Bibliographic record
Abstract
In March of 2025, the 388 (Centre for the Psychoanalytic Treatment of Young Psychotic Adults) in Quebec City was permanently closed. This decision was implemented by the regional health authority under Quebec’s Ministry of Health and Social Services – CIUSSS de la Capitale-Nationale – despite efforts by local stakeholders to preserve the Centre, which for 43 years had offered a singular set of services to individuals living with schizophrenia and other psychoses. This essay reflects on the Centre’s final chapter by revisiting its early years and examining the longstanding challenges of coupling its practices with the public health system. In particular, it examines a series of evaluations whose frameworks proved incapable of comprehending the Centre’s clinical logic – thereby bringing to light a broader epistemic tension between psychoanalysis, public psychiatry and the administrative state. In so doing, the essay brings into view the singular clinical world of the 388 and the daily practices through which its psychoanalytic treatment of psychosis was enacted.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.016 | 0.018 |
| Scholarly communication | 0.010 | 0.004 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.005 | 0.008 |
| Insufficient payload (model declined to judge) | 0.012 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".