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La politique du handicap psychique. Familles, psychiatres et Etat face à la chronicité des maladies mentales des années 1960 aux années 1970

Abstract : This report examines the role of the Union Nationale des Familles et Amies de Malades Mentaux (UNAFAM) in the evolutions of mental health and disability policies in France between 1960 and 1980. In the early 1970s, UNAFAM launched a program of nursing homes to address the needs of individuals suffering from chronic mental disorders outside psychiatric hospitals. As UNAFAM got recognition for its program in the 1975 disability law, strong critiques were raised among psychiatrists against this initiative. Indeed psychiatrists argued that such a program would in fact contribute to the chronicization of patients rather than help them. In the end, the program was cancelled and the French disability policy no longer mentioned mental illness. Three factors explain this outcome: an ambiguity if not an ambivalence of psychiatric thinking regarding chronicity; the emergence of a new divide between the social and the medical in French social policies; and a conflict between users and professionals in the elaboration of health and social policies in 1970 France. Drawing on archival material and documents from UNAFAM and from the French ministère des Affaires sociales, the report develops this analysis in two parts: the first part examines the history of UNAFAM and the creation of its discourse on psychiatric patients and their families; the second part focuses on the attempts by UNAFAM to create a series of measures for chronic mental patients in the 1975 disability law.
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https://hal.archives-ouvertes.fr/hal-00769756
Contributor : Nicolas Henckes <>
Submitted on : Thursday, January 3, 2013 - 11:14:25 AM
Last modification on : Saturday, April 10, 2021 - 2:24:02 PM
Long-term archiving on: : Friday, March 31, 2017 - 10:21:50 PM

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  • HAL Id : hal-00769756, version 1

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Nicolas Henckes. La politique du handicap psychique. Familles, psychiatres et Etat face à la chronicité des maladies mentales des années 1960 aux années 1970. 2011. ⟨hal-00769756⟩

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