“我今天见过这个医院里所有的671名病人”:不听20世纪20年代病人的意见。

IF 0.3 3区 哲学 Q4 HISTORY OF SOCIAL SCIENCES History of Psychiatry Pub Date : 2022-12-01 DOI:10.1177/0957154X221119105
Claire Hilton
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引用次数: 0

摘要

在20世纪20年代,病人和以前的病人口头或书面记录了他们在精神病院的经历。许多人的目的是让公众了解这些机构,提高护理标准,但他们的意见通常被忽视。假定精神障碍影响一个人判断的所有方面,加上医院当局和正式调查委员会的防御和贬低态度,促成了这一点。其他各种公共议程、金融危机和不断上升的失业率减损了精神疾病患者的需求。在护理方面有了微小的改善,但外行、专业和机构文化总体上保持了现状。关于从病人的反馈中学习,20世纪20年代遇到的一些障碍与今天国家卫生服务面临的挑战产生了共鸣。
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'I have to-day seen all the 671 patients in residence in this institution': not listening to patients in the long 1920s.

In the 1920s, patients and former patients produced oral and written accounts of their mental hospital experiences. Many aimed to inform the public about the institutions and to improve standards of care, but their views were usually ignored. The assumption that mental disorders affected all aspects of a person's judgement, plus defensive and disparaging attitudes of hospital authorities and formal committees of inquiry, contributed to this. Various other public agendas, financial crises and rising unemployment detracted from the needs of mentally unwell people. Small improvements in care materialized, but lay, professional and institutional cultures generally preserved the status quo. Regarding learning from patients' feedback, some hurdles encountered in the 1920s resonate with challenges in today's National Health Service.

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来源期刊
CiteScore
1.10
自引率
16.70%
发文量
34
期刊介绍: History of Psychiatry publishes research articles, analysis and information across the entire field of the history of mental illness and the forms of medicine, psychiatry, cultural response and social policy which have evolved to understand and treat it. It covers all periods of history up to the present day, and all nations and cultures.
期刊最新文献
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