This exposé aims at suggesting a few arguments in favour of the therapeutic dimension of institutions and situating the part teamwork plays in such a dimension .Thinking collectively supports two types of distinct process . The former is about transforming the suffering that impacts the prevailing way of working of professionals . The latter comes close to the team script-writing about and dramatizing the very mental moves of the persons in care . A short clinical vignette throws light on the failure of such processes in case of institutional crisis.
This text aims to reflect on the origins of the current decline of psychoanalysis in the western institutions and particularly in France. To be more precise, what we have to establish is that the factors which enabled its dissemination are also those which led it to disappear today, namely: the homophobic use of those theories and practices that met hygienist policies in the late XIXth century, and now prejudice it; the lack of an epistemological dimension which was not essential at the time of expansion is now detrimental to its practice in healthcare institutions and in scientific research structures; and finally the absence of theoretical and practical alternative of the early years has given way to an important therapeutic competition with the rise of cognition behavioral therapies. ( CBT)