Une « convergence forcée » ? Ethnographie d’une collaboration entre neurologie et psychiatrie dans un centre de neurosciences en France

Moutaud, Baptiste

doi:10.4000/anthropologiesante.927

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…In this naturalistic model, the symptoms of the disorder or disease are emptied of their personal and moral contents, and all that is left is the biological and cerebral science. This depsychologization strategy is classically considered guilt-free [20], which could explain its prevalence in the public, but it must be handled with caution. For example, it is not necessarily preferable in society to be have a brain injury than to have been diagnosed with a psychological disorder.…”

Section: Resultsmentioning

confidence: 99%

Analysis of the Recomposition of Norms and Representations in the Field of Psychiatry and Mental Health in the Age of Electronic Mental Health: Qualitative Study

Morgiève¹,

Sebbane²,

Rosario³

et al. 2019

JMIR Ment Health

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BackgroundFor the World Health Organization, electronic health (eHealth) is seen as an effective way to improve therapeutic practices and disease prevention in health. Digital tools lead to major changes in the field of mental medicine, but specific analyses are required to understand and accompany these changes.ObjectiveOur objective was to highlight the positions of the different stakeholders of the mental health care system on eHealth services and tools, as well as to establish professional and user group profiles of these positions and the uses of these services.MethodsIn order to acquire the opinions and expectations of different categories of people, we carried out a qualitative study based on 10 focus groups (n=70, from 3-12 people per group) composed of: general practitioners, psychiatrists, psychologists, social workers, occupational therapists, nurses, caregivers, mental health services users, user representatives, and the general public. The analyses of focus group discussions were performed independently by four investigators through a common analysis grid. The constant comparative method was adopted within this framework.ResultsThe interviewees expressed different problems that new technologies engender in the field of mental health. What was previously strictly under the jurisdiction of physicians now tends to be fragmented and distributed over different groups and locations. New technologies reposition care in the field of domestic, rather than therapeutic, activities, and thus the conception of care as an autonomous activity in the subject’s life is questioned. The ideal of social autonomy through technology is part of the new logic of health democracy and empowerment, which is linked to a strong, contemporary aspiration to perform. Participants emphasized that there was the potential risk of a decrease in autonomy for the digitally engaged patient, while personal empowerment could become a set of obligations.ConclusionsThis qualitative research highlights the heterogeneity of opinions among the groups and within each group. It suggests that opinions on electronic mental health devices are still far from being stabilized, and that a change management process should be set up to both regulate the development and facilitate the use of these tools.

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Section: Resultsmentioning

confidence: 99%

Analysis of the Recomposition of Norms and Representations in the Field of Psychiatry and Mental Health in the Age of Electronic Mental Health: Qualitative Study

Morgiève¹,

Sebbane²,

Rosario³

et al. 2019

JMIR Ment Health

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“…It is a programme that is part of a more general movement in the last 30 years, with the rise to prominence of the neurosciences and attempts to make psychiatry more scientific. There is indeed the will to turn it into a medical discipline basing its actions on fundamental knowledge, standardised tools and scientifically tested techniques complying with the principles of evidence-based medicine (Ehrenberg and Lovell 2001;Henckes 2019;Moutaud 2012Moutaud , 2016Pickersgill 2012Pickersgill , 2014Rose 2015;Rose and Abi-Rached 2013;Rüppel and Voigt 2019). For CRT proponents, the aim would be to better describe what people are suffering from, to review diagnostic categories and classifications, to determine clinical profiles based on precise measures and assessments of behaviours and abilities.…”

Section: B Placing Neuropsychology At the Heart Of The Approachmentioning

confidence: 99%

Cognitive Optimisation and Schizophrenia: Assembling Heterogeneity, Overcoming the Precariousness of Life, and Challenging Public Health Policies in Psychiatry in France

Moutaud

2021

Cult Med Psychiatry

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Cognitive remediation therapy (CRT) aims to optimize cognitive abilities of people who suffer from schizophrenia in order to improve their social adaptation. This therapeutic orientation was developed in psychiatry in the 1980s and 1990s, at a time when the disorder was being redefined as a neurocognitive deficit disorder. In this article I describe CRT as an assemblage that lies at the intersection of multiple, overlapping theories and spaces of mental disorders and psychiatric care. To do so, I draw on 18 months of ethnographic research conducted in a French hospital unit dedicated to the development of CRT. I argue that the focus on cognitive health and cognitive abilities (or deficits) is not only redefining the logics of care and reshaping medical conceptualizations of schizophrenia, it is also opening up to a new understanding of people's precarious life conditions, where emotional, biological, and cognitive fragility is intertwined with social and economic uncertainty. I then examine the extent to which psychiatrists have extended the goals of CRT to include psychosocial rehabilitation in order to mitigate not only the effects of cognitive deficits, but also the effects of limited social and professional integration encountered by patients. Finally, I conclude with a consideration of how CRT has become, for its proponents in France, a means to develop a policy and organisational project for French psychiatry.

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Comportement d’observance et autonomie des patients en psychiatrie

Bensasson

2013

L'Évolution Psychiatrique

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Une « convergence forcée » ? Ethnographie d’une collaboration entre neurologie et psychiatrie dans un centre de neurosciences en France

Cited by 3 publications

References 22 publications

Analysis of the Recomposition of Norms and Representations in the Field of Psychiatry and Mental Health in the Age of Electronic Mental Health: Qualitative Study

Analysis of the Recomposition of Norms and Representations in the Field of Psychiatry and Mental Health in the Age of Electronic Mental Health: Qualitative Study

Cognitive Optimisation and Schizophrenia: Assembling Heterogeneity, Overcoming the Precariousness of Life, and Challenging Public Health Policies in Psychiatry in France

Comportement d’observance et autonomie des patients en psychiatrie

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