The inestimable in the care relationship: a political economy perspective

Abstract

This article offers an analysis of the political economy of the inestimable in the care relationship through the industrialization of care. Industrialization can be seen through the reforms aimed at regulating professional practices around the respect of quantified standards of quality of care. Everything happens as if care were a homogeneous product that could be easily replicated from one patient to another, regardless of their singularities. As an illustration, this article looks at the recent developments in the regulation of three sectors: private medical care, hospital and houses for dependent elderly people. If this industrialization may seem irrational (because it produces many perverse effects on the quality of care and on care professionals), we try to place it within the framework of the transformations of capitalism. Regaining control over labour (through the industrialization of care) is a way of deploying capitalist logics.

Institutional psychotherapy today: a gender policy?

Abstract. The “ambiance”, that Jean OURY held so dear, may no longer exist. We can ask ourselves about the repercussions of scientific and capitalist speeches on the institutional reality of psychiatric care centers. But by asserting certitudes, as either “good practices” or “good economic sense”, are we not preventing thought and debate, meaning that we are reducing politics to an obsolete practice, if not in vain? In our center, association under the French law of 1901, that politics seems to have nurtured since its origin, we want to believe that the disalienation so dear to Marx – as impossible as it may be (as said by Lacan) – must be the goal toward which our practices aim.  As close to the clinical reality of our daily life of psychiatric caregivers as possible, with the risks that psychosis produces, such as isolation, we will present an attempt recently undertaken with our patients, one that is institutional, therapeutic, and political.