The authors of this volume point out that what is ordinarily
termed the psychiatric hospital's "social structure" is principally
derived from three sources: the number and kinds of professionals
who work there; the treatment ideologies and professional
identities of these professionals; and the relationships of the
institution and its professionals to outside communities, both
professional and lay. They describe hospitals as sites where
ideological battles characterizing the mental health arena are
being fought, implemented, critiqued, modified, and
transformed.
This classic monograph in medical sociology was originally
published in the 1960s. The period studied was 1958 through 1963,
when somatic and psychotherapeutic ideologies were flourishing--as
now--and milieutherapy was just emerging. The research team was
multidisciplinary: three sociologists, one psychologist, and one
psychiatrist.
Three distinct psychiatric environments were researched: two at
the Chicago State Hospital--"chronic services" and "treatment
services"--and one at a private hospital. What evolved were
thoughtful comparative analyses of hospitals, wards, professionals,
ideological positions, careers, and organizational and situational
placements.
General
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