[From a community clinic to a CLSC : the desintegrated word.]

SUMMARY In this article, the authors relate their experience as clinical psychologists in a CLSC. The study questions certain ideological foundations of CLSCs which, as a consequence, entirely discard psycho-clinical services. According to the authors, the major elements of the "CLSC approach" - namely multidisci-plinarity, global intervention and programming - lead to the denial of a person's psychic dimension. As well, the authors argue that this approach is the source of questionable decisions in the area of mental health; for example, individual requests to talk freely seem to be ignored in the public health care system. The authors raise the underlying issues surrounding the coexistence of willingness to offer services to "people" on one hand and exclusion of these people as free-talking subjects (sujets parlants) on the other, while at the same time requests of clients to do so are totally neglected.