By addressing a paradoxical request to the institution, the “splitting patient” asks it to be what he himself cannot be. By welcoming this request without succumbing to it and by maintaining the link, it exercises its true therapeutic function.
Clinical practice in institutions is likely to be crossed by more or less lasting crises which test the cohesion of healthcare teams: internal divisions between professionals, extreme emotional polarizations, alternations between idealization and devaluation, splitting of care policies in relation to the same patient (or more broadly epistemological and methodological oppositions), generational differences regarding ideas or practices considered normal for some and crazy for others (around problematic sexual or gender, lifestyle, use of screens or social networks, etc.).
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