Construire sa légitimité au quotidien : le travail micropolitique autour d'une Equipe Mobile de Psychiatrie-Précarité

摘要

In this dissertation, I examine the construction of the place of an Equipe Mobile de Psychiatrie-Précarité (EMPP), which is an outreach team for people with psychiatric disorders and with untraditionalliving arrangements. This construction is anaIyzed as the result from an ongoing work of distribution and legitimation of powers: a micropolitic work. In order to understand the micropolitic of the team's work and ils impact on the team's construction, I focus on key ¬moments in the process of ca. Re, in which it is questioned the boundary of the legitimacy of whether or not to intervene. Lnitially I describe the context in which the team was created and its functioning. Secondly, I analyse the important role played by demand, non-demand, and refusal in legitimating intervention in the midst of interaction between psychiatric team members, social workers, and service users. Lastly, the limits of the legitimacy to intervene are explored through three types of situation: when the team discharges a service user to another team, when constraint is used during the intervention, and when it is impossible to meet with the service user. Three modes of care are described (expertise, overpass, and complete). Bach represents possible configurations of the EMPP's place in the distribution of powers. Within each mode of care, specific interventions are legitimated and the EMPP establishes a balance between its specialized and non-specialized dimensions, and it positions itself as a restrictive or universalistic service provider. During this research, l was both a researcher and a team member, as a project assistant. Data was collected through participant observation, observant participation and interviews.