关键词: Asylum deinstitutionalization mental health social factors society state

来  源:   DOI:10.1177/00207640241268356

Abstract:
UNASSIGNED: After a period of institution-based mental health care, in which the asylum system was the way in which the mental patients were treated, deinstitutionalization brought a set of significant changes and transformations in the conceptualization of mental illness and, by extension, the traditional therapeutic settings in which those in most need were assisted. However, this shift in the psychiatric domain was not only accompanied by valued achievements, but also by difficulties and challenges, as has been evidenced today.
UNASSIGNED: The aim of this paper is thus to examine the pros and cons of the closure of asylums, and the subsequent implementation of deinstitutionalization over the 60 years or so of such important transformations in the field of psychiatry.
UNASSIGNED: In considering this question, I examine in detail recent works of literature based on scholarly knowledge. In addition, I identify various issues involved, as well as ways of confronting these so as to attempt to overcome the difficulties they present.
UNASSIGNED: As I show here, the changes in the treatment and care of the mentally ill after asylum and deinstitutionalization brought a new air of hope to patients and their families, but also had undesirable effects. The paper also considers how mental health professionals today try to solve these effects on behalf of patients and society as a whole.
摘要:
经过一段时间的基于机构的精神卫生保健,庇护制度是治疗精神病人的方式,非机构化带来了一系列重大的变化和转变的概念,通过延伸,最需要帮助的人得到援助的传统治疗环境。然而,精神病学领域的这种转变不仅伴随着有价值的成就,还有困难和挑战,正如今天所证明的那样。
因此,本文的目的是研究收容所封闭的利弊,以及随后在精神病学领域60年左右的这种重要转变中实施非制度化。
在考虑这个问题时,我根据学术知识详细研究了最近的文学作品。此外,我确定了涉及的各种问题,以及面对这些问题的方法,以试图克服它们带来的困难。
正如我在这里展示的,庇护和非机构化之后,精神病患者的治疗和护理的变化为患者及其家人带来了新的希望,但也有不良影响。本文还考虑了当今的心理健康专业人员如何代表患者和整个社会解决这些影响。
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