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                <term xml:lang="en">History</term>
                <term xml:lang="en">Legal rules</term>
                <term xml:lang="en">Vinatier hospital</term>
                <term xml:lang="en">Psychiatric confinment</term>
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              <p>These last years, a special stress has been put on public safety in the French public psychiatry. This attention is especially manifest in the opening of new special security hospitalisation units. This development has been criticized by a number of practitioners who refer themselves to the importance of the protection of the rights and dignity of the patients, which is emphasized by the official texts. This discomfort about the place of confinement and restraint in psychiatry is recurrent. This article sheds light on this issue by examining the changes in the use of psychiatric confinement over a century in a particular institution, the Vinatier Hospital, near Lyon. Through the analysis of the evolution of psychiatric confinement practices and their legal and organizational control, it highlights the persistence of coercion in the economy of psychiatric institutions. In this context, we wish to show that the legal framework doesn’t only legitimate psychiatric coercion, but that it also makes it appear as non-evident.</p>
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              <p>Depuis quelques années, le souci de la sécurité a fait l’objet d’une attention particulière dans la psychiatrie publique française, se traduisant notamment par l’ouverture de nouveaux services très fermés. Cette évolution fait l’objet de critiques par un certain nombre d’intervenants et est d’autant plus mal vécue que le sens médical de la pratique psychiatrique et le souci de la protection des droits et de la dignité des patients sont régulièrement réaffirmés dans les textes officiels. Ce malaise sur la place de l’enfermement et de la contrainte en psychiatrie est récurrent. Cet article éclaire cet enjeu en examinant, à partir de l’exemple de l’hôpital du Vinatier, les évolutions du recours à l’enfermement sur plus d’un siècle. En restituant l’évolution des pratiques psychiatriques d’enfermement à partir de leur régulation juridique et organisationnelle, nous mettrons en évidence la persistance de la contrainte dans l’économie des modes de prise en charge de la maladie mentale. Nous montrerons que l’encadrement juridique ne joue pas qu’un rôle de légitimation mais également un rôle de problématisation de cette contrainte.</p>
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