Ethics and humanization of care: Reflections in the teaching of French institutional psychotherapy experience
pdf

Keywords

Institutional psychotherapy
therapeutic process
role-based interaction
rehabilitation
dignity
individuality

Abstract

French institutional psychotherapy, developed by Jean Oury and his team at the Clinic de la Borde, has played a significant role in the evolution of psychotherapeutic practice, highlighting the importance of considering the institutional context as a determining factor in understanding and treating mental disorders.

This innovative approach, based on recognition of asylums' pathogenic effects, has placed particular emphasis on the humanisation of treatment and the application of bioethical principles within psychiatric institutions. This article aims to investigate the key elements of French institutional psychotherapy, analysing its relationship with bioethics and its contribution to the humanisation of care.

https://doi.org/10.15167/2421-4248/jpmh2023.64.2.3020
pdf

References

Daumezon G, Koechlin P. Psychothérapie française institution- nelle contemporaine. An Portug Psiquiatr 1952; 4(4):271-312.

Touzet P. La psychothérapie institutionnelle [Institutional psychotherapy]. Soins Psychiatr 2013;(284):5-6.

Guenther K, Robcis C. Disalienation: Politics, Philosophy, and Radical Psychiatry in Postwar France. The American Historical Review 2023;128(2):1037-9.

Delion P. La psychothérapie institutionnelle. Une démarche [Institutional psychotherapy. A process]. Soins Psychiatr 1996;(186):7-14.

Drogoul F. Psychothérapie institutionnelle, soigner les patients et les lieux [Institutional psychotherapy, caring for patients and the place of care]. Soins Psychiatr 2013;(286):21-4.

Peirce CS. Collected Papers of Charles Sanders Peirce. Volumes V and VI: Pragmatism and Pragmaticism. Edited by Charles Hartshorn and Paul Weiss. Cambridge: Harvard University.

Varkey B. Principles of Clinical Ethics and Their Application to Practice. Med Princ Pract 2021;30(1):17-28. doi: 10.1159/000509119.

Lunov V. Institutional Psychotherapy in Terms of Maintaining the Subjectivity of an Individual. 2019; Available at: https://ssrn.com/abstract=3361332

Molinelli A, Bonsignore A, Rocca G, Ciliberti R. Medical treatment and patient decisional power: The Italian state of the art. Minerva Medica 2009;100(5):429-34.

Henckes N, Lovell AM. 'Basaglia in France: The marginality of exemplarity', in Tom Burns, and John Foot (eds), Basaglia's International Legacy: From Asylum to Community. Oxford: Oxford Academic; 2020: pp. 275-94.

Watson J. Living with Madness: Experimental Asylums in Poststructuralist France. Cultural Critique 2019;(104):137-57. doi: https://doi.org/10.1353/cul.2019.0037f

Rozier E. La clinique de la Borde ou les relations qui soignent. Toulouse: Erès; 2014:18.

Cano N. Fondements ethiques de la psychothérapie institutionnelle [Ethical foundations of institutional psychotherapy]. Encephale 2006;32(2 Pt 1):205-12. doi: 10.1016/s0013-7006(06)76146-2.

Wilson DS, Coan JA. Groups as organisms: Implications for therapy and training. Clinical Psychology Review 2021;85:101987. doi: 10.1016/j.cpr.2021.101987

Gennart M. "La fonction d'accueil". En mémoire de Jean Oury ["The function of the welcome". In memory of Jean Oury]. Rev Med Suisse 2014;10(435):1362-3

Fontaine P. La psychose et les frontières de la folie. Dans Recherche en soins infirmiers 2014;2(117):8-20.

Canguilhem G. Le Normal et le Pathologique. Paris: PUF; 2013.

Margree V. Normal and Abnormal: Georges Canguilhem and the Question of Mental Pathology. Philosophy, Psychiatry, & Psychology 2002;9:299-312. 10.1353/ppp.2003.0056.

Buchanan A. Georges Canguilhem and the Diagnosis of Personality Disorder. Journal of the American Academy of Psychiatry and the Law Online 2007;35(2):148-51.

Jacques P. Souffrance psychique et souffrance sociale. Pensée plurielle 2004;2(8):21-9.

Joseph I, Proust J. La folie dans la place. Pathologies de l’interaction. Paris: Éditions de l’École des hautes études en sciences sociales; 1996:7.

Rozier E. La clinique de la Borde ou les relations qui soignent. Toulouse: Erès ; 2014

Grice HP. Logique et conversation. Communications 1979;30:57-72.

Grivois H. Parler avec les fous. Paris: Empecheurs; 2007

Troubé S. First-Episode Psychosis and Centrality in the Work of Psychiatrist Henri Grivois: A Dialog with Phenomenological Psychopathology. Psychopathology 2023;56(3):165-72. doi:10.1159/000525425

Delion P. Qu’est-ce que la Psychothérapie institutionnelle? Paris: Edition d’Une; 2018:15.

Kjaerholm L. Chapter 11 - Ground, Self, Sign: The Semiotic Theories of Charles Sanders Peirce and Their Applications in Social Anthropology from Part II - Sources of Philosophical Anthropology Published online by Cambridge University Press: 05 March 2014.

Patuzzo S, De Stefano F, Ciliberti R. The Italian code of medical deontology. Historical, ethical and legal issues. Acta Biomedica 2018;89(2):157–64. doi: 10.23750/abm.v89i2.6674

Ciliberti R, Gulino M, Gorini I. New Italian law about end of life: Self-determination and shared care pathway. [La nuova normativa italiana sul fine vita: L’autodeterminazione e la condivisione del percorso di cura]. Recenti Progressi in Medicina 2018; 109(5):267–71. doi: 10.1701/2902.29245.