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Record W4414615566 · doi:10.3366/pah.2025.0554

What was the 388? Opening the Dossier

2025· article· en· W4414615566 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenuePsychoanalysis and History · 2025
Typearticle
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsPsychoanalytic theoryChristian ministryPublic healthSet (abstract data type)Schizophrenia (object-oriented programming)Social WelfareClinical Practice

Abstract

fetched live from OpenAlex

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.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.186
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0020.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

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.

Opus teacher head0.054
GPT teacher head0.414
Teacher spread0.359 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it