Andrés Ríos Molina, Cristina Sacristán, T. Sacristán, Ximena López Carrillo
{"title":"Los pacientes del Manicomio La Castañeda y sus diagnósticos. Una propuesta desde la historia cuantitativa (México, 1910-1968)","authors":"Andrés Ríos Molina, Cristina Sacristán, T. Sacristán, Ximena López Carrillo","doi":"10.3989/ASCLEPIO.2016.15","DOIUrl":null,"url":null,"abstract":"During its 58 years in operation (1910-1968), the Manicomio General La Castaneda housed 61,480 people. In this paper, we present an overview of the general characteristic of the patients based on a 20% sample of the overall population. We divided the text in three sections: in the first part we argue that the history of the institution comprises three distinctive periods characterized by demographic changes that coincide with administrative reforms. In the second, we present the general characteristics of La Castaneda's psychiatric population. Finally, we describe the most salient demographic changes, which stemmed either from socio-political events, technological innovations or clinical transformations. Some of the most salient results of the analysis of the sample show that the inmate population had short periods of hospitalization in the asylum (an average of 18 month), as well as a lower mortality rate (24.2%) in comparison to contemporary mental institutions. Families played a fundamental role in the care of their mad relatives, which accounts for the relatively short periods of hospitalization as well as the low death rates. Consequently, for this particular institution, chronic patients weren't such a serious problem as believed.","PeriodicalId":44082,"journal":{"name":"Asclepio-Revista de Historia de la Medicina y de la Ciencia","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asclepio-Revista de Historia de la Medicina y de la Ciencia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3989/ASCLEPIO.2016.15","RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HISTORY & PHILOSOPHY OF SCIENCE","Score":null,"Total":0}
引用次数: 7
Abstract
During its 58 years in operation (1910-1968), the Manicomio General La Castaneda housed 61,480 people. In this paper, we present an overview of the general characteristic of the patients based on a 20% sample of the overall population. We divided the text in three sections: in the first part we argue that the history of the institution comprises three distinctive periods characterized by demographic changes that coincide with administrative reforms. In the second, we present the general characteristics of La Castaneda's psychiatric population. Finally, we describe the most salient demographic changes, which stemmed either from socio-political events, technological innovations or clinical transformations. Some of the most salient results of the analysis of the sample show that the inmate population had short periods of hospitalization in the asylum (an average of 18 month), as well as a lower mortality rate (24.2%) in comparison to contemporary mental institutions. Families played a fundamental role in the care of their mad relatives, which accounts for the relatively short periods of hospitalization as well as the low death rates. Consequently, for this particular institution, chronic patients weren't such a serious problem as believed.
在其58年的运营期间(1910-1968年),Manicomio General La Castaneda容纳了61480人。在本文中,我们提出了患者的总体特征的概述,基于20%的总体人口的样本。我们将本文分为三个部分:在第一部分中,我们认为该机构的历史包括三个不同的时期,其特征是与行政改革相吻合的人口变化。在第二部分,我们介绍了La Castaneda精神病学人群的一般特征。最后,我们描述了最显著的人口变化,这源于社会政治事件,技术创新或临床转变。对样本进行分析的一些最突出的结果表明,囚犯在收容所的住院时间较短(平均为18个月),死亡率(24.2%)低于当代精神病院。家庭在照顾他们的疯癫亲属方面发挥了根本作用,这是住院时间相对较短和死亡率较低的原因。因此,对于这个特殊的机构来说,慢性病患者并不像人们认为的那样是个严重的问题。