L'Information Psychiatrique


Institutional psychotherapy, a breeding ground for collective intelligence Volume 95, issue 8, Octobre 2019


  • Figure 1
1 Unité de crise, Institut Mutualiste Montsouris
2 Pédopsychiatre
3 Infirmier.ère
4 Cadre de santé
5 Psychiatre, chef de service, Institut Mutualiste Montsouris
* Correspondance

Institutional psychotherapy is moribund, impoverished by the financialization of care and the excess of hygiene. In parallel with this worrying verticalization of power relations that neglects relational care, the social context reveals a dynamic of citizen transition that holds the notion of collective intelligence at the core of its principles and organization. This article develops the idea that this form of group organization relies on ancient concepts, revived in the 1990s, that are intrinsically linked to those that first defined institutional psychotherapy. The clinic for the treatment of adolescents is here the basis on which we develop this analogy between institutional psychotherapy and citizen transition according to three axes: the bonds between members of the group, the horizontalization of power relations, and the notion of emergent process. To that end, institutional psychotherapy is identified as an example of social resiliency during the Second World War, but also a pioneer space of the current social transformations. Therefore, a clinical necessity is identified in institutional psychotherapy, which is highly topical.

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