[At the heart of care management, the relationship]

The prevalence of management concerns in hospitals and a highly normative conception of health care are converging today in a standardization of care. The latter is undoubtedly at the root of the current malaise among caregivers. Indeed, the New Public Management approach is encouraging them, despite themselves, to carry out their missions to the detriment of the values of care. A more appropriate form of management would, on the contrary, be based on a continuity to be sought between care values and management values, around the notion of support. This would mean reinstating concern for interpersonal relationships at the heart of care management missions.

[Responding to the concern of the link]

Modern psychiatry, which considers the patient as a human subject, places the intersubjective relationship at the center of therapeutic work. The concern for singularity and proximity is therefore at the heart of its practices. The caregiver exposes himself in person to the patient, supported in this adventure by the institution, which helps him by its principles and its devices to regulate emotions and affects. However, the concern for objectification that drives management logic should not lead contemporary psychiatry to abandon the human relationship for dashboards.