title: Physical constraint as psychological holding: Mental-health treatment for difficult and violent adolescents in France.
abstract: The phrase "Contraindre est thérapeutique"--constraining is therapeutic--underpins the principle of numerous interventions within the field of mental health in France, ranging from traditional psychiatric units to the courthouse to violence management and prevention of dangerousness. The treatment of violence in "difficult and violent adolescents" provides a paradigmatic and revealing example of this tendency. The aim of this article is to understand how the clinical category--contenir, or "to contain"--was formed and is used. The perspective taken is that of the political anthropology of mental health and the article combines a genealogical approach of the notion with a multisite ethnographical study (conducted between September 2008 and June 2012 in three facilities for adolescent care). This study will show how "psychological holding" is used to justify "physical constraint" in the treatment of adolescent crisis and violence. Furthermore, we will see how this "dirty work", delegated to front-line professionals (educators, social workers, nurses), is used within a moral economy of suffering that promotes care and control measures in a population largely from immigrant backgrounds, judged to be both potentially vulnerable and dangerous.
authors.affiliation: Unité de psychopathologie du développement, Groupement Hospitalier Est, 59 boulevard Pinel, 69677 Bron Cedex, France. Electronic address: yannis.gansel@chu-lyon.fr.
authors.forename: Yannis
authors.initials: Y
authors.lastname: Gansel
authors.affiliation: IHPC-UMR 5037, Ens de Lyon, 15 Parvis René Descartes, BP 7000 69342 Lyon Cedex 07, France. Electronic address: samuel.leze@ens-lyon.fr.
authors.forename: Samuel
authors.initials: S
authors.lastname: Lézé
mesh_terms: D000293:Adolescent; D000884:Anthropology, Cultural; D003617:Dangerous Behavior; D005602:France; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D000297:Psychology, Adolescent; D012149:Restraint, Physical / Q000941:ethics / Q000523:psychology; D012307:Risk Factors; D014754:Violence / Q000523:psychology*; D035862:Vulnerable Populations
keywords: Adolescents; Crisis intervention; Dangeroussness; France; Mental health; Moral economies; Risk management; Violence