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François Vatel se serait-il suicidé s'il avait eu un smartphone ? Potentiels de soin et conséquences épistémologiques des technologies mobiles en santé mentale

Abstract : Francois Vatel committed suicide on the morning of April 24th, 1671, believing that the fish he had ordered for the sumptuous event, which he had been asked to organize by the Prince of Conde, would not be received in time. Could this famous gesture have been avoided in the e-health era ? The progress in technology stemming from the advent of connected tools and m-health raise a lot of enthusiasm : A myriad of devices now allow to take preventive and proactive actions, in real time and in ecological situations. They offer unprecedented possibilities to refine data collection and intervene on a person’s functioning within their environment. These technological developments provoke and are accompanied by major changes in the categories of understanding of mental health problems. New concepts of mental disorders allow for micro-interventions, which are much more targeted, progressive, and contextualized than previous categorical approaches applying « macro-interventions » to « macropathologies ». Web 3.0 modifies the mental health ecosystem, favoring the emergence, of new actors and commercial issues. This raises many concerns, particularly with regard to which evaluation and regulation modalities are to establish. Such sociological and politico-economic issues include transferring the responsibility burden from the state to the individual, the injunction to be an ideal autonomous citizen, the fragmentation of jurisdictions’, opening the access to the frontier of expertise and the development of inadequate practices halfway between medicine, self-management and well-being. It is an imperative to put the necessary devices in place to supply appropriately the patient 3.0 and the actors 3.0. This means giving them conceptual, cultural and technical tools as well as concrete means to perceive and understand the social configurations « 3.0 » in which they are caught, thus allowing them to be enlightened actors of this new sociotechnical system.
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https://hal-cnrs.archives-ouvertes.fr/hal-03479941
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Submitted on : Tuesday, December 14, 2021 - 3:14:24 PM
Last modification on : Friday, January 7, 2022 - 3:45:48 AM

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Xavier Briffault, Margot Morgiève. François Vatel se serait-il suicidé s'il avait eu un smartphone ? Potentiels de soin et conséquences épistémologiques des technologies mobiles en santé mentale. PSN - psychiatrie, sciences humaines, neurosciences, 2017, 15 (3), pp.47-70. ⟨10.3917/psn.153.0047⟩. ⟨hal-03479941⟩

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