HLTHAGE 2GG3 Lecture Notes - Lecture 9: Erving Goffman, Deinstitutionalisation, Total Institution
Document Summary
19th century growth of institutions and institution population. Belief in isolation of hospitals, rigid scheduling, curative power of institutions. Other goals (no restrains, programming) failed due to lack of funding and personnel. By 1960, half a million us citizens in long-term psychiatric care. Mid 1950s ethnography of psych institutions, coined total institution in asylums. Tight schedules, little autonomy, privacy, at whims of authority. Mortification of the self" past lives scrubbed clean, only institutional identity. End goal set out is that individual who came in is now a good psychiatric patient. Foucault - panopticon - people begin to self surveil, form of social control. Ineffective: too many long term stays, too many failures after getting out. 7 colleagues tried to get admitted into psych facility; all said that they had auditory hallucinations. Once they were in they tried to get out; were instructed to behave normally (ex. Taking notes for their research was interpreted as being psychotic)