L’administration du désordreGouverner l’hôpital psychiatrique depuis les années 1980

The dissertation examines the recent transformations in the modes of governing the activities of psychiatric hospitals. More specifically, it explores the role of two influential reform processes in France: the introduction of judicial reviews of involuntary commitment and the evolution of the ways...

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Main Author: Tonya Tartour
Format: Article
Language:English
Published: Association Recherche & Régulation
Series:Revue de la Régulation
Subjects:
Online Access:https://journals.openedition.org/regulation/20495
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author Tonya Tartour
author_facet Tonya Tartour
author_sort Tonya Tartour
collection DOAJ
description The dissertation examines the recent transformations in the modes of governing the activities of psychiatric hospitals. More specifically, it explores the role of two influential reform processes in France: the introduction of judicial reviews of involuntary commitment and the evolution of the ways public psychiatric institutions are funded. Unequally successful and traversed by heterogeneous institutional logics, from law and economics respectively, both changes aim to shape norms of the legitimate functioning of psychiatric hospitals. Hence, they contribute to changes in professional practices and organisational dynamics. This sociological work draws on interviews, conducted with medical and judicial professionals and policy makers, a set of ethnographic observations carried out in psychiatric hospitals and judicial hearings, as well as a review of written sources. The dissertation analyses the elaboration of public policies in psychiatry and their implementation, focusing on the role of psychiatrists and their interactions with other professionals, particularly in the legal field, as well as with institutional, national or regional actors. This work concludes that psychiatrists have been relatively dispossessed of control over the process of reform of the psychiatric institution over the last decades. However, the deprivation is masked by their ability to partly control the conditions of the implementation of these policies.
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spelling doaj-art-052fb30592d844709218bd115198e9242025-01-30T14:25:37ZengAssociation Recherche & RégulationRevue de la Régulation1957-779631210.4000/regulation.20495L’administration du désordreGouverner l’hôpital psychiatrique depuis les années 1980Tonya TartourThe dissertation examines the recent transformations in the modes of governing the activities of psychiatric hospitals. More specifically, it explores the role of two influential reform processes in France: the introduction of judicial reviews of involuntary commitment and the evolution of the ways public psychiatric institutions are funded. Unequally successful and traversed by heterogeneous institutional logics, from law and economics respectively, both changes aim to shape norms of the legitimate functioning of psychiatric hospitals. Hence, they contribute to changes in professional practices and organisational dynamics. This sociological work draws on interviews, conducted with medical and judicial professionals and policy makers, a set of ethnographic observations carried out in psychiatric hospitals and judicial hearings, as well as a review of written sources. The dissertation analyses the elaboration of public policies in psychiatry and their implementation, focusing on the role of psychiatrists and their interactions with other professionals, particularly in the legal field, as well as with institutional, national or regional actors. This work concludes that psychiatrists have been relatively dispossessed of control over the process of reform of the psychiatric institution over the last decades. However, the deprivation is masked by their ability to partly control the conditions of the implementation of these policies.https://journals.openedition.org/regulation/20495public policiespsychiatry and mental healthgovernmentjudicializationeconomization
spellingShingle Tonya Tartour
L’administration du désordreGouverner l’hôpital psychiatrique depuis les années 1980
Revue de la Régulation
public policies
psychiatry and mental health
government
judicialization
economization
title L’administration du désordreGouverner l’hôpital psychiatrique depuis les années 1980
title_full L’administration du désordreGouverner l’hôpital psychiatrique depuis les années 1980
title_fullStr L’administration du désordreGouverner l’hôpital psychiatrique depuis les années 1980
title_full_unstemmed L’administration du désordreGouverner l’hôpital psychiatrique depuis les années 1980
title_short L’administration du désordreGouverner l’hôpital psychiatrique depuis les années 1980
title_sort l administration du desordregouverner l hopital psychiatrique depuis les annees 1980
topic public policies
psychiatry and mental health
government
judicialization
economization
url https://journals.openedition.org/regulation/20495
work_keys_str_mv AT tonyatartour ladministrationdudesordregouvernerlhopitalpsychiatriquedepuislesannees1980