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Biting Off the Bracelet - Study of Children in Hospitals (Hardcover)
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Biting Off the Bracelet - Study of Children in Hospitals (Hardcover)
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Taking Erving Goffman's "total institution" as her model, Beuf
finds that children's hospitals have the same depersonalizing
characteristics that he found in Asylums (1961). She acknowledges
that like conditions exist for adult patients but notes that they
are harder on children because, first, children are already in a
situation of enforced helplessness which hospitalization compounds
and, second, their sense of self-esteem is still forming and thus
more fragile. The structure of this book derives entirely from
Beuf's comparison of what she observed in two children's hospitals
with Goffman's model and with Talcott Parson's "notion" of the
"sick role," which she finds inaccurate in this setting. Beuf
points out the discrepancy between the hospital's ostensible
function, to help sick children, and its hidden one - to work
efficiently and regulate its inmates. She draws up some broad
composite-impressions of patient types (the wild kid, the
gregarious host, the junior medical student) to illustrate the
"coping strategies" she has observed. Her recommendations are
unsurprising: professionals should have courses in child
psychology, and other staff members should be trained to deal with
patients' emotional needs; for all, jobs and promotions should
depend on sensitivity. The problem with Beuf's argument is not that
it is invalid but that it is ponderously belabored. The study grew
out of her own experiences as a mother of hospitalized children;
perhaps if she had drawn more from those experiences the book would
read less like an unimaginative master's thesis. (Kirkus Reviews)
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