在魁北克(1960-1990)的第一波和第二波去机构化浪潮中,精神科护士见证了人性化运动。

IF 0.3 Q4 Medicine Recherche en Soins Infirmiers Pub Date : 2020-01-01 DOI:10.3917/rsi.139.0099
Marie-Claude Thifault, Laurie Kirouac
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引用次数: 0

摘要

引言:本研究考察了20世纪60年代至90年代在圣让-德-上帝精神病院的人性化运动。背景:对二十世纪魁北克精神病去机构化的历史研究表明,该机构是一个社会控制的地方,最重要的是,精神病人被忽视和非人化的地方。目的:虽然自20世纪60年代以来的历史编纂主要集中在对魁北克去机构化发生的方式进行一维和批判性的阅读,但我选择将重点放在魁北克医院内部发生的变化上。方法:除了1961年被拘留的病人的医疗记录外,我还进行了访谈,以调查20世纪60年代至90年代在精神病院工作的护士的经历和情绪。结果:对病案的检查显示患者对重新融入社会的不情愿和抗拒。对护士的采访显示,她们经常感到与病人很亲近。讨论:护士的话语和记忆丰富和深化了精神病学护理实践史的复杂性,扩展了现有的史学,并为该领域的研究开辟了新的途径。结论:去机构化运动促进了精神卫生政策的实施,改造了旧的精神病院。这种新的分析方法有助于更新精神病学护理实践的历史。
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Les infirmières psychiatriques témoins d’un mouvement d’humanisation au cours des premières et deuxièmes vagues de la désinstitutionnalisation au Québec (1960-1990).

Introduction : This study examines the humanization movement at the Saint-Jean-de-Dieu psychiatric hospital between the 1960s and the 1990s.Context : Conducting a historiography of psychiatric deinstitutionalization in Quebec during the twentieth century shows that the institution was a place of social control and, above all else, a place where psychiatric patients were neglected and dehumanized.Objective : While the historiography since the 1960s has focused on a largely one-dimensional and critical reading of the way in which deinstitutionalization took place in Quebec, I have instead chosen to focus on the changes that took place within the Quebec hospital's walls.Method : In addition to the medical records of the patients who were interned in 1961, I conducted interviews to examine the experiences and emotions of nurses who worked in the psychiatric hospital between the 1960s and 1990s.Results : The examination of medical records revealed patients' reluctance and resistance to reintegrate into society. The interviews with nurses revealed that they often felt close to their patients.Discussion : The words and memories of nurses enrich and deepen the complexity of the history of psychiatric nursing practices, extend the existing historiography, and open new avenues for research in the field.Conclusion : The deinstitutionalization movement promoted mental health policies that transformed the old psychiatric hospital. This new analytical approach contributed to renewing the history of psychiatric nursing practices.

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CiteScore
0.30
自引率
33.30%
发文量
25
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