{"id":10791,"date":"2026-08-27T09:23:44","date_gmt":"2026-08-27T07:23:44","guid":{"rendered":"https:\/\/wp.unil.ch\/esspace\/?p=10791"},"modified":"2026-08-27T09:23:45","modified_gmt":"2026-08-27T07:23:45","slug":"julia-kolly","status":"publish","type":"post","link":"https:\/\/wp.unil.ch\/esspace\/2026\/08\/julia-kolly\/","title":{"rendered":"Julia Kolly"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>L\u2019annonce d\u2019une progression de la maladie en oncologie : un d\u00e9fi collectif entre professionnel\u00b7le\u00b7s de la sant\u00e9, patient\u00b7e\u00b7s et proche(s)<\/strong><\/p>\n\n\n\n<!--more-->\n\n\n\n<p class=\"wp-block-paragraph\"><em>Titulaire d\u2019un bachelor en psychologie et d\u2019un master en psychologie de la sant\u00e9 de l\u2019Universit\u00e9 de Lausanne, Julia Kolly est psychologue FSP. Elle a poursuivi son parcours acad\u00e9mique par un doctorat r\u00e9alis\u00e9 sous la co-direction de la Professeure Sophie Lelorain (Universit\u00e9 de Lausanne) et du Dr Kristopher Lamore (Universit\u00e9 de Lille). Sa th\u00e8se s\u2019inscrit dans le cadre du projet international RESIST et porte sur les enjeux communicationnels et psychosociaux li\u00e9s aux annonces de progression du cancer. Julia Kolly a soutenu sa th\u00e8se le 18 mars 2026.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les progr\u00e8s m\u00e9dicaux notamment en mati\u00e8re de traitement en oncologie et l\u2019allongement de l\u2019esp\u00e9rance de vie ont profond\u00e9ment transform\u00e9 les trajectoires de la maladie. Si les traitements se multiplient et prolongent parfois la survie, ils s\u2019accompagnent aussi de situations r\u00e9p\u00e9t\u00e9es de progression de la maladie. L\u2019annonce qu\u2019un traitement n\u2019est plus suffisamment efficace constitue ainsi un moment charni\u00e8re du parcours de soins : elle confronte patient\u00b7e\u00b7s, proches et professionnel\u00b7le\u00b7s de sant\u00e9 \u00e0 une r\u00e9alit\u00e9 incertaine, tout en ouvrant la possibilit\u00e9 d\u2019une nouvelle option th\u00e9rapeutique. Ces consultations cristallisent des enjeux \u00e9motionnels, relationnels et d\u00e9cisionnels majeurs, encore peu explor\u00e9s dans la litt\u00e9rature scientifique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Inscrite dans le cadre du projet international RESIST, cette th\u00e8se examine les consultations d\u2019annonce de progression du cancer en Suisse et en France au travers des regards crois\u00e9s des professionnel\u00b7le\u00b7s de la sant\u00e9 (oncologues, chirurgien\u00b7ne\u00b7s et infirmier\u00b7\u00e8re\u00b7s) qu\u2019ils\/elles soient exp\u00e9riment\u00e9\u00b7e\u00b7s ou en formation, ainsi que des patient\u00b7e\u00b7s atteint\u00b7e\u00b7s de cancer et de leur(s) proche(s). S\u2019appuyant sur des approches qualitatives, cette th\u00e8se interroge la mani\u00e8re dont ces annonces sont pr\u00e9par\u00e9es, formul\u00e9es, re\u00e7ues et mises en sens. Les r\u00e9sultats mettent en \u00e9vidence les tensions auxquelles sont confront\u00e9\u00b7e\u00b7s les professionnel\u00b7le\u00b7s, partag\u00e9\u00b7e\u00b7s entre imp\u00e9ratifs biom\u00e9dicaux, contraintes institutionnelles et volont\u00e9 d\u2019empathie. Du c\u00f4t\u00e9 des patient\u00b7e\u00b7s et des proches, la progression est d\u00e9crite \u00e0 la fois comme un choc et comme une \u00e9tape progressivement int\u00e9gr\u00e9e dans un parcours marqu\u00e9 par l\u2019incertitude. Les analyses r\u00e9v\u00e8lent \u00e9galement les dynamiques de pouvoir et les n\u00e9gociations implicites qui traversent les discussions autour des choix th\u00e9rapeutiques, questionnant les id\u00e9aux contemporains de d\u00e9cision partag\u00e9e.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancr\u00e9e dans la discipline de la psychologie critique de la sant\u00e9, cette th\u00e8se contribue \u00e0 une compr\u00e9hension fine de ces consultations et propose des pistes concr\u00e8tes pour am\u00e9liorer l\u2019accompagnement des personnes confront\u00e9es \u00e0 de telles situations, tout en interrogeant les cadres institutionnels et soci\u00e9taux qui structurent ces \u00e9changes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019annonce d\u2019une progression de la maladie en oncologie : un d\u00e9fi collectif entre professionnel\u00b7le\u00b7s de la sant\u00e9, patient\u00b7e\u00b7s et proche(s)<\/p>\n","protected":false},"author":163,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_fb_img":"","_seopress_social_fb_img_attachment_id":0,"_seopress_social_fb_img_width":0,"_seopress_social_fb_img_height":0,"_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_seopress_social_twitter_img":"","_seopress_social_twitter_img_attachment_id":0,"_seopress_social_twitter_img_width":0,"_seopress_social_twitter_img_height":0,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"","_seopress_redirections_param":"","_seopress_redirections_type":0,"_seopress_analysis_target_kw":"","_seopress_news_disabled":"","_seopress_video_disabled":"","_seopress_video":[],"_seopress_pro_schemas_manual":[],"_seopress_pro_rich_snippets_disable_all":"","_seopress_pro_rich_snippets_disable":[],"_seopress_pro_schemas":[],"_uag_custom_page_level_css":"","_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"footnotes":""},"categories":[19451],"tags":[],"class_list":["post-10791","post","type-post","status-publish","format-standard","category-theses"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"hitmag-landscape":false,"hitmag-featured":false,"hitmag-grid":false,"hitmag-list":false,"hitmag-thumbnail":false,"gform-image-choice-sm":false,"gform-image-choice-md":false,"gform-image-choice-lg":false,"mailpoet_newsletter_max":false},"uagb_author_info":{"display_name":"sschlat1","author_link":"https:\/\/wp.unil.ch\/esspace\/author\/sschlat1\/"},"uagb_comment_info":0,"uagb_excerpt":"L\u2019annonce d\u2019une progression de la maladie en oncologie : un d\u00e9fi collectif entre professionnel\u00b7le\u00b7s de la sant\u00e9, patient\u00b7e\u00b7s et proche(s)","_links":{"self":[{"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/posts\/10791","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/users\/163"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/comments?post=10791"}],"version-history":[{"count":1,"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/posts\/10791\/revisions"}],"predecessor-version":[{"id":10792,"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/posts\/10791\/revisions\/10792"}],"wp:attachment":[{"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/media?parent=10791"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/categories?post=10791"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.unil.ch\/esspace\/wp-json\/wp\/v2\/tags?post=10791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}