[从格拉斯哥精神病院出院后的传记,1875年至1921年]。

Jens Gründler
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引用次数: 0

摘要

在很长一段时间里,精神病院被看作是对病人进行长期监禁的封闭场所。这些机构的最大特点是范围广泛和排外。从上世纪末开始,社会历史和以患者为导向的研究对这些特性提出了质疑和修正。本文就是基于这一研究。本文以1875年至1921年间格拉斯哥的一家贫民收容所为例,分析了被释放病人的数量,他们是如何被释放的,以及他们被释放后的生活状况。所使用的资料来源是收容所的个别病人档案和贫民管理局的相应档案。尽管在调查期间,出院的人数——尤其是已经治愈的病人——有所下降,但成功率仍然保持在20%至30%,明显高于20世纪10年代的同类机构。根据这些文件,有利于释放的关键因素是重新融入社会的能力。经过检查的档案揭示了三种典型的传记模式:重返社会、精神病学护理和社会护理。第一组患者往往会从医生和护理人员的视线中消失,而另一组患者则经常出现在病历中。显然,社会服务和收容所经常被用来帮助应付暂时的家庭危机。一旦情况好转,这些病人就离开了社会护理,由家人接回家。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Biographies following release from mental hospital, Glasgow 1875-1921].

For a long time mental asylums were seen as hermetically sealed units for the long-term confinement of patients. The broad and excluding nature of these establishments was their most prominent feature. From the end of the last century socio-historical and patient-oriented research has questioned and revised these properties. The present essay is based on that research. Using the example of a pauper asylum in Glasgow between 1875 and 1921 the essay analyses the number of released patients, how they were released and how they lived after being released. The sources used were individual patient files of the asylum and the corresponding files of the pauper administration. Although the number of releases--especially of patients who had been cured--declined in the period of investigation, the rate of successful outcomes remained, at 20 to 30 per cent, clearly above that of comparable institutions of the 1910s. According to the files, the key factor in favour of a release was the ability for social re-inclusion. The files examined reveal three typical biographical patterns: reintegration, psychiatric care and social care. While the first group tended to disappear from the sight of physicians and carers, members of the other groups frequently reappeared in the records. Apparently, social services as well as the asylum were often used to help cope with temporary family crises. Once the situation improved, the patients in question left social care and were taken home by their families.

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