000 02522cam a2200421 4500500
005 20250121084421.0
041 _afre
042 _adc
100 1 0 _aChaltiel, Patrick
_eauthor
245 0 0 _a“Self-righteous abuse” or “How to disguise an umbrella factory as an ethics committee”
260 _c2023.
500 _a81
520 _aThe highly justified concern for “quality of care” and “good treatment” in hospitals and medico-social institutions is falling by the wayside since the HPST (hospital, patients, health, and territories) law (Sarkosi-Bachelot: 2009, which was further reinforced by the Hollande-Touraine GHT: 2016). This concern for care is lost under scores of time-consuming and guilt-inducing protocols and procedures, all of which eat up the time allotted to the caregiver-patient relationship and put a strain on care team dynamics (with personnel suspected of collusion to increase spending!) The ability to provide care to the other is flattened and crushed, under the aegis of a deleterious “bureaucracy,” which produces more suffering than it appeases and causes a massive disaffection for the professions of care, support, and social assistance. Paradoxically, the professionals are as badly treated (dispossession, suspicion, robotization) as the user-patients! This article focuses on the mechanisms and workings of a “mind-boggling machine” worthy of Alfred Jarry ( Ubu roi), which the author describes, using the totemic metaphor of “homo formaticus” created by Dr. Jacques Miermont in one of his works. A few local vignettes illustrate the suffering caused, under the pretext of reducing it.
690 _ahealth professional
690 _acritical review
690 _atraceability
690 _aprotocol
690 _aabuse
690 _ahealth organization
690 _aethics
690 _aprocess
690 _ahospital reform
690 _aevaluation
690 _aprecautionary principle
690 _ahealth professional
690 _acritical review
690 _atraceability
690 _aprotocol
690 _aabuse
690 _ahealth organization
690 _aethics
690 _aprocess
690 _ahospital reform
690 _aevaluation
690 _aprecautionary principle
786 0 _nL'information psychiatrique | Volume 99 | 6 | 2023-07-12 | p. 347-350 | 0020-0204
856 4 1 _uhttps://shs.cairn.info/journal-l-information-psychiatrique-2023-6-page-347?lang=en&redirect-ssocas=7080
999 _c505496
_d505496