Partir ou rester : réflexion sur le phénomène d'exode des psychologues du réseau de la santé du Québec.

In recent years, the Quebec public health system is gradually being deserted by psychologists, causing a loss of accessibility of their services. At the same time, the notion of a so-called symbolizing and subjectivizing function of the institution is put forward in the context of clinical work with severely affected psychiatric patients consulting on an outpatient basis. However, this function often seems to be attacked by a managerial framework, which could be described as perverse and narcissistic, and which undermines the thought process and creativity of clinicians. Spurred by these ideas, and in resonance with current concerns about the accessibility of psychological services, we propose a reflection on the practice of psychoanalytically oriented psychotherapy within Quebec health care institutions. We draw upon our own experience as young psychologists who have recently left the public system and who have decided to question its underlying principles in an attempt to offer new leads for understanding the current exodus. Our aim is also to move away from financial considerations and focus on the different ways in which the institution no longer serves its original functions, but seems rather to cultivate several forms of destructiveness. [ABSTRACT FROM AUTHOR]