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When institutional clinical practice encounters research: can a process of change occur while preserving institutional containers?

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2024. Sujet(s) : Ressources en ligne : Abrégé : While research is still necessary to improve clinical knowledge and practices, this article shows that implementing it within an institutional group is often a real challenge. Indeed, although the implementation of exploratory research within a medico-social institution may at first sight reflect an ambient group dynamism, the risk of becoming aware of the results very often generates resistance, linked to the protection of institutional ideology. The research work is thus hindered or even prevented. An initial analysis of the basic institutional functioning (ideology – hypothesis concerning the nature of the negative pact – narcissistic contract of the professionals, nature of the unconscious alliances between professionals and researchers, transference of the problem in question) proves to be invaluable, with two aims: one, of completing a research project, and the other of preserving the group homeostasis in order to favour a process of change.
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While research is still necessary to improve clinical knowledge and practices, this article shows that implementing it within an institutional group is often a real challenge. Indeed, although the implementation of exploratory research within a medico-social institution may at first sight reflect an ambient group dynamism, the risk of becoming aware of the results very often generates resistance, linked to the protection of institutional ideology. The research work is thus hindered or even prevented. An initial analysis of the basic institutional functioning (ideology – hypothesis concerning the nature of the negative pact – narcissistic contract of the professionals, nature of the unconscious alliances between professionals and researchers, transference of the problem in question) proves to be invaluable, with two aims: one, of completing a research project, and the other of preserving the group homeostasis in order to favour a process of change.

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