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In the name of progress Volume 79, issue 2, Février 2003

Author
ASM 13, Centre Ph.-Paumelle, 11, rue Albert Bayet 75013 Paris

While the proposals contained in the report written by E. Piel and J.L. Roelandt in 2001 may be fashionable, they are by no means innovative; indeed such ambitions had already been voiced by hygienist psychiatrists in the first half of the 20 th century. More recently, since the 1980s, our discipline has undergone certain transformations. One model is becoming more and more widespread a medical objectivism which, in emphazising effectiveness and immediate results, ends up abandoning that category of the hospital population which resists intensive care. In line with the current trend of a return to realism, consensus and profitability, psychiatry can once more proclaim its alignment with somatic medicine and devote itself to the treatment of a social malaise.