[Ebola crisis in Guinea: psychosocial support for patients and caregivers]. / Crise Ebola en Guinée : quelle prise en charge psycho-sociale pour les patients et les soignants ?

The experience of the French military health service in the fight against the Ebola epidemic in Guinea, highlights the importance of what favours the emergence of an institutional life in a context of care faced with numerous constraints and extraordinary challenges. The meticulous drawing up of procedures and the juxtaposition of expertise goes hand in hand with the construction of a triangular care system (caregivers-patients-families). This relational approach ensures each player in this system is able to find their place and a balance between constraints and satisfactions, losses and successes, isolation and support. This balance seems to favour individual and group resilience.

[Operational fatigue: debriefing from Kapisa, Afghanistan]. / La fatigue opérationnelle : retour d'expérience Afghanistan/Kapisa.

The concept of operational fatigue, a term first used during the Second World War, was subsequently extended to encompass a vague series of psychological disorders. This article looks back at an overseas operation in Afghanistan, during the summer of 2011, where the tense background situation, casualties and fatalities resulted in some members of the commando parachute units suffering from such conditions.

[Reception and involvement of soldiers' families]. / Accueil et implication des families de militaires.

Faced with a mental health crisis, the intervention of nurses, psychologists and psychiatrists is rarely limited to an individual approach. Our team has chosen to structure and systematise the involvement of the families of hospitalised soldiers.A family psychotherapy consultation has also been reinforced in orderto favourthe inclusion of the families of soldiers in crisis. These two tools are complementary and have enabled us to enrich the multidisciplinary work within the unit, as well as the relationship with the patients and families confronted with a crisis.