L’itinéraire psychiatrique d’Antoine A., « patient stabilisé sur un mode déficitaire » (1951-2013) (notice n° 1047493)

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Personal name von Bueltzingsloewen, Isabelle
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Title L’itinéraire psychiatrique d’Antoine A., « patient stabilisé sur un mode déficitaire » (1951-2013)
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Date of publication, distribution, etc. 2020.<br/>
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General note 72
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Summary, etc. La reconstitution minutieuse, à partir de sources variées, du parcours psychiatrique d’Antoine A. entre 1951, date de son internement à l’hôpital psychiatrique du Vinatier (Lyon), et sa mort en 2013 dans une structure médico-sociale située dans un petit village des Hautes-Alpes, a pour objet de réinterroger les politiques publiques de déshospitalisation psychiatrique mises en œuvre en France à partir des années 1970 dans le cadre de la politique dite de secteur. À l’aune d’un itinéraire individuel qui permet d’analyser l’évolution des modes de prise en charge psychiatrique à l’échelle micro, il apparaît en effet que la volonté de rompre avec la psychiatrie asilaire qui consistait à couper les patients de leur environnement, souvent de manière définitive, s’est heurtée à bien des obstacles dont certains n’ont pas pu être levés. Faute d’une autonomie suffisante et en l’absence d’étayage familial, Antoine A., qui a toujours présenté des symptômes très actifs, a certes quitté l’hôpital psychiatrique mais n’a jamais pu réaliser l’idéal des promoteurs de la politique de secteur : vivre « dans la communauté ».
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Summary, etc. The meticulous reconstruction, from various sources, of Antoine A.’s psychiatric itinerary between 1951, when he was interned at the psychiatric hospital of Le Vinatier (Lyon), and his death in 2013 in a medico-social structure located in a small village in the Hautes-Alpes, aims to reexamine the public policies of psychiatric dishospitalisation, implemented in France from the 1970s onwards as part of the so-called “politique de secteur”. Using an individual itinerary that makes it possible to analyse the evolution of psychiatric care on a micro scale, it appears that the desire to break with asylum-based psychiatry, which consisted in cutting patients off from their environment, often permanently, has come up against many obstacles, some of which could not be removed. Lacking sufficient autonomy and in the absence of family support, Antoine A., who always presented very active symptoms, did indeed leave the psychiatric hospital but was never able to achieve the ideal of the promoters of the “politique de secteur”: to live “in the community”.
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Note Revue d’histoire moderne & contemporaine | 67-1 | 1 | 2020-03-03 | p. 124-138 | 0048-8003
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-d-histoire-moderne-et-contemporaine-2020-1-page-124?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-d-histoire-moderne-et-contemporaine-2020-1-page-124?lang=fr&redirect-ssocas=7080</a>

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