[Traumatic motherhood in Covid-19 times]. / Maternités traumatiques en temps de Covid-19.

In the context of maternal vital emergency due to Covid-19, dire situations of birth questioned the health practitioners of a neonatal intensive care unit. How can mothers take care of their baby when their own life has been threatened ? The analysis of two clinical cases underlines the importance of talking for these mothers who have been through disastrous experiences, which could lead to a post-traumatic stress disorder. Restoring a connection to outside reality thanks to psychological care in the acute post-trauma period helps these mothers take care of their child.

Uptake of Covid-19 Vaccination among Respiratory Therapists in Canada

The COVID-19 pandemic continues throughout the world causing morbidity and mortality. With communities in and out of lockdown, there is an economic and mental health crisis on top of the general COVID-19 health crisis. The development of COVID-19 vaccines is often touted as the solution to this crisis but vaccine effectiveness is dependent on the uptake by the world's population. Canada has currently approved five vaccines and began vaccination in mid December 2020. Healthcare workers were amongst the initial groups for vaccination;however, uptake rates were not initially as high as expected. The Respiratory Therapy profession was on the frontline in the fight against COVID-19, dealing with the most critically ill patients and seeing regularly the most deadly effects of this virus. The rate of vaccination for the Respiratory Therapists in Canada is evolving constantly but it is not clear where it stands in comparison to other Canadian health care workers. In addition, the drivers or factors that play into the decision to get vaccinated are also not clear. Canadian Respiratory Therapist COVID-19 vaccination uptake rates and responses are being investigated with a look at the reasons behind any delays or non-vaccinations as well as other demographics, attitudes or factors that may be shown to play a role. An anonymous survey using SurveyMonkey on vaccination uptake rates, responses and attitudes is available to Student, Graduate and Registered Respiratory Therapists in Canada from July to November 2021. Vaccination uptake rates will be compared to those of healthcare workers in general as per the Government of Canada stats looking at numerous factors including demographics;work and personal experiences with COVID-19 patients;and COVID-19 vaccination attitudes/ concerns. The study will look for any trends in vaccination rates by demographic data, COVID-19 exposure, work experience as well as attitudes for those who are not vaccinated. This data can help by providing information on vaccination uptake rates amongst Respiratory Therapists compared to the healthcare workers and the general populations' rates in Canada. Future studies may look closer at developing specific vaccination campaigns by targeting the reasons for non-vaccination amongst RTs in Canada. Study data will be presented and to date there are over 1000 surveys completed.

Zoonotic potential of guinea pigs: Outbreak of cryptosporidiosis combined with chlamydiosis in a breeding guinea pig herd.

INTRODUCTION: In a guinea pig herd with 26 breeding animals, several individuals of all age categories died (16/26) after three animals had been newly introduced from another herd. Furthermore, the population suffered of apathy, anorexia, severe weight loss and conjunctivitis, as well as abortions and stillbirths. At the same time, the owner experienced a SARS-CoV-2 infection with pneumonia, which was confirmed by taking a PCR test. Chlamydia caviae was detected from the conjunctiva and vagina/uterus in one juvenile animal together with an intestinal Cryptosporidium wrairi infection. Oocysts were found histologically in the small intestine, which was confirmed by PCR. C. wairi is a parasite adapted to guinea pigs with zoonotic potential, which causes diarrhoea with frequent deaths in larger guinea pig herds. C. caviae is also a zoonotic pathogen and often the cause of conjunctivitis, pneumonia and abortions in guinea pigs and can lead to upper respiratory tract disease, conjunctivitis but also severe pneumonia in humans. The increased death cases and the clinical signs could be traced back to an infection with Cryptosporidium wrairi, complicated by a co-infection of C. caviae. We suspect that the abortions were caused by C. caviae, but since the population was treated with various antibiotics effective against chlamydial infections, it was no longer possible to verify this by PCR testing. Unfortunately, more animals succumbed and finally only two animals of the originally 26 were left. With this case report, we would like to point out to veterinarians that guinea pigs can be an important source of zoonotic infections for various pathogens, especially since they are popular pets and often come into close contact with children where hygiene might not always be strictly followed.

INTRODUCTION: Dans un groupe de cobayes de 26 animaux reproducteurs, plusieurs individus de toutes les catégories d'âge sont morts (16/26) après l'introduction de trois animaux provenant d'un autre groupe. En outre, la population a souffert d'apathie, d'anorexie, de perte de poids sévère et de conjonctivite ainsi que d'avortements et de mortinatalité. La présence de Chlamydia caviae a pu être détectée dans la conjonctive et le vagin/utérus d'un animal juvénile, ainsi qu'une infection intestinale à Cryptosporidium wrairi. Des oocystes ont été trouvés histologiquement dans l'intestin grêle, ce qui a été confirmé par PCR. C. wairi est un parasite adapté aux cobayes avec un potentiel zoonotique, qui provoque des diarrhées avec des morts fréquentes dans les grands groupes de cobayes. C. caviae est également un agent pathogène zoonotique et est souvent à l'origine de conjonctivites, de pneumonies et d'avortements chez les cobayes ; il peut entraîner des maladies des voies respiratoires supérieures, des conjonctivites mais aussi des pneumonies graves chez l'homme. L'augmentation des cas de décès et les signes cliniques pourraient être attribués à une infection par Cryptosporidium wrairi, compliquée par une co-infection par C. caviae. Nous soupçonnons que les avortements ont été causés par C. caviae, mais comme la population a été traitée avec divers antibiotiques efficaces contre les infections à chlamydia, il n'était plus possible de le vérifier par des tests PCR. Malheureusement, d'autres animaux ont succombé et il ne restait finalement que deux animaux sur les 26 d'origine. Avec ce rapport de cas, nous aimerions attirer l'attention des vétérinaires sur le fait que les cochons d'Inde peuvent être une source importante d'infections zoonotiques pour divers pathogènes, d'autant plus qu'il s'agit d'animaux de compagnie populaires qui sont souvent en contact étroit avec des enfants avec lesquels l'hygiène n'est pas toujours strictement respectée.

Thromboelastography (TEG) as an outcome predictor marker of Covid-19 patients in Malang Indonesia

Background: Evidence suggested that severe COVID-19, a condition associated with a high mortality rate, is aggravated by significant coagulopathy which manifests in the form of microthrombosis and venous thromboembolism(VTE). Therefore,easy and accurate markers are required to assess coagulopathic changes in Covid-19 patients as the basis for providing prophylactic anticoagulant therapy to prevent thrombosis. Aim(s): Our study aimed to assess the potential predictor of Thromboelastography(TEG) to estimate the outcome of COVID-19 patients Methods: A cross-sectional study approved by local the ethical committee, was conducted in Dr.Saiful Anwar Hospital. The potential interest data, retrieved from medical records, were extracted, ie:TEG, thrombocytes levels, the severity of COVID-19 patients, and themortality rate of COVID-19 patients. The diagnosis of COVID-19 was confirmed by reverse-transcription polymerase chain reaction(RT-PCR). The comparison between TEG and the risk of mortality among patients with COVID-19 was analyzed using multiple logistic regression. We applied Graphad Prism version 9 (Graphad, Sandiego,CA) to analyze the data Results: A total of 63 patients, employed from medical records, were included in this study, in which the survival rate was 65% and 22 patients died. Our study population between groups was age and sex-matched( Tab1). Our current findings revealed that hypercoagulation TEG was associated with 12.67-fold increase risk of mortality compared to those normocoagulation or hypocoagulation TEG(Fig1). Moreover, we also found that, among all TEG parameters, Lys30 was the only parameter having the greatest pivotal impact to govern the mortality of COVID-19 patients. We found that higher levels of Lys30 (MD95%CI: 26.90[13.34-40.47]) was associated with increase risk of mortality among patients with COVID-19( Fig1). On the other hand, our study also confirmed that the levels of CI and MA were observed higher in mortality group than in survival group Conclusion(s): Our current study indicated that hypercoagulation TEG, excess fibrinolysis (Lys30), CI and MA increased the risk of mortality among patients with COVID-19. (Table Presented).

Pandemic-induced deathscapes: end-of-life, funerary and bereavement challenges for British-Bangladeshi Muslims

Following the onset of the Covid-19 pandemic in the UK, end-of-life rituals and funerals across groups of all faiths and none took on a new character due to government-imposed measures to control disease transmission. This article aims to explore the challenges faced by British-Bangladeshi Muslims in relation to performing end-of-life, funeral, and mourning rituals during the first pandemic wave, underpinned by the perception of a ‘good death’. This group was among those disproportionately affected by Covid-19-related mortality and morbidity. Contextualising the study within a review of the literature on deathscapes and shifting policy responses to multicultural populations in the UK, and using an in-depth qualitative research approach, the article highlights the ways in which pre-existing challenges facing individuals seeking Islamic end-of-life, funeral and bereavement rituals have been exacerbated by Covid-19. The article offers new empirical and conceptual insights into the spatio-temporal dimension of end-of-life and funerary practices performed by British-Bangladeshi Muslims to achieve a good death and the changing nature of embodied and virtual deathscapes triggered by the pandemic. (English) [ FROM AUTHOR] Résumé À la suite de l’apparition de la pandémie de Covid-19 au Royaume-Uni, les rituels de fin de vie et de funérailles, pour quiconque appartenant ou non à une religion, ont pris un nouvel aspect à cause des mesures imposées par le gouvernement pour contrôler la transmission du virus. Cet article vise à étudier les problèmes que les musulmans bangladais britanniques ont rencontrés face à l’accomplissement de rituels de fin de vie, de funérailles et de deuil, tous reposant sur la perception d’une « bonne mort », pendant la première vague de pandémie. Leur groupe était parmi ceux les plus excessivement touchés par la mortalité et la morbidité liées à la pandémie de Covid-19. En conceptualisant cette étude dans une analyse des études sur les espaces de mort et l’évolution des réponses politiques face aux populations multiculturelles du Royaume-Uni, et en utilisant une approche de recherche qualitative approfondie, l’article souligne les différentes façons par lesquelles les obstacles habituels auxquels les personnes recherchant des rites musulmans de fin de vie, de funérailles et de deuil devaient déjà faire face ont été exacerbés par la pandémie. Il offre de nouvelles perspectives empiriques et conceptuelles sur la dimension spatio-temporelle des pratiques de fin de vie et de funérailles que perpétuent les musulmans bangladais britanniques pour réaliser une bonne fin et la nature changeante des espaces de mort concrets et virtuels déclenchés par la pandémie. (Spanish) [ FROM AUTHOR] Resumen Tras el inicio de la pandemia del Covid-19 en el Reino Unido, los rituales del fin de la vida y funerales en grupos de todas las religiones y ninguna adquirieron un nuevo carácter debido a las medidas impuestas por el gobierno para controlar la transmisión de enfermedades. Este artículo tiene como objetivo explorar los desafíos que enfrentan los musulmanes británico-bangladesíes en relación con la realización de rituales del fin de vida, funerales y duelo durante la primera ola pandémica, fundamentados por la percepción de una ‘buena muerte’. Este grupo ese encontró entre aquellos que fueron desproporcionadamente afectados por la mortalidad y la morbilidad relacionadas con el COVID-19. Contextualizando el estudio dentro de una revisión de la literatura sobre paisajes de muerte y cambiando las respuestas de política pública a las poblaciones multiculturales en el Reino Unido, y utilizando un enfoque de investigación cualitativa a profundidad, el artículo destaca las formas en que los desafíos preexistentes que enfrentan las personas que buscan rituales islámicos para el fin de la vida, funerales y el duelo se han visto exacerbados por el Covid-19. El artículo ofrece nuevos conocimientos empíricos y conceptuales sobre la dimensión espaciotemporal de las prácticas funerarias y del final de la vida realizadas por musulmanes británicos-bangladesíes para lograr una buena muerte y la naturaleza cambiante de los paisajes de muerte encarnados y virtuales desencadenados por la pandemia. (French) [ FROM AUTHOR] Copyright of Social & Cultural Geography is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

[How grief moved from culture to psychiatry]. / Comment le deuil est passé de la culture à la psychiatrie.

Bereavement has been debated among psychiatric experts since 2000. In addition to its precise manifestations, its duration is discussed: six months for the ICD-1, one year for the DSM-5-TR. Grief is not an illness but a process that can be blocked in the announcement phase of the death or in the depression phase following the absence. In all cases, acceptance of the loss is impossible. Psychiatric treatment can define a bereaved person who is suffering too much, and can reduce his or her suffering, but it cannot accelerate the process of remembering and then resuming a life without the loved one. Social rituals and psychosocial support have had this place for millennia in cultures throughout humanity.

COVID-19 in the municipalities of Botucatu and Serrana, São Paulo, Brazil, the effects of lethality and mortality

Introdução: em 2019, surgiu na cidade de Wuhan, um distrito na região da China a proliferação com a infecção de um vírus identificado como SARS-CoV-2, rapidamente espalhou-se pelo mundo ganhando status de pandemia em menos de 1 ano, suas repercussões e magnitude fizeram que os cientistas, governos e sociedade adotarem medidas severas para o combate a esta enfermidade. Objetivo: analisar a mortalidade, incidência e letalidade por COVID-19 nos municípios de Botucatu e Serrana, São Paulo, Brasil. Método: trata-se de um estudo ecológico com delineamento de série temporal com dados secundários. Foram consideradas todos os casos registrados e óbitos registrados por COVID-19 no período de abril de 2020 a agosto de 2021, nos municípios de Botucatu e Serrana, São Paulo, Brasil. Foi utilizado a taxa de incidência, mortalidade e letalidade. Estimou-se a variação percentual mensal e/ou semanal e seus respectivos intervalos de 95% de confiança. Resultados: identificou que e 12,88% dos munícipes da cidade de Botucatu foram infectados com COVID-19 e 8,61% da população do município de Serrana foi infectada. Observou-se uma tendência estacionária de mortalidade e incidência no período entre abril 2020 a maio 2021 e decrescente em ambos os sexos na taxa de letalidade no município de Serrana, na cidade de Botucatu houve tendência de mortalidade e incidência crescentes no mesmo período observado. Conclusão: a estratégia de vacinação em massa dos munícipes das cidades de Botucatu e Serrana apresentam dados robustos para considerar que a imunização tem efeito de queda no número de casos e óbitos por COVID-19, o que contribui efetivamente no combate a pandemia e reduz a contaminação e evolução da doença para casos mais graves.Alternate : Introduction: in 2019, the proliferation of a virus identified as SARS-CoV-2 emerged in the city of Wuhan, a district in China, quickly spread throughout the world, gaining pandemic status and less than 1 year, its repercussions and magnitude caused scientists, governments and society to adopt severe measures to combat this disease. Objective: to analyze mortality, incidence and mortality from COVID-19 in the municipalities of Botucatu and Serrana, São Paulo, Brazil. Methods: this is an ecological study with a time series design with secondary data. All registered cases and deaths registered by COVID-19 from April 2020 to August 2021 in the municipalities of Botucatu and Serrana, São Paulo, Brazil were considered. The incidence, mortality and lethality rate were used. The monthly and/or weekly percentage variation and their respective 95% confidence intervals were estimated. Results: it identified that 12.88% of the residents of the city of Botucatu were infected with COVID-19 and 8.61% of the population of the municipality of Serrana was infected. There was a stationary trend of mortality and incidence in the period between April 2020 and May 2021 and decreasing in both sexes in the mortality rate in the municipality of Serrana, in the city of Botucatu there was a trend of increasing mortality and incidence in the same period observed. Conclusion: The mass vaccination strategy of citizens in the cities of Botucatu and Serrana present robust data to consider that immunization has a decreasing effect on the number of cases and deaths from COVID-19, which effectively contributes to fighting the pandemic and reduces the contamination and progression of the disease to more severe cases.

Análise da imunização e os efeitos sobre a proliferação de COVID-19 nos municípios de Botucatu e Serrana, São Paulo, Brasil , os efeitos da letalidade e mortalidade

Introdução: em 2019, surgiu na cidade de Wuhan, um distrito na região da China a proliferação com a infecção de um vírus identificado como SARS-CoV-2, rapidamente espalhou-se pelo mundo ganhando status de pandemia em menos de 1 ano, suas repercussões e magnitude fizeram que os cientistas, governos e sociedade adotarem medidas severas para o combate a esta enfermidade. Objetivo: analisar a mortalidade, incidência e letalidade por COVID-19 nos municípios de Botucatu e Serrana, São Paulo, Brasil. Método: trata-se de um estudo ecológico com delineamento de série temporal com dados secundários. Foram consideradas todos os casos registrados e óbitos registrados por COVID-19 no período de abril de 2020 a agosto de 2021, nos municípios de Botucatu e Serrana, São Paulo, Brasil. Foi utilizado a taxa de incidência, mortalidade e letalidade. Estimou-se a variação percentual mensal e/ou semanal e seus respectivos intervalos de 95% de confiança. Resultados: identificou que e 12,88% dos munícipes da cidade de Botucatu foram infectados com COVID-19 e 8,61% da população do município de Serrana foi infectada. Observou-se uma tendência estacionária de mortalidade e incidência no período entre abril 2020 a maio 2021 e decrescente em ambos os sexos na taxa de letalidade no município de Serrana, na cidade de Botucatu houve tendência de mortalidade e incidência crescentes no mesmo período observado. Conclusão: a estratégia de vacinação em massa dos munícipes das cidades de Botucatu e Serrana apresentam dados robustos para considerar que a imunização tem efeito de queda no número de casos e óbitos por COVID-19, o que contribui efetivamente no combate a pandemia e reduz a contaminação e evolução da doença para casos mais graves.Alternate : Introduction: in 2019, the proliferation of a virus identified as SARS-CoV-2 emerged in the city of Wuhan, a district in China, quickly spread throughout the world, gaining pandemic status and less than 1 year, its repercussions and magnitude caused scientists, governments and society to adopt severe measures to combat this disease. Objective: to analyze mortality, incidence and mortality from COVID-19 in the municipalities of Botucatu and Serrana, São Paulo, Brazil. Methods: this is an ecological study with a time series design with secondary data. All registered cases and deaths registered by COVID-19 from April 2020 to August 2021 in the municipalities of Botucatu and Serrana, São Paulo, Brazil were considered. The incidence, mortality and lethality rate were used. The monthly and/or weekly percentage variation and their respective 95% confidence intervals were estimated. Results: it identified that 12.88% of the residents of the city of Botucatu were infected with COVID-19 and 8.61% of the population of the municipality of Serrana was infected. There was a stationary trend of mortality and incidence in the period between April 2020 and May 2021 and decreasing in both sexes in the mortality rate in the municipality of Serrana, in the city of Botucatu there was a trend of increasing mortality and incidence in the same period observed. Conclusion: The mass vaccination strategy of citizens in the cities of Botucatu and Serrana present robust data to consider that immunization has a decreasing effect on the number of cases and deaths from COVID-19, which effectively contributes to fighting the pandemic and reduces the contamination and progression of the disease to more severe cases.

Trompe-la-mort

Résumé Contexte L’incertitude est consubstantielle de la pratique psychanalytique, fondée sur une ouverture à l’inconnu. La règle fondamentale en institue l’expérience au fondement de la cure. Elle est tout à fois la réponse méthodologique la plus ajustée aux logiques du sexuel infantile et le ressort privilégié de son appropriation subjective. Objectifs L’auteur souhaite opposer à cette incertitude féconde une incertitude fondée sur une dépendance vitale qui, sur fond de lien passionnel, tend à figer le processus analytique et vise la destruction de la cure. Partant, il s’agit de problématiser le régime d’incertitude propre à l’expérience-limite. Cette expérience de « lutte à mort contre la mort » s’engage lorsqu’une emprise apparemment sans issue s’exerce sur un être humain et le dépossède « d’un droit impersonnel à la vie » (N. Zaltzman, 1998). De quels ressorts la pratique psychanalytique dispose-t-elle dans un tel contexte ? Méthode L’auteur s’appuie à la fois sur une pratique clinique de psychanalyste et son travail de superviseur auprès d’équipes confrontées à des cliniques de la grande précarité. Les champs anthropologiques ou artistiques sont également convoqués pour explorer les logiques de l’expérience-limite. L’auteur met à l’étude le concept de pulsion anarchiste proposé par Nathalie Zaltzman : il en propose un réexamen critique tout en soulignant sa grande valeur sur le plan clinique. À l’horizon de ce questionnement, l’auteur interroge la psychanalyse au regard de la crise environnementale, pensée comme expérience-limite à venir. Résultats Quelles sont les ressources d’une psychanalyse aux prises avec l’expérience-limite ? Le travail clinique en régime anarchiste assure la constitution d’une résistance singulière au cœur des zones de mort. Elle a vocation à armer psychiquement les sujets pour soutenir une capacité à jouir de l’existence malgré tout, sans sombrer dans la psychose, l’apathie, l’aliénation. Traversée par l’expérience-limite (la crise de la Covid-19, par exemple), une psychanalyse travaillée par la pulsion anarchiste peut, en retour, entreprendre un travail de réexamen de ses fondements et de déplacement de ses paradigmes fondateurs. Conclusion Ce texte interroge les changements de paradigme cliniques et théoriques requis par un régime spécifique d’incertitude, celui de l’expérience-limite. Le questionnement clinique se double d’une interrogation anthropologique, sur fond de crise environnementale. Ce texte constitue une première approche et s’efforce de poser quelques jalons au cœur d’un chantier considérable. Background Uncertainty is consubstantial with psychoanalytic practice, which is based on an openness to the unknown. The fundamental rule institutes the experience on which the treatment is based, and is, at the same time, the most appropriate methodological answer to the logics of infantile sexuality and the motor of its subjective appropriation. Objectives To this fertile uncertainty, the author opposes an uncertainty based on vital dependancy that, on account of passionate bonding, tends to freeze the analytic process and threatens to destroy the cure. Therefore, it is a question of problematizing the regime of uncertainty proper to limit-experiences. This experience of “death struggle against death” is engaged when an apparently hopeless hold is exerted on a human being and dispossesses him/her “of an impersonal right to life” (N. Zaltzman, 1998). What resources does psychoanalytic practice have in such a context? Method The author draws on both his clinical practice as a psychoanalyst and his work as a supervisor of teams confronted with situations of extreme precarity. Anthropological and artistic fields are also called upon to explore the logic of the limit-experience. The author examines the concept of the anarchist drive theorized by Nathalie Zaltzman: he proposes a critical re-examination while underlining its great value on the clinical level. In the wake of this questioning, the author questions psychoanalysis with regard to the environmental crisis, conceived of a limit-experience to come. Results What resources does psychoanalysis possess in its struggles with limit-experiences? Clinical work in the anarchist regime secures the constitution of a singular resistance in the heart of the death zones. Its vocation is to psychically arm subjects with a capacity to enjoy existence in spite of everything, without sinking into psychosis, apathy, or alienation. Marked by a limit-experience (the Covid-19 crisis, for example), a psychoanalysis worked-through by the anarchist drive can, in return, undertake the work of re-examining of its foundations and of displacing its founding paradigms. Conclusion This text questions the clinical and theoretical paradigm shifts required by a specific regime of uncertainty, that of the limit-experience. The clinical questioning is coupled with an anthropological questioning, against the background of the environmental crisis. This text constitutes a first approach and tries to lay down some milestones in the heart of a considerable construction site.

Intersections of personal vs. collective trauma during the COVID-19 pandemic: the hijacking of the human imagination.

This paper explores how the deadly shadow of COVID-19 passing over the Earth constitutes a collective trauma that frequently opens up or 'triggers' un-remembered personal trauma, and it provides clinical examples of these intersections. The paper further explores how the human imagination, which we normally utilize to make meaning out of traumatic experience, can be hijacked by fear - leading to avoidance of suffering and to illusory formulations and alternative realities such as conspiracy theories. Alternatively, the imagination can be employed in more realistic and creative ways - leading through conscious suffering to healing and wholeness. Which path the imagination takes is shown to depend on the capacity of individuals to feel the full reality of the human condition in general and the exquisite vulnerability of our existence as fragile human beings at this moment in history. Ernest Becker's analysis of our 'denial of death' and his urgency to embrace our common human vulnerability is explored in relation to Jung's early tendency to deny the body. The author proposes that the more creative uses of the imagination, connected to a more humble and realistic apprehension of our common destiny, may be seen in the 'Black Lives Matter' movement that swept the world in the aftermath of the COVID-19 outbreak.

Cet article explore comment l'ombre de mort de la COVID-19, passant sur la terre, constitue un traumatisme collectif qui souvent ouvre ou ravive un traumatisme personnel non-remémoré. L'article fournit des exemples cliniques de telles intersections. Il explore comment l'imagination humaine, que nous utilisons normalement pour donner du sens à nos expériences traumatiques, peut être détournée par la peur. Ceci mène à l'évitement de la souffrance et à des formulations illusoires ou réalités alternatives telles que les théories du complot. Mais l'imagination peut aussi être employée de manières plus réalistes et créatives, nous guidant à travers une souffrance consciente à la guérison et la complétude. Nous montrerons que le choix du chemin que l'imagination emploie dépend de la capacité des personnes à éprouver la pleine réalité de la condition humaine en général et la vulnérabilité magnifique de notre existence en tant qu'êtres humains fragiles à ce moment de l'histoire. L'analyse que fait Ernest Becker de notre 'déni de la mort' et son insistance à épouser notre vulnérabilité humaine commune est étudiée et mise en relation avec la tendance de Jung, au début de son œuvre, à renier le corps. L'auteur propose que les utilisations plus créatives de l'imagination, reliées à une appréhension plus humble et plus réaliste de notre destinée commune, peuvent se retrouver dans le mouvement Black Lives Matter, mouvement qui a balayé le monde à la suite de la flambée de COVID-19.

El presente trabajo explora como la sombra mortal del COVID-19 pasando sobre la tierra constituye un trauma colectivo que frecuentemente abre o 'activa' trauma personal no recordado. Se proveen ejemplos clínicos de estas intersecciones. El escrito además explora cómo la imaginación humana, la cual normalmente utilizamos para encontrar sentido a partir de experiencias traumáticas, puede ser apropiada por el miedo - conduciendo a la evitación del sufrimiento y a formulaciones ilusorias y realidades alternativas tales como las teorías conspirativas. Alternativamente, la imaginación puede ser empleada en modos más realistas y creativos - conduciendo a través del sufrimiento consciente a la sanación y a la integridad. Cual camino toma la imaginación, se muestra que depende de la capacidad de los individuos para sentir la realidad plena de la condición humana en general y la exquisita vulnerabilidad de nuestra existencia como frágiles seres humanos en este momento de la historia. El análisis de nuestra 'negación de la muerte' de Ernest Becker y su urgencia por acoger nuestra común vulnerabilidad humana es explorada con relación a la temprana tendencia en Jung de negar el cuerpo. El autor propone que los usos más creativos de la imaginación, conectados a una aprehensión más humilde y realista de nuestro destino común, puede ser vista en el movimiento Black Lives Matter que recorrió el mundo en las postrimerías del estallido del COVID-19.