[Contamination by the patient's affect: a source of trauma for the caregiver].

In complex aid relationships, the caregiver's confrontation with the patient's suffering can lead to trauma, like compassion fatigue and vicarious trauma. During prolonged and repeated exposure to a care situation, the caregiver may be contaminated by the violence of the patient's affects. This requires developing strategies to recognize, counter, and cope with the phenomenon.

[The sexualisation of the care relationship by the patient in gerontology].

The expression of the sexuality of the ageing patient in the care setting, particularly when it concerns the genital area and involves the caregiver without he or she being aware, constitutes a critical situation for the geriatric teams. A psychodynamic reading of these situations is important for the caregiving teams in order to optimise the somatic treatment and to prevent the risk of an unsuitable reactive treatment. This article presents a clinical case as an example.

Interest of repetitive transcranial magnetic stimulation of the motor cortex in the management of refractory cancer pain in palliative care: Two case reports.

Background: Non-drug treatments should be systematically associated to the medical analgesic treatment during the terminal phase of cancer.

Cases Presentation: Patient 1, a 23-year-old woman, presented an adenocarcinoma of the rectum, with liver and lung metastases. Pain was initially treated by oral morphine and a combination of pregabalin and amitriptyline.