Instituting the role of conflict in « Kulturarbeit »


The article is dedicated to discerning the vital function of conflict in Kulturarbeit, in accordance with Freud’s attempt to define this term. To this end the theoretical tradition of a work clinic is taken up again from a particular angle as a clinic of activity.The definition of a work collective is questioned through a singular example belonging to the field of creation, namely the aborted professional relationships between three poets in Weimar: Hölderlin, Schiller and Goethe.

Anteriority of ethics on the collective work


In a cross-reading of psychodynamics of work with institutional psychotherapy, the author questions the relationship between the collective – conceived as an agonistic space – and the underlining of ethics. She analyzes the relationship between courtesy as a social rule and kindness as an ethical rule and stresses the limits of the Aristotelian model of collective deliberation, when one needs to think about the dynamics of the caring collective taking into account its heterogeneity. Ethics is considered as a condition of the collective around a “necessary minimum” that makes possible the conflict and the elaboration of ethical rules for action. The article concludes with the questions raised by the articulation between the peer group and the function of director.


Grief, work without a goal or the freaky expression “work of grief” (Lagache)


The translation of Trauerbeit by “​work of grief”, quite popular today both in psychoanalytical discourse and community and in common usage, has never been controversial. And yet, linking “work” to “grief” definitely has effects on clinical practice: what results could be expected from an experience Freud himself deemed inconsolable? Historicizing the way “death was made savage”, as Philippe Ariès wrote, may help understand how grief has become an “intimate undertaking”, a private business.

The work of “entours”, an everyday life’s clinic in institutional care


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.

How Jean Oury, a giant of psychiatry, can help us to practice a humane psychiatry

Summary :


Jean Oury is one of the main creators and actors of the mouvment of institutinnal therapy. Along his professionnal life, he created many and important conceptions for the practice and theorisation of human psychiatry. Some of his inventions (double alienation, dissociated transferance, transferancial constellation, « collectif »,…)are studied in this paper and give an idea of his importance, on the psychopathological way and also on the societal and politic way.

institutional psychotherapy, a permanent creation

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.

The collective in itself

Abstract. Institutional therapy includes a vast and heterogeneous set of practices, ideas, thoughts, writings which are particularly inspiring at this moment in time. This article illustrates thoughts about institutional work in an out-patient hospital receiving adolescents and young adults with symptoms from autistic spectrum.