ABSTRACT
In the post-war period, a handful of psychiatrists from the Old World and the New engaged in a struggle to recycle the applications of classification and statistics that had been much maligned following the defeat of the fascistic ideologies. Biopsychosocial psychiatry establishes its prognosis for a psychosis based on its ideal of the family. It judges the evolution of a schizophrenia to be more favourable in Nigeria than in Denmark. Bioreligion extols the virtues of the “rehabilitation” practised by cognitive behavioral therapy (CBT). The redefinition of care and the increased judicialisation of the role of the psychiatrist are turning psychiatrists into managers of a newfangled healthcare system that must “satisfy the state’s desire to lower costs in healthcare by transferring institutional budgets to community budgets”. In France, the logic of the Clery-Melin roadmap would guarantee the promotion of a managerial and administrative psychiatry.
