000 | 02522cam a2200421 4500500 | ||
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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 |