Psychosocial therapies or the new spirit of care

Author/s Alain Ehrenberg
Publishing Year 2021 Issue 2021/3
Language Italian Pages 18 P. 9-26 File size 200 KB
DOI 10.3280/RSF2021-003002
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Since the beginning of the 21st century, psychosocial therapies (i.e., rehabilitation) and the frequently associated topic of recovery have long been a theme of interest in France. These topics constitute the paradigm of a new spirit of care - which consists in the resocialization of the individual based on the criteria of autonomy - and represent a radical individualistic turn of the therapeutic practices stemming from the cognitive-behavioural approach. It represents a social turning point, a change in the current modalities of care. The author proposes a sociological approach of this new spirit of care in mental health nowadays, studying the interactions between human beings and society. The reciprocal relationships between new social ideals of individual autonomy (the ideal of hidden potentials) and the changes in therapeutic approaches to patients - now conceived in terms of disabilities or resources, rather than in terms of symptoms - are described. The author proposes a sociological hypothesis to explain how therapies work, comparing individualistic healing - that comprises the patient’s recovery - and the ritual healing of unilinear filiation societies. The author highlights that our present idea of the human being in society - the social spirit - and our understanding of therapy - the spirit of treatment - evolved interdependently.

Keywords: psychosocial rehabilitation, recovery, autonomy, treatment, surgery, schizophrenia, mental health.

  1. Ehrenberg A., 2018. La Mécanique des passions. Cerveau, comportement, société. Paris, Odile Jacob [La Meccanica delle passioni. Cervello, Comportamento, Società, Einaudi, 2019].
  2. Sacks O., 1996. Un Anthropologue sur Mars. Paris, Seuil.
  3. Sacks O., 1988. L’Homme qui prenait sa femme pour un chapeau. Paris, Seuil. Burton A., Lopez-Ibor J. J. et Mendel W. M., 1974. Schizophrenia as a Lifestyle. New York, Springer.
  4. Crossley M. L. et Crossley M., “Patient” Voices, Social Movements and the Habitus; how psychiatric Survivors “Speak out”, Social Science and Medicine, 52, 2001, 1477-1489.
  5. Johnson L., Voice hearers are people with problems, not patients with illnesses, in M. Romme and S. Escher (eds.), Psychosis as a Personal Crisis: An Experience-Based Approach. Londres, Routledge, 2011, 27-36.
  6. Leader D., 2011. What is Madness? London, Penguin Books.
  7. Lamb H. R., 1994. Century and a Half of Psychiatric Rehabilitation in the United States, Hospital and Community Psychiatry, 45, 10: 1015-1020.
  8. Lafont-Rapnouil S., La réhabilitation psychosociale: quelle réforme des systèmes de soins ?, L’Information psychiatrique, 5, 89, 2013, 372-377.
  9. Saout C., Cap Santé. Rapport en vue du cahier des charges des expérimentations des projets d’accompagnement à l’autonomie prévues par le projet de loi de modernisation de notre système de santé, ministère de la Santé et des Affaires Sociales 2015
  10. Agence Nationale d’Appui à la Perdormance, Mettre en place la réhabilitation psychosociale, mars 2019. --
  11. [Leguay D. et al., Le manifeste de Reh@b…, L’Information psychiatrique, vol 84, 10, décembre 2008, 885-893.
  12. Duprez M., Réhabilitation psychosociale et psychothérapie institutionnelle, L’Information psychiatrique, 84, 10, 2008, 907-912.
  13. Condat A. L’intersubjectivité dans la remédiation cognitive. Perspectives Psy,2016; 55: 77-87.
  14. Altobelli A., Fratini V., Chaperot C. V., Psychothérapie institutionnelle, remédiation cognitive et organisation sectorielle: l’expérience du secteur G06 d’Abbeville, L’Information psychiatrique, 94, 1, 2018
  15. Pillet B., 2010. Thérapie de remédiation cognitive et psychothérapie : passer de handicapé à “handicapable”, La Lettre de Réh@b’, mars : 3.
  16. Durkheim E., 1985 [1912]. Les Formes élémentaires de la vie religieuse. Paris, PUF, coll. Quadrige.
  17. Ortigues E. 2012 [1977]. Qu’est-ce qu’une guérison rituelle?, In Le Temps de la parole. Presses universitaires de Rennes, coll. Philosophica: 97-103.
  18. Davidson L. et al. 2006. Peer support among adults with serious mental illness: a report from the field, Schizophrenia Bulletin, 32: 443-450.

Alain Ehrenberg, Le terapie psicosociali o il nuovo spirito della cura in "RIVISTA SPERIMENTALE DI FRENIATRIA" 3/2021, pp 9-26, DOI: 10.3280/RSF2021-003002