{"id":7433,"date":"2025-06-28T18:17:25","date_gmt":"2025-06-28T18:17:25","guid":{"rendered":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/"},"modified":"2025-06-29T05:07:09","modified_gmt":"2025-06-29T05:07:09","slug":"stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/","title":{"rendered":"Stoma and shame: engaging affect in the adaptation to a medical device"},"content":{"rendered":"

This article was originally published as: Stoma and shame: engaging affect in the adaptation to a medical device<\/strong><\/p>\n

Original Article Link: Read Original Article<\/a><\/p>\n

Download PDF: Click Here to Download PDF<\/a><\/p>\n

Abstract<\/h2>\n

Objective: The objective is to understand difficulties some patients have with their adaptation to a medical device, specifically a stoma and an ostomy appliance, following gastro-enterologic surgery. A partial or total colectomy is typically performed in cases of digestive cancers, Crohn\u2019s disease, or anal incontinence. A psychotherapeutic application deduced from this understanding is described. The therapeutic approach is informed by Lacanian psychoanalysis.
\nSetting: The setting is the digestive surgery services section of a large public teaching hospital in France. The clinical team conducting the interventions described perform their work with patients post-operatively.
\nSubjects: Selected cases are chosen to provide brief illustrations of the analysis and the psychotherapeutic approach developed.
\nPrimary argument: This study focuses on the impact of the stoma and the ostomy appliance on the subjectivity of the patient and shows how the affect of shame can appear. It is noted that the affect of shame in the adaptation to an ostomy appliance has not been investigated to date. This affect can in turn have psychological effects on the gastroenterologist treatment itself, even to the point of the patient\u2019s abandonment of ongoing care. The analysis reported here explores the recognition of shame when it might be present, and the process of accompanying the patient therapeutically, engaging the logic of the transference.
\nConclusion: Shame cannot be treated by ignorance or by indifference. A psychotherapeutic application engaging the transference between the patient and members of the nursing and psychotherapeutic team, helps patients support shame and adapt well to the ostomy bag.<\/p>\n

Authors<\/h2>\n
    \n
  • Lionel Diebold<\/li>\n<\/ul>\n

    Keywords<\/h2>\n

    stoma, ostomy appliance, colostomy, Lacanian psychoanalysis, shame, transference<\/p>\n

    References<\/h2>\n

    References not available for this article.<\/p>\n","protected":false},"excerpt":{"rendered":"

    This article was originally published as: Stoma and shame: engaging affect in the adaptation to a medical device Original Article…<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[4476,4477,4475,4478,4474,4479],"class_list":["post-7433","post","type-post","status-publish","format-standard","hentry","category-articles","tag-colostomy","tag-lacanian-psychoanalysis","tag-ostomy-appliance","tag-shame","tag-stoma","tag-transference","wpcat-124-id"],"yoast_head":"\nStoma and shame: engaging affect in the adaptation to a medical device - IJSSASS Repository<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stoma and shame: engaging affect in the adaptation to a medical device - IJSSASS Repository\" \/>\n<meta property=\"og:description\" content=\"This article was originally published as: Stoma and shame: engaging affect in the adaptation to a medical device Original Article...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/\" \/>\n<meta property=\"og:site_name\" content=\"IJSSASS Repository\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ijssass\" \/>\n<meta property=\"article:published_time\" content=\"2025-06-28T18:17:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-06-29T05:07:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ijssass.com\/journal\/wp-content\/uploads\/2023\/07\/c-users-user-desktop-logo-pnglogo-2.png\" \/>\n\t<meta property=\"og:image:width\" content=\"300\" \/>\n\t<meta property=\"og:image:height\" content=\"195\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\/\/ijssass.com\/journal\/#\/schema\/person\/adf9bae5731958270e2140cfc1af3771\"},\"headline\":\"Stoma and shame: engaging affect in the adaptation to a medical device\",\"datePublished\":\"2025-06-28T18:17:25+00:00\",\"dateModified\":\"2025-06-29T05:07:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/\"},\"wordCount\":315,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/ijssass.com\/journal\/#organization\"},\"keywords\":[\"colostomy\",\"Lacanian psychoanalysis\",\"ostomy appliance\",\"shame\",\"stoma\",\"transference\"],\"articleSection\":[\"Articles\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/\",\"url\":\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/\",\"name\":\"Stoma and shame: engaging affect in the adaptation to a medical device - IJSSASS Repository\",\"isPartOf\":{\"@id\":\"https:\/\/ijssass.com\/journal\/#website\"},\"datePublished\":\"2025-06-28T18:17:25+00:00\",\"dateModified\":\"2025-06-29T05:07:09+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/ijssass.com\/journal\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Stoma and shame: engaging affect in the adaptation to a medical device\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ijssass.com\/journal\/#website\",\"url\":\"https:\/\/ijssass.com\/journal\/\",\"name\":\"INTERNATIONAL JOURNAL OF SOCIAL SCIENCES AND SCIENTIFIC STUDIES\",\"description\":\"Open Access Library\",\"publisher\":{\"@id\":\"https:\/\/ijssass.com\/journal\/#organization\"},\"alternateName\":\"IJSSASS\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ijssass.com\/journal\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/ijssass.com\/journal\/#organization\",\"name\":\"INTERNATIONAL JOURNAL OF SOCIAL SCIENCES AND SCIENTIFIC STUDIES\",\"alternateName\":\"IJSSASS\",\"url\":\"https:\/\/ijssass.com\/journal\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ijssass.com\/journal\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/ijssass.com\/journal\/wp-content\/uploads\/2023\/07\/c-users-user-desktop-logo-pnglogo-3.png\",\"contentUrl\":\"https:\/\/ijssass.com\/journal\/wp-content\/uploads\/2023\/07\/c-users-user-desktop-logo-pnglogo-3.png\",\"width\":300,\"height\":195,\"caption\":\"INTERNATIONAL JOURNAL OF SOCIAL SCIENCES AND SCIENTIFIC STUDIES\"},\"image\":{\"@id\":\"https:\/\/ijssass.com\/journal\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/ijssass\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/ijssass.com\/journal\/#\/schema\/person\/adf9bae5731958270e2140cfc1af3771\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ijssass.com\/journal\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/e2404e10f252fd74bce698fdfc0296b3cfb701b99d14951364bf9586aaa0c4a8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/e2404e10f252fd74bce698fdfc0296b3cfb701b99d14951364bf9586aaa0c4a8?s=96&d=mm&r=g\",\"caption\":\"admin\"},\"sameAs\":[\"https:\/\/ijssass.com\/journal\"],\"url\":\"https:\/\/ijssass.com\/journal\/author\/admin\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Stoma and shame: engaging affect in the adaptation to a medical device - IJSSASS Repository","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/","og_locale":"en_US","og_type":"article","og_title":"Stoma and shame: engaging affect in the adaptation to a medical device - IJSSASS Repository","og_description":"This article was originally published as: Stoma and shame: engaging affect in the adaptation to a medical device Original Article...","og_url":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/","og_site_name":"IJSSASS Repository","article_publisher":"https:\/\/www.facebook.com\/ijssass","article_published_time":"2025-06-28T18:17:25+00:00","article_modified_time":"2025-06-29T05:07:09+00:00","og_image":[{"width":300,"height":195,"url":"https:\/\/ijssass.com\/journal\/wp-content\/uploads\/2023\/07\/c-users-user-desktop-logo-pnglogo-2.png","type":"image\/png"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Written by":"admin","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/#article","isPartOf":{"@id":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/"},"author":{"name":"admin","@id":"https:\/\/ijssass.com\/journal\/#\/schema\/person\/adf9bae5731958270e2140cfc1af3771"},"headline":"Stoma and shame: engaging affect in the adaptation to a medical device","datePublished":"2025-06-28T18:17:25+00:00","dateModified":"2025-06-29T05:07:09+00:00","mainEntityOfPage":{"@id":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/"},"wordCount":315,"commentCount":0,"publisher":{"@id":"https:\/\/ijssass.com\/journal\/#organization"},"keywords":["colostomy","Lacanian psychoanalysis","ostomy appliance","shame","stoma","transference"],"articleSection":["Articles"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/","url":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/","name":"Stoma and shame: engaging affect in the adaptation to a medical device - IJSSASS Repository","isPartOf":{"@id":"https:\/\/ijssass.com\/journal\/#website"},"datePublished":"2025-06-28T18:17:25+00:00","dateModified":"2025-06-29T05:07:09+00:00","breadcrumb":{"@id":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/ijssass.com\/journal\/stoma-and-shame-engaging-affect-in-the-adaptation-to-a-medical-device\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/ijssass.com\/journal\/"},{"@type":"ListItem","position":2,"name":"Stoma and shame: engaging affect in the adaptation to a medical device"}]},{"@type":"WebSite","@id":"https:\/\/ijssass.com\/journal\/#website","url":"https:\/\/ijssass.com\/journal\/","name":"INTERNATIONAL JOURNAL OF SOCIAL SCIENCES AND SCIENTIFIC STUDIES","description":"Open Access Library","publisher":{"@id":"https:\/\/ijssass.com\/journal\/#organization"},"alternateName":"IJSSASS","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ijssass.com\/journal\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/ijssass.com\/journal\/#organization","name":"INTERNATIONAL JOURNAL OF SOCIAL SCIENCES AND SCIENTIFIC STUDIES","alternateName":"IJSSASS","url":"https:\/\/ijssass.com\/journal\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ijssass.com\/journal\/#\/schema\/logo\/image\/","url":"https:\/\/ijssass.com\/journal\/wp-content\/uploads\/2023\/07\/c-users-user-desktop-logo-pnglogo-3.png","contentUrl":"https:\/\/ijssass.com\/journal\/wp-content\/uploads\/2023\/07\/c-users-user-desktop-logo-pnglogo-3.png","width":300,"height":195,"caption":"INTERNATIONAL JOURNAL OF SOCIAL SCIENCES AND SCIENTIFIC STUDIES"},"image":{"@id":"https:\/\/ijssass.com\/journal\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ijssass"]},{"@type":"Person","@id":"https:\/\/ijssass.com\/journal\/#\/schema\/person\/adf9bae5731958270e2140cfc1af3771","name":"admin","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ijssass.com\/journal\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/e2404e10f252fd74bce698fdfc0296b3cfb701b99d14951364bf9586aaa0c4a8?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/e2404e10f252fd74bce698fdfc0296b3cfb701b99d14951364bf9586aaa0c4a8?s=96&d=mm&r=g","caption":"admin"},"sameAs":["https:\/\/ijssass.com\/journal"],"url":"https:\/\/ijssass.com\/journal\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/posts\/7433","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/comments?post=7433"}],"version-history":[{"count":1,"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/posts\/7433\/revisions"}],"predecessor-version":[{"id":8100,"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/posts\/7433\/revisions\/8100"}],"wp:attachment":[{"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/media?parent=7433"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/categories?post=7433"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ijssass.com\/journal\/wp-json\/wp\/v2\/tags?post=7433"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}