Familles et institutions psychiatriques dans le département de la Seine durant l'entre-deux-guerres
Institution:
Université Paris-Est Créteil Val de Marne (UPEC)Disciplines:
Directors:
Abstract EN:
This thesis is a study of various aspects of family responsability towards patients interned in paris asylums during the mid war period. Our research is based upon statistical and qualitative analysis of case file data. We also make ample use of secondary sources including medical theses and scientific litterature. We show that the central concern of both families and the psychiatric institution is the responsability they are prepared to take. Responsability for care, the patient's treatment and well being, and for his illness are central issues for both parties, giving rise to considerable misyunderstanding throughout their relations. The nearest relative, whose role is only vaguely defined in french psychiatric law, adopts a fatalistic and pas sive attitude but offers full cooperation with the psychiatrist. The psychiatric institution views the family with suspicion while seeking a positive and cooperative attitude on the part of the nearest relative. Such contradictory approaches can only give rise to difficulty between the two parties. In conclusion we compare mid war years with contemporary psychiatry and show how this misunderstanding continues today despite fundamental changes in the psychiatric institution as in the family structure.
Abstract FR:
Nous montrons, au cours de cette these, que la cle de comprehension des rapports entre psychiatrie et familles, au cours de la periode 1918-1939, est fournie par leurs conceptions differentes de la responsabilite. Ce malentendu traverse l'ensemble de leurs relations reelles et imaginaires. Qu'il s'agisse des droits et devoirs vis a vis du malade, de l'organisation de son sejour a l'asile ou de son traitement, ou enfin de la maladie en tant que telle la responsabilite est un enjeu central. Nous developpons cette idee a travers l'analyse de deux sources principales : les ecrits de proches parents relatifs aux motifs du placement et aux causes de la maladie laissees dans le dossier medical; la litterature scientifique et medicolegale. Nous concluons notre recherche par une comparaison de la periode de l'entre-deux guerres et celle d'aujourd'hui. La place du proche parent par rapport a une insitution psychiatrique organisee jusqu'a recemment sur un mode plus "commutaire" que "societaire" reste encore a definir de nos jours.