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Therapeutic practice needs constant examination to ensure that it remains responsive and dynamic. Living organisms must communicate with their environment if they are to survive, and institutions are no different. This monograph, the second of the Cassell Hospital series, explores this concept further. By reading it, ideas and thinking will be sparked off that will help other organisations promote their own culture of enquiry.- Kevin Healy, Director of the Cassel Hospital, from his Foreword. The contemporary Cassel Hospital was developed by Tom Main to create a self-exploratory institution. Main argued that, in order for the hospital to be therapeutic, it needs a "culture of enquiry". The individual and the institution might be seduced into ritualised working practices that no longer serve the needs of patients or staff. It is these "lapses from the continual enquiry" that are considered by this collection. It describes the mostly unconscious manoeuvres that inhibit reflection, and how the inappropriate use of psychoanalytic ideas can close off enquiry within a therapeutic community.

Therapeutic communities --- Mental health facilities --- Cassel Hospital.

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Les problématiques d'équipes sont au coeur des pratiques professionnelles dans les domaines de l'éducation spécialisée, de l'exclusion sociale et de la psychiatrie. Cet ouvrage, qui regroupe les principaux travaux de Paul Fustier sur ce thème, est organisé en trois axes : la question de l'origine ou de la fondation de l'institution qui entraîne une interrogation sur les différentes modalités de direction ; la question de la fabrication en équipe d'une représentation inconsciente des personnes prises en charge ; la question du traitement de l'écart qui existe entre une équipe de professionnels et chacun de ses membres, écart entre positions individuelles et culture d'équipe, entre ce qui surgit de l'intime et ce qui relève du collectif. Un long chapitre à forme conclusive propose objectifs et repères méthodologiques aux psychologues et psychiatres dont la tâche est d'aider les équipes dans leur travail auprès des personnes prises en charge.

Mentally ill --- Mental health facilities --- Clinical psychology. --- Care

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Mental health services. --- Primary care (Medicine) --- Mental health facilities.

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Mental health facilities --- Mental health laws --- Mentally ill --- Admission and discharge. --- Commitment and detention --- Great Britain

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Mental health facilities --- Homeless persons --- Tuberculosis --- Breathing apparatus --- Heating and ventilation --- Transmission