De la psychiatrie intégrative à la constellation épistémique

Abstract

Objective

For three years, my colleagues and I have been leading a seminar on the epistemology of psychiatry. Based on this shared experience, in addition to our own personal experiences (as clinicians, philosophers, etc.), we tackle the question of openness in psychiatry. What does psychiatry open up to ? What idea of progress are we pursuing ?

Method

We have, during these years of work, been lucky enough to be able to grasp a common thread that links the very diverse contributions that have been presented in our seminar, both in terms of the history of our discipline, as well as psychoanalysis, the philosophy of science, anthropology, experiential knowledge.

Result

We note that psychiatry exists in its complete and satisfactory definition only in the debate that we have facilitated with those who have something to say about it from a place that could be judged external: historian, psychoanalyst, anthropologist, philosopher..

Discussion

If a theoretical corpus believes itself sufficient to speak about the psychic thing, it is wrong; however, if we veer into integrative psychiatry we move away differently, but irremediably, from the scientific truth of our object.

Conclusion

We therefore explain a new way of describing the practice of psychiatry: inspired by institutional psychotherapy, which proposes to bring together the transferences of each of the participants in care while respecting subjective integrity, we posit that it is possible to bring together an epistemic constellation for each of our caregiving efforts, bringing together the knowledges necessary for this without distorting them or causing them to lose their radicality.