Evolution des pratiques de soins dans les services de psychiatrie publique

The document proposes a methodological device and some theoretical approaches to build a sociology of clinical practices in the "poles" (basic territorial units) of adult public psychiatry in France, based on a qualitative and quantitative exploratory survey in seven sites. It shows that the territorial offer of care presents aspects of homogenization throughout France: a decline of psychotherapies in favour of a myriad of "psychic interventions", the generalized development of eclecticism and pragmatism. However, the range of care on offer remains diversified both technically and ethically. In addition to the history of each site and the ideology of its leader, these differences are relate…