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Singularisations, contextualisations, interconnexions : Quelques grandes évolutions de la recherche en santé mentale et leurs conséquences sur les prises en charge

Abstract : The aim of the paper is to examine a mental disorder “style” of thinking that is emerging in international scientific research in mental health and the possible consequences of these developments on care. It can be summarized by saying that it is no longer interested only in the individual constructed by the theories of its functioning, statistical generalizations, or representations of its cerebral biochemistry, but to the complexity of the person in situation. It can be typified by three words - Singularizations, contextualizations, interconnections - and be related to three epistemological evolutions (common factors and the contextual model, the development of credible alternatives to DSM and its logic of latent causes, better taking into account situations and real world functioning) and technological evolution (connected objects), all of which evolve from an exclusive focus on entities closed on themselves (disease, therapeutic intervention, the individual, the singular colloquium, the juxtaposition of binary relations, punctual actions, etc.) to move towards an opening of these entities to multiple connections (causal networks, nexus, the person articulated to his situation and context, the coherent articulation of multiple relationships, the ubiquity and permanence of action...). In order for these developments to be an opportunity for enriching and humanizing therapeutic relationships, not the opportunity for techno-statistical impoverishment, it is essential that clinicians seize on these questions and contribute to develop these technologies in ways that are compatible with the ethics of psychological care, and which even contribute to its enrichment.
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https://hal-cnrs.archives-ouvertes.fr/hal-03480042
Contributor : Colette ORANGE Connect in order to contact the contributor
Submitted on : Tuesday, December 14, 2021 - 3:16:07 PM
Last modification on : Friday, January 7, 2022 - 3:46:36 AM

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Xavier Briffault. Singularisations, contextualisations, interconnexions : Quelques grandes évolutions de la recherche en santé mentale et leurs conséquences sur les prises en charge. Perspectives Psy, EDP sciences, 2017, 56 (2), pp.133-141. ⟨10.1051/ppsy/2017562133⟩. ⟨hal-03480042⟩

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