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De l'asile à la ville : une géographie de la prise en charge de la maladie mentale en France

Abstract : The development of psychiatry in France has a strongly territorial aspect, with a shift from the large asylums of the XIXth century to the 'sectorisation' policy that implemented deinstitutionalization (e.g. the closure of beds and the opening of new community-based structures) in a territorial framework. The development of community-based mental health care in the wake of deinstitutionalization has been a process with many geographical implications. Although there has been a strong spatial dimension to mental health policy in the country, the geography of French psychiatric care is relatively under-researched, compared with other western countries. In this research, we analyse the locations of mental health facilities through two centuries, demonstrating the extreme difficulty of achieving the initial therapeutical aims of deinstitutionalization. Administrative, economical and social criteria and exclusionary practices have often prevailed overclinical aims. Combining qualitative and quantitative methodological tools, national and local observation scales, this research aims to propose a spatial reading of the history of French psychiatry and opens a large field of potential research in our country.
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Contributor : Magali Coldefy <>
Submitted on : Wednesday, July 28, 2010 - 11:06:49 AM
Last modification on : Tuesday, January 19, 2021 - 11:08:37 AM
Long-term archiving on: : Thursday, December 1, 2016 - 7:17:57 AM


  • HAL Id : tel-00498772, version 1


Magali Coldefy. De l'asile à la ville : une géographie de la prise en charge de la maladie mentale en France. Géographie. Université Panthéon-Sorbonne - Paris I, 2010. Français. ⟨tel-00498772⟩



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