HLTHAGE 2G03 Lecture Notes - Lecture 9: Erving Goffman, Deinstitutionalisation, Bipolar Disorder
2 Aug 2016
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19th century growth of institutions and institution population. Belief in isolation of hospitals, rigid scheduling (to restore reason), curative power of institutions themselves. Other goals (no restraints, programming) failed due to lack of funding, personnel: (moral treatment, chains replaced by straightjackets. By 1960, half a million us citizens in long-term psychiatric care. Mid-1950s ethnography of us psychiatric institutions, coined the term total. Institution in asylums: closed circuits disconnected from society, tight schedules, little autonomy, little privacy, at whims of authority. No doors on bathrooms, many in one room, group showers: mortification of the self - individuals past lives scrubbed clean, only the institutional identity, like prisons, concentration camps, etc. Ultimate, can only end in conversion of patient: ie. Schizophrenia in remission never cured or was never ill . Us: jfk launches community mental health act in 1963. Combined with laws making forced confinement more difficult, patient population drops by hundreds of thousands. In roughly 1960-1980, canada"s inpatient population dropped 78%.
