The bill to reform psychiatric care: an insult to culture
must be stupid like man is so often say things as stupid as stupid as his feet, gay as a lark ... ...
The finch is not gay, he is just gay when he is gay, sad when he is sad or not sad nor gay
J. Prévert
prevail when the balance of the presidential action of Nicolas Sarkozy, it will not fail to note that the blast will be initiated between the State and advanced civilizations, cultural achievements of our country. And we can develop a disaster Catalogue speech at the University of Dakar on the African man "never really entered history "Law organizing psychiatric care in ambulatory constraints, administrative detention centers in perpetuity, the dismantling of" camps "of Roma, Travellers, creating an inequality of citizens before the law, tasteless jokes at the tombs Resisters Glières, insulting responses to citizens angry contempt for the readers of the Princess of Cleves, and of course goes on.
Promotion of barbarism insult to characterize the political culture.
The presidential speech and government policy are constantly marked the imperium the culture of results and the action, albeit voluntary agitation, is only through their eyes. Yet within the scope of care to the person suffering psychologically in this direction is disastrous. She dismisses the contributions of clinical psychopathology patiently developed especially by French and German schools, enriched by phenomenological philosophy and engineering Freudian approaches that require patients to listen to each case and a serious training by practitioners in all categories. She plans to the contrary protocolisation practices and assessment context into Clinically, based on definitions of pathological features common structure but without the addition of which lends itself to statistics improperly transposed here. This agitation accompanying pseudo-scientific fact a voluntary transfer, violently chanted, embolden obsessively in the media, interpretation of psychopathology as individual suffering to the affirmation of the patient's dangerousness to others. One might think
indeed unrelated errors of the president and his government with the observation of what is happening in psychiatry today, yet the preference given to false pretenses, there is found hatred of the history and patience, intellectual rigor, we find the cowardly populist passion flattery of ignorance to swallow promoting manufacturing companies guilty, we find a closed bounded to chance and the singularity of events that underlie the possibility of creating civilization. When Picasso painted his
"Dwarf" by that of Velazquez in "Las Meninas" was at the height of his work and in particular the unlearning of academic knowledge: he himself said: "I was eight years Raphael It took me a lifetime to paint like a child. "
In our profession we know what challenges we must confront, cross, to know not to let us know and teach (if not cure) the adventure of the encounter with patients. The sometimes unheard of suffering we could try to use the command, control, attempted to alter by manipulation of behaviors that bother us too much, responding with violence to the fear that sometimes invades we could waive Laine what Tony called "deep solidarity with the folly of the other" denying our own faults, we end up on the side of barbarism which the history of psychiatry has been too often in evidence.
Practitioners of this field is particularly sensitive to what being human can mean, our daily work is to meet with an orientation that limits these trends barbaric, inhuman say, without denying them, make sure to oppose the banning of a particular patient, the suppression of individual behavior by drug stupor or confinement, offering a host for the history of each one with its temporality to enter into trust, with the singularity of mediations everyone recognizes or invented.
But we are called today where the barbarism of the society of control (as defined by Deleuze repeating the phrase of William Burroughs), tries to lead us. Despite the radical protest
psychiatrists dealienating against places of confinement as answer to the question of insanity, despite the inescapable lesson of Foucault, we are invited to participate actively in search of symptom control by the control conditions its emergence in the patient's own home.
The draft law on the rights and protection (sic) of people covered psychiatric care and arrangements for their care-term lover that these things are put-organizes the continuity of the constraint on the pretext of continuity of care; perversion of meaning that falls within the cohort of insults culture, healing the social bond it promotes new avatar comes stigmatize a population and confirm the suspicion against those who do not adhere to the medical project for (non-compliant should I say! ) but also in respect of the foreign, the lazy, the scholar, the paperless, analyst and his patient, neighbor, artist, rights of way, not to mention raccoons, because they are not potential threats to the sleep of the well-meaning? The promotion of the confusion between human rights and citizen and petty small sum of individual rights can shake a cloth in an alleged popular desire for security rather than focusing on the living conditions common to a people. People easily excluded because of ill-being they evoke and we prefer not to see patients are among the prey that the public allows itself in the business of pest hunting scapegoats.
The draft law reforming the duty of care for patients is therefore a paradigm of the deadly attempt to destroy the solidarity guarantee the strength of social bonds among citizens. This is the cardinal of a government project for which the extreme right is manifestly More than a traveling companion and which also protect the interests of the richest places to organize the confrontation of the poorest in their multiple and sometimes conflicting with their interests, or how to forget the matter Woerth Bettencourt-organizing the hunt for Roma and in September the stress in outpatient care which we are determined to fight a battle without compromise. This text
that MPs and senators will have to look at next fall seems it is an insult to culture because it leaves no room for what human ingenuity can help to try to give hospitality to the madness it leaves no room for emergence of creative potential which, in madness, allow topics about to succumb to the tragic breakup of themselves, to regain a foothold, to dare to ask for other people encouraging the discovery of substitution their abyss that life is no longer completely impossible. The close relationship with madness and art, the adoption by the medical teams of fertility whose mental suffering can sometimes be a carrier are evidence against the harm to the social and political integrity of patients is a insult to our culture fertilized by romanticism and surrealism.
The designation of patients as first potentially dangerous is an unacceptable shortcut, a miserable misinterpretation ignoring fertility poetic in their possession, ignoring the contribution of madness to the knowledge of the human soul, his artwork, his scientific discoveries. Ethically, it is the exact opposite of careful consideration and solidarity that requires any practice to really take care of his contemporary. Philosophically she shamelessly denies the fundamental uncertainty of reason.
This law is also characterized by abuse of protocolisation care: the lack of a patient at its meeting, the meeting time with the caregiver being a non-questioning of a formal clinical perspective but a standardized instrument, automatic, mandatory course on behalf of good practice: report topic the administrative authority concerned which eventually handcuffed him back to hospital.
This organization aimed at control of systematized "behavior" is a scandal in the field of aid, care. It is essentially to exclude practitioners, all occupational categories of their primary function: to develop a reflection on their work does not interfere with treatment options.
We know that the only way that we preserve the dignity and integrity of mental patients, and ours lies in the effort to address the particular riddle of suffering of each, and that as Picasso painting his Dwarf did, by getting rid of the trappings of academic conformism. We
every moment of our practices as much as possible to get rid of rubbish and educational psychologizing that the university is willing to promote. We also and especially to get rid of anything that might seem to justify that we become players in the maintenance of public order that we see every day of the legislative arsenal developed by the highest state authorities how he tries to impose a social body to the edge of breaking out in the most exclusionary possible to live together and how it borders on the moral order which the adjective "new" does not limit the horror.
With Freud we can not believe it, but with him it must be to face the facts once again: in times of upheaval in society today globalization, the effects of culture can peacemakers fall one after another and sometimes massively. The worst so sweeping and its attendant agonies, its hell of lost hopes. Marking the extreme difficulty just for men to live together to be in the Babel of languages and impulses, the worst just waiting to return, each delivering unlimited to take his place as his psychic organization as events unfolded, dominant or dominated and sometimes both at once, open stage by the oppression of man by his fellows, with "the straw of misery rotting in the steel of guns" to use yet ... Prévert
Now we are offered no thank you, the poor language of the president reflected incessantly, to make war against, the war against it; postwar economic time is the war on crime and those who embody it: crazy, Roma and undocumented doing, it seems, do the trick.
Bernard-Henri Levy in his article in Le Monde called "the three mistakes of Nicolas Sarkozy: Roma contempt, contempt for the spirit of laws, civil war speech" written "into the language of the forfeiture [...] is the guarantee of a company feverish, unsatisfied, where everyone stands up against each and where resentment and hatred will soon latest cements social bonds "
We know how crazy yet, often already witnessed horrors past experience and sometimes for the same reasons the claim that the fate of those stupid appointed as scapegoats for misfortunes of the world. The etymology may be of great help in understanding these sad neighborhoods:
Alienated from the Latin alius other, the radically alien whose testimony is also the German translation of the word alienate: Entfremdung, then go abroad. It's really this that we are bidden to patients and other foreigners whose radically it would have feared violence.
This is ethically unacceptable a proposal, once again, an insult to the culture to which we refuse to associate.
December 2, 2008 speech offensive against our patients had been uttered, it was not necessarily fashionable, the professional circle of confinement, to see a serious attack on civil liberties, and the result is holds a very special status of human mental suffering or anyone disturb public order because of a behavior incompatible with the requirements of the moral order. Thus we could soon be imposed constraints under psychiatric care at home or possibly hospitalization. The latter take place in places "safe" (for which recall the seventy million euros have been earmarked by the ministry in three months) and under conditions where travel freely would gradually be restricted or prevented mainly by the appreciation of the 'omnipotent administrative authority presidential blessing and the strange "person better than a high-flying police officer can not exercise its prerogatives," the reporting of any possibly on hospital managers necessarily prevented by health care teams ..
Lacan resuming the Balcon de Jean Genet recalls about the subject's relation with the function of speech that "if a report is adulterated or each report has failed and no one ends up [....] Continues to sustain itself if it is degraded [...] as something that is related to what is called the order and this order is reduced when a company came to its most extreme disorder in what is called the police. " In the play by Genet, small old demanding uniforms of generals, bishops and judges enjoy in the bellies of prostitutes, but nobody asked to don the trappings of the prefect of police who chooses the phallus as an emblem for it, when everything pin, despairs at the same time as its function is not attractive enough that one wishes to identify with him.
Obviously we can not prevent the president and prefects of the enjoyment of their phallic appearances, the fact that we would could not afford, but we are determined to prevent their project outweigh the most vulnerable among us in their concern sarabande.
"The state makes the war makes all the injustices, all violence," says Freud in his "Considerations on the current war and death." It is in the bill that upsets us real violence instituted, even more worrying that the principle of civilization, the appeasement of the creative link between citizens, will be more difficult to implement in this time of risk "great psychological misery of the masses" to again take Freud ..
The next legislative provisions relating to persons in need of psychiatric care are at Alder what is taught on the benches of medical schools and nursing: thus it is taught in public institutions a method of health to enable staff to a restless patient, know how to use a particular tool for relational stereotyped pacify the situation or failure to use techniques from martial arts, the war I said, thus it is regrettable phasing but fast university courses in psychopathology, thus such pharmacy research establishes a ranking of the effectiveness of ludicrous therapies, although it is well organized a degree in psychotherapy to train in three years professionals psychothérapie.Ces practices take place for reflection referenced depth prudent and cautious on the causes, meaning the occurrence of any event, insult to the culture I tell you.
It should be noted in this connection that this disastrous perversion of our practice and teaching is not the sole responsibility of the government. Some professionals have their share which indeed call for, teach, promote, and apply these methods simplifying violent relationship with patients.
The stress at home, standing technically controlled instead reworked always trying to find ways of genuine hospitality for the madness, are well the new means offered to professionals in the exercise of their profession.
We had yet put much hope in the Copernican revolution in psychiatry that does not center over the issue of insanity that of the asylum we believed the emergency legislation passed the first effect was to impose status outside the law to those perfect strangeness that had defined them call "insane."
Here we are today referred to this approach segregative giving us more fragile status of extra-territoriality, the exclusion of common law and assigning them under their particular suffering to confinement in the hospital or worse now, home.
We should not have forgotten that a year before his death, eight years after his final conviction, Galileo became totally blind, wrote in a sonnet:
Monster, I'm strange and deformed
That harpy siren or chimera ... .
And I lose and my being and my life and my name
The barbarism of dogmatic knowledge, the undisputed standard may also break the subject painfully gathered around his original fault.
We were wrong to imagine the progress dealienating as final, without doubt had we not good enough and read Freud's "Future of an Illusion": all the democratic progress, all the aesthetic need to be sustained, relentless as they are fragile.
We do not accept that reform imposed from psychiatric treatment that takes no account of what makes careful clinical reflection of mediations, inventions every day to every encounter with each patient whose singularity of suffering teaches us the intricacies of the complex psychological, whose history with its particular social class and its origins on the globe should be considered sympathetically where Sarkozyism, poor misguided political reference of most sinister theories stigmatization and hostility, is not interested in the fertility of ethnic and cultural intermingling.
power attacks each day a little more foundation on which the Republic was built, he began a systematic destruction of nearly proposals of the National Council of Resistance, it undermines the essential rights of man and citizen, organizes different levels of citizenship, that addresses the recent history of psychiatry has attempted to develop it thus endangering civilization, the very culture that allows humans to try to live together. There is more than ever an urgent obligation to oppose this case, to refuse to enforce laws without legitimacy, to continue to try to establish for future generations the foundations of a civilization not excluded, foundations of a social organization or say the word culture is not an insult.
We are now in the position described by Francis Ponge about Giacometti's "Man in the interests of man, fear of man, asserting once more in hieratic pose, with supreme elegance. The pathos of the extreme exhaustion of the individual reduced to a thread This thread is fragile, it is every man and asks only to be broken, we guarantee the maintenance of its integrity is as well as poets, painters, musicians will continue to weave this thread with what we are reduced, beauty and hope of the world.
It is an act of profound culture to reject the draft law organizing care under stress at home, acts of resistance that the current drift of power requires, as to refuse discriminatory treatment of certain categories of citizens reduced to acts committed by a tiny minority of them. It should thus take our place, "quiet in our shoes, breaking the yoke which weighs on the soul and on the forehead of all humanity" to quote Rimbaud in his poem "Death of ninety-two.
Michael and Jacqueline Guyader.
http://www.collectifpsychiatrie.fr/Le-projet-de-loi-reformant-les.html
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