephen Karpman explique les multiples manifestations de son Triangle Dramatique, ou triangle Persécuteur-Victime-Sauveur, outil clé d’analyse des conflits et des relations manipulatoires et dysfonctionnelles, mondialement connu et passé dans le langage courant. Il nous fait découvrir comment passer du Triangle Dramatique négatif au triangle positif, le Triangle de la Compassion, grâce auquel il est possible de sortir des impasses et des scénarios relationnels toxiques et de se diriger vers le bien-être relationnel. Dans ce livre-événement, Stephen Karpman explique les multiples manifestations de son Triangle Dramatique, ou triangle Persécuteur-Victime-Sauveur, outil clé d’analyse des conflits et des relations manipulatoires et dysfonctionnelles, mondialement connu et passé dans le langage courant. Il nous fait découvrir comment passer du Triangle Dramatique négatif au triangle positif, le Triangle de la Compassion, grâce auquel il est possible de sortir des impasses et des scénarios relationnels toxiques et de se diriger vers le bien-être relationnel."

Behavior Control --- Psychotherapy

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Electronic behavior control.

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Mentally Ill Persons --- Behavior Control --- Psychology.

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Problem solving --- Electronic behavior control --- Résolution de problème --- Résolution de problème

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Belgium is one of the most benzodiazepines prescribing countries. However, they have many side effects such as dependence, tolerance and withdrawal risks. It’s recommended to use this drug for up to 4 weeks. But we note that many older people are chronic users with a peak of 50% in nursing homes. This figure is even more overwhelming that it’s a “risk group”. Indeed, we must be vigilant because the elderly are often polymedicated and show changes in their pharmacokinetic parameters. In addition, they have less physical strength and decreased alertness. All of this, combined with the use of benzodiazepines, increases the risk of drowsiness and decreases psychomotor performance. It results, for example, in falls and car accidents. Therefore, to treat insomnia in the elderly, the use of alternatives to benzodiazepines should be advised. Studies show that cognitive behavioral therapy has at least as much impact on sleep than hypnotics. “Z-drugs” have, for their part, a limited place in insomnia due to a similar risk-benefit ratio than benzodiazepine’s one. Melatonin, although highly prescribed, has been the subject of few studies. So, antihistamines should be used with caution in the elderly because of their anticholinergic actions and sedative antidepressants will rather be recommended for cases of insomnia associated with depression. Finally, although the results are not always unambiguous, the use of herbal medicine including valerian may be considered. The pharmacist’s role will be to deliver key massages about the use of benzodiazepines in the elderly and the provide an informed advice about alternatives.

Sleep Initiation and Maintenance Disorders --- Benzodiazepines --- Aged --- Aged, 80 and over --- Behavior Control