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Lecture 15

SOCY 276 Lecture Notes - Lecture 15: Deinstitutionalisation


Department
Social Sci, Edu and Soc Work - Sociology
Course Code
SOCY 276
Professor
Stacey Alarie
Lecture
15

Page:
of 3
Early Explanations
Evil spirits, demons, witches
People were punished, tortured, trying to eliminate spirits
Preindustrial
More tolerant
Anyone who didn’t conform to social norms was considered having a mental illness
Realized torture failed to cure people
Scientific Explanation – Bedlam
Anything not normal was seen as different
Communities and families have changed
Prisons house criminals
Warehouse for those with mental illness
Bedlam
Lunatic asylum
Treatment of mental illness
Publically observed
Remove them from society, but others can watch because it was fascinating
Bedlam – Chaos, Madness
Warehouse
Remove people and isolate them
Hospitalization
Medicalization
Trying to cure people
Treatment
Bring them back into society
19th Century
More moral compassion
Nurses treated those in the World War with mental disorder
Post Traumatic Stress Disorder
Normal people were being mental because of experiences
Not a personal failing
Lead to realization that daily life can cause mental illness
Public still viewed mental disorder as failing
Medical views and understandings had changed
Modern Understanding of Mental Illness
Realization that social factors contributed to mental illness
Treatments
Total Institution – Hospitalization
Place of residence that includes several people
Cut from outside world
Isolated
Prison, hospital, military
Removed personal identities
Identity number vs. name
Were seen as invisible
People were reeducated, resocialized on how to act
Deinstitutionalization
Assisting those with mental illness by using outside resources
Informal social support
Community programs
1990’s – Evolution in Treatment
Higher rates of recovery, community programs more effective
Better social interactions
More humane, less disruptive
Not removing people from society
Disadvatanges
People are still labeled, people still have negative attitudes towards those with mental illness
People may not want to enter program, but are forced to
Choice between program or hospitalization
Hydraulic Relationship
Between health care system and criminal justice system
As deinstitutionalization increased, criminalization increased
People are seen in the community, more easily labeled
Higher institutionalization, lower criminalization