After detailing the emergence of the “Therapeutic Club” in Saint Alban’s Hospital, this article strives to follow the concrete economic channels in works that describe how such clubs are managed — tools that are known to generate an inestimable disalienation work. From a clinical point of view, the place of exchanges supported by the various social and ergotherapies they organize are pointed out, as well as the benefit of freedom of movement between articulated spaces, as close as possible to the daily field. The currency concept introduces a triangulation of these exchanges (constituent of what authors call institution), and money circulation and manipulation thereby provoke exchanges of speech. Close to a self-managed cooperative model, these clubs are governed by the 1901 French law that regulates associations. This access to an autonomous legal personality encourages the development of “active therapies”. Can the “money thread” — the guide of this description — be useful to the evaluation of other inestimable works?
Work daily life in institution is subtle and delicate. The author, recolling a clinical situation and moments of daily life in a day hospital, tries to illustrate this work of the atmosphere, the “entours” of which Jean Oury speaks.
These little unexpected moments that disturb and surprise us, make us perceive the complexity, the difficulty but also the wealth of what the patients deposit in the interstices of the establishment.
For this the Therapeutic Club, operator of change is a valuable tool. A stimulating opposing-power to the hierarchical functioning of the institution, its movement helps to strive routine and inertia.
Abstract. This text reflects a long-term practice with psychotic patients and the establishment with them of a system in the city of Reims.
Structure mainly based on the ambulatory by Antonin Artaud Unit, but also hold by 5 therapeutic clubs present in various places of the service.
From a transmission / reinvention where patients but also seniors as Roger Gentis and Jean Oury played a crucial role , the essential concepts of institutional psychotherapy are being revisited and acted in a permanent recreation.
The heterogeneous as a founding principle, but also “the club function” contribute to the setting in motion of the Collective, and help the reconstruction for each of a livable and desirable world.
This also assumes a working gathering conscious of psychic continuity, essential to fight against fragmentation and cleavage.
Putting on an equal footing patients and caregivers will thus allow a instituting praxis, and the creation of an patient association named Humapsy.
Keywords: therapeutic club, club function, “phoric” function, Collective, permanent recreation, heterogeneous, institutional psychotherapy.