“To no longer reimburse psychoanalysis is to restrict essential therapeutic pluralism” | EUROtoday

Ln November 16, an modification to the Social Security financing invoice proposed that “care, acts and services claiming to be psychoanalysis or based on psychoanalytic theoretical foundations no longer give rise to reimbursement”citing the absence of “scientific validation” of the High Authority of Health. It will not be a query of a one-off adjustment, however of the exclusion of a whole theoretical area, in addition to all of the practices more likely to be therein. “inspired”.

Therefore, a primary problem seems: how you can exactly outline what can be prohibited from financing? The expression “claiming to be psychoanalysis” leaves open a zone of indetermination which probably impacts a part of modern psychological care. Because past its specific references, psychoanalysis has contributed to the dissemination of instruments which have grow to be commonplace: listening centered on the particular person, consideration paid to discourse, bearing in mind subjective historical past, and even the valorization of talking time.

These components are present in psychiatry, integrative psychotherapies, cognitive-behavioral therapies, medico-social, institutional practices and even non-specialized serving to relationships. This statement says nothing in regards to the superiority of 1 method over one other; it merely exhibits that the present panorama is hybrid, and that drawing a transparent border can be sophisticated, even arbitrary.

If the modification is predicated on the argument of scientificity, we should bear in mind what a coherent scientific method entails. When a area is debated or insufficiently documented, science’s response will not be suppression, however examine. We fund analysis, we put protocols in place, we develop appropriate methodologies. This is how we proceed for brand spanking new approaches, rising therapies, practices which can be nonetheless experimental. Psychoanalysis – or the practices that partially derive from it – mustn’t escape this basic precept. However, the modification doesn’t suggest any avenue of examination, no analysis, no analysis system. He withdraws a way of help with out investigating the case.

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