This article explores the use of long-acting antipsychotics (LANAs) in French psychiatry from 1966 to the present day, articulating three complementary ambitions. From a historical point of view, it traces the dynamics of LANA appropriation, showing how their diffusion accompanies, without determining, the institutional transformations of psychiatry, notably through sectorization. On a socio-anthropological level, the analysis of practices, based on ethnographic data, interviews and medical archives, reveals the varied uses of LANAs, between therapeutic negotiation, management of "compliant" patients and redefinition of care settings outside the hospital. Finally, the article's theoretical ambition is to examine the complex relationship between pharmacological innovation and institutional transformations. Far from being technologically determined, LANAs appear to be "tracers" of psychiatric change, whose meanings evolve according to context.
Based on doctoral research in sociology, this article examines the reproduction of sexual norms, from medical training for professionals who prescribe contraception (general practitioners, gynecologists, and midwives) through to clinical consultations with patients. Little addressed in training, sexuality takes a back seat during contraceptive consultations, even when patients raise the topic themselves and opportunities for discussion are limited. This article is based on qualitative interviews with thirty-one healthcare professionals and on the observation of a hundred medical consultations in public and private healthcare facilities in the Toulouse region. The analysis is complemented by a review of a face-to-face medical course and a written midwifery course. The findings show that, being insufficiently prepared to address the topic, health care professionals often treat sexuality as a "taboo", both theoretically (in training) and empirically (in consultations), or discuss it exclusively within a heteronormative framework. Nevertheless, the unspeakability of sexuality in consultations is avoidable, since its degree varies according to the characteristics of healthcare structures (payment system, professional composition, or even the politicization of caregivers).
