Deinstitutionalization in Soviet Psychiatry
| Autor: | R. A. Zachepitskii, V. M. Volovik |
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| Rok vydání: | 1982 |
| Předmět: | |
| Zdroj: | International Journal of Mental Health. 11:108-128 |
| ISSN: | 1557-9328 0020-7411 |
| DOI: | 10.1080/00207411.1982.11448929 |
| Popis: | Physicians are quite familiar with the negative aspects of treating patients in hospitals, especially when the patients' sojourns are frequent and prolonged. Signs of institutional ism (or hospitalism) include not only a reduction in activity and drives and a loss of social habits [1-3 and others] but also more complex and stable forms of maladjustment, such as adaptation to the artificial living conditions of the hospital. These forms of maladjustment entail the person's adopting the role of patient and displaying symptoms of what Kabanov [4] has termed "neohospitalism." The data indicate that when the therapeutic environment is not properly organized and when social therapy is inadequately applied, it is not always possible to avoid these symptoms, even in such "open" establishments as sheltered workshops. All this provides the basis for a search for appropriate ways of deinstitutionalizing psychiatric care, a search that in Western countries often leads to one-sided exaggeration of the importance of some of those ways. A polemic concerning day hospitals in Great Britain is a case in point; Bierer [5], for instance, has linked the hopes for eliminating psychiatric hospitals and for a revolution in psychiatry to the development of day hospitals. |
| Databáze: | OpenAIRE |
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