Ce mémoire a pour objectif de retracer les modes d’intervention qu’entretiennent les intervenants de la santé vis-à-vis des aidants familiaux ayant un proche atteint d’une maladie cognitive de type Alzheimer. À l’aide de l’analyse de contenu, nous allons explorer quels sont les modes d’intervention qu’ils privilégient dans un contexte d’impératifs technocratiques. Pour ce faire, nous avons étudié les entrevues menées auprès de 12 intervenants provenant de diverses professions du champ de la santé et des services sociaux, qui ont un rapport direct avec les aidants familiaux. Les résultats indiquent deux types de mode d’intervention : soit, des rapports de connivence ou de non connivence. Ces deux modes d’intervention se distinguent principalement par le recours aux savoirs pratiques. / This thesis will portray the intervention modes which health professionals maintain with respect to helping caregivers having an ill relative affected by Alzheimer-type cognitive disease. Using a qualitative approach, we explore which are the intervention modes that experts privilege, in a context of technocratic requirements. Thus, using content analysis, we explored the interviews of 12 practitioners from several professional fields and having a direct relationship with caregivers. Results indicate that there are two types of intervention. On one hand, there are practitioners who adopt an approach of complicity with the caregivers and, on the other hand, there are those who adopt an approach of non complicity with the caregiver. These two types of practitioner differ mainly on having or not practical experience.

Ce mémoire a pour objectif de retracer les modes d’intervention qu’entretiennent les intervenants de la santé vis-à-vis des aidants familiaux ayant un proche atteint d’une maladie cognitive de type Alzheimer. À l’aide de l’analyse de contenu, nous allons explorer quels sont les modes d’intervention qu’ils privilégient dans un contexte d’impératifs technocratiques. Pour ce faire, nous avons étudié les entrevues menées auprès de 12 intervenants provenant de diverses professions du champ de la santé et des services sociaux, qui ont un rapport direct avec les aidants familiaux. Les résultats indiquent deux types de mode d’intervention : soit, des rapports de connivence ou de non connivence. Ces deux modes d’intervention se distinguent principalement par le recours aux savoirs pratiques. / This thesis will portray the intervention modes which health professionals maintain with respect to helping caregivers having an ill relative affected by Alzheimer-type cognitive disease. Using a qualitative approach, we explore which are the intervention modes that experts privilege, in a context of technocratic requirements. Thus, using content analysis, we explored the interviews of 12 practitioners from several professional fields and having a direct relationship with caregivers. Results indicate that there are two types of intervention. On one hand, there are practitioners who adopt an approach of complicity with the caregivers and, on the other hand, there are those who adopt an approach of non complicity with the caregiver. These two types of practitioner differ mainly on having or not practical experience.

This thesis provides a framework for viewing socio-political contexts and how these relate to interventionist projects. The framework draws on and combines strands from international relations and sociological perspectives of social interaction. The central question becomes how intervention and existing social contexts interact to produce unintended outcomes. It applies the analysis to two separate wider contexts: Afghanistan and Somalia, with a particular focus on the self-declared independent Somaliland as an internally generated and controlled transformational process. Unlike abstract directions of theoretical development the framework seeks to provide a platform that sets aside ideological assumptions and from which interventionist projects can be observed and evaluated based on literature, field observations and interviews. Drawing on such diverse influences as fourth generation peace and conflict studies, Morphogenetics, and social forces theory, the framework explores conditions and interest formations to capture instances of local agency that are part of a continuity of local realities. It views social interaction without imposing Universalist value assumptions, but also without resorting to relativism or raising so many caveats that it becomes impractical. It exposes the agency of local interest formations hidden beneath the discourses of ideologically framed conflicts. These social agents are often dismissed as passive victims to be brought under the influence of for example the state, but are in reality able to subvert, co-opt, constrain or facilitate the forces that are dependent on them for social influence. In the end, it is the modes of mobilisation that emerge as the most crucial factor for understanding the relevant social dynamics.