3. Mental Illness, Psychiatric Institutions, and the Singularity of Lives

Affliction ◽  
2020 ◽  
pp. 82-112
Cinema, MD ◽  
2020 ◽  
pp. 47-68
Author(s):  
Eelco F.M. Wijdicks

The history of medicine can never be understood without its buildings and its interior. A physical venue is needed to create a healing place for the injured and sick and for medicine to advance. In cinema, hospitals resemble block-like structures loaded with technology. To obtain a better perspective of how hospitals are portrayed in film, this chapter reviews the historical development of the hospital and the history of asylums as places of confinement for patients with mental illness. More than a few films paint hospitals and psychiatric institutions as understaffed with disrespect from top to bottom in the professional hierarchy. This chapter reviews the depiction of hospital wards and psychiatry wards in fictional and documentary film.


1978 ◽  
Vol 133 (6) ◽  
pp. 529-541 ◽  
Author(s):  
Joseph Westermeyer ◽  
Jerome Kroll

SummaryThirty-five people labelled as baa (crazy or insane) were studied in Laos—a country without psychiatrists or psychiatric institutions. Informant information was obtained for violence prior to becoming baa, violence during the course of their baa condition, and violence during the seven days prior to interview. Observation for violence was made for a one day period at the time of the interview. Use of restraints was also assessed.Subjects were significantly more apt to have assaulted others, posed a risk to themselves, and been restrained (although not incarcerated) during their baa condition as compared to their previous state. Those in early stages of their condition (two years or less) manifested more violence than those later in their condition. ‘Folk’ use of restraints was applied only after dangerous or violent behaviour had occurred. Restraints were released as soon as practicable, but there was an ‘ascending’ use of certain restraint measures if violence persisted.


2002 ◽  
Vol 19 (1) ◽  
pp. 27-28
Author(s):  
Aidan Collins

It is perhaps surprising that mental illness has such a limited role in the various works of James Joyce. When one considers the volume of material in his books relating to Dublin, topographical and biographical, there appears to be a studious avoidance of psychiatric institutions. The then huge Grangegorman complex (now St Brendan's Hospital) must have had an ominous presence in the city: the size of its population (between 1,500 and 2,000 patients) indicating that few families of whatever class could have escaped contact with it. Indeed, as an institution it probably had economic power comparable to Guinness's brewery or the British Army, which had five barracks in the city, each about the same size as Grange-gorman.


2006 ◽  
Vol 23 (4) ◽  
pp. 151-155 ◽  
Author(s):  
Margo Wrigley ◽  
Bernadette Murphy ◽  
Martin Farrell ◽  
Brendan Cassidy ◽  
Jim Ryan

AbstractObjectives: To review the literature on older people with enduring or recurrent severe mental illness with an onset earlier than 65 years (graduates) and, in particular, to look at the specific features and needs of this group.Method: A Medline literature search produced 41 relevant papers and reports on the subject.Results: There are a substantial number of older people with severe mental illness and the number will rise in line with increased longevity. As they age these patients' psychiatric disabilities are compounded by medical and social problems. The move to community based care has largely ignored the needs of graduates who were previously cared for in psychiatric institutions.Conclusion: There is an urgent need to plan and develop adequate services for this vulnerable group.


Author(s):  
Sadye L. M. Logan

Jane Elizabeth Bierdeman-Fike (1922–2012) was a state and national leader in developing forensic social work practice and was committed to providing best practices to an oppressed population of patients with mental illness who were residents in psychiatric institutions.


Author(s):  
Nicole Baur

Since antiquity, attempts to conceptualise the aetiology of mental illness have included social constructionist, biomedical, and psychosocial theories. The change of these concepts over the centuries is reflected in therapeutic approaches as well as the location, layout and interior design of psychiatric institutions. This article focuses on the genealogy of one of these concepts – the proposed link between meteorological parameters, specifically air and sun, and mental illness. Based on detailed archival materials, including administrative records, medical notes and correspondence as well as oral histories, relating to the Devon County Mental Hospital near Exeter (UK), it traces this link over time within and beyond the medical community to the extent that it served as pretext for underlying social causes of the illness. In doing so, this article makes an empirical contribution to geographical perspectives on the construction of psychiatric institutions throughout history while also advancing such work in theoretical terms by drawing attention to the shifts in medical and lay conceptualisations of mental illness.


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