History and news of doctors and Health professional’s subjectivation modes

History and news of doctors and Health professional’s subjectivation modes

Topics Covered :

The training of doctors and medical professionals :

In order to better understand the relations between patients and doctors, it is necessary to view it in a historical and social context, the subjectivation modes of patients and medical professionals. The programme focuses particularly on the history and news of doctors and medical professionals’ trainings. The training, socialisation and practices of Health professions have had important epistemological, organisational and political evolutions. They however encounter numerous moral tensions and injunctions often paradoxal : between taking into account the experience and the expertise of cilicians and doctors as well as Medicine norms, evidence-based Medicine and Hospital organisation; between the persistence of the acute and curative Medicine model and the emergence of a “care” and “support” Medicine; between seeking the “good” for the patient and complying with public health policies and objectives. How doctors and medical professionals understand and perceive their own professional, psychic, moral and political subjectivity? What care and support could be given to them when they are facing risk and uncertainty, in a health system with limited funding and constantly evolving? How establishing trust between patients, their relatives, medical professionals, but also between practitioners and the health system? How training in this context on professional responsibilities but also on the individual responsibility? The goal is to base on scientific, historical, epistemological, ethical, in literature and in Psychoanalysis, as well as on knowledge of international experiences, innovative training proposals that could be implemented within USPC and beyond within a national frame. The programme is therefore a sort of a think-tank of training proposals for French medical training. The programme questions in particular the place and role SSH has in medical and nursing education, in France and on an international level. (Teams involved : PRISMES Paris 3/ Centre Georges Canguilhem/ CRPMS/ LARCA/ UFR de médecine Paris Diderot/ IRIS Paris 13/ Univ. d’Amsterdam/Univ. de Montréal/ King’s College, Londres). This research topic includes multidisciplinary researches on « Post-colonial perspectives on care relationships – African contexts and French oversea territories » which question the subjectivation of doctors and patients in the context of post-colonial Sub-Saharan Africa and in French oversea territories. The goal is to envision new forms of interaction between patients and doctors, marked by a context or a heritage of racial and political hierarchy, of linguistic barriers, resource scarcity and mass migrations of students and medical professionals (resp. G. Lachenal SPHERE Paris Diderot, V.-K. Nguyen Collège d’études mondiales, J. Sakoyan EHESS, V. Muni-Toke IRD). As well as researches on « The subjective experience of African doctors’ migration, new geographies of medical training in Africa and the myth of the so-called “brain drain” » (resp. G. Lachenal, A. Mendy Univ. Lausanne).

Personalised Medicine & Racial medicine :

(History and sciences’ philosophy): Its genealogical history, identification techniques of genetical variants aimed at better understanding the treatments or at diagnosing factors of susceptibility of complex diseases. The development of this Medecine adjusted to the « race » has been the focus of numerous anthropoligical and sociologic research in the Anglo-Saxon world. The study of its history and the study of the reception in France of « racial » or « ethnical » caracteristic in Medical practices and in Research remains to be done. (resp. C. –O. Doron, Centre G. Canguilhem, SPHERE Paris Diderot).