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Our intervention settings, which stem from a current inspired by institutional psychotherapy, are based on groups and subjective speech. How can such settings fit in with the prevailing organisational model, which promotes preconceived protocols and restricts time for group discussion? In this context of fundamental change, of the disintegration of teams and their task of analysis, should we not rethink our mode of intervention? Is it still relevant to maintain our distinctions between Analysis of Clinical Practices (cpa) and Institutional Analysis (or Regulation)? Is the bipartition of modes of intervention and the clear dividing line, which has been handed down to us as a fundamental principle, still appropriate to the institutional situations we encounter? Topology, used by Lacan to understand psychic complexity, enables us to think about our settings a new way.