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Asylum on the Hill
Asylum on the Hill is the story of a great American experiment in psychiatry, a revolution in care for those with mental illness, as seen through the example of the Athens Lunatic Asylum. Built in southeast Ohio after the Civil War, the asylum embodied the nineteenth-century \"gold standard\" specifications of moral treatment. Stories of patients and their families, politicians, caregivers, and community illustrate how a village in the coalfields of the Hocking River valley responded to a national movement to provide compassionate care based on a curative landscape, exposure to the arts, outdoor exercise, useful occupation, and personal attention from a physician.
Katherine Ziff's compelling presentation of America's nineteenth-century asylum movement shows how the Athens Lunatic Asylum accommodated political, economic, community, family, and individual needs and left an architectural legacy that has been uniquely renovated and repurposed. Incorporating rare photos, letters, maps, and records, Asylum on the Hill is a fascinating glimpse into psychiatric history.
eBook
Breaking the silence
When fulfilling her father's dying wish leads to a chain of unexpected events, including her husband's suicide, Laura begins to discover secrets in her family's past.
Book
Troubled in the Land of Enchantment
In this groundbreaking study based on five years of in-depth ethnographic and interdisciplinary research, Troubled in the Land of Enchantment explores the well-being of adolescents hospitalized for psychiatric care in New Mexico. Anthropologists Janis H. Jenkins and Thomas J. Csordas present a gripping picture of psychic distress, familial turmoil, and treatment under the regime of managed care that dominates the mental health care system. The authors make the case for the centrality of struggle in the lives of youth across an array of extraordinary conditions, characterized by personal anguish and structural violence. Critical to the analysis is the cultural phenomenology of existence disclosed through shifting narrative accounts by youth and their families as they grapple with psychiatric diagnosis, poverty, misogyny, and stigma in their trajectories through multiple forms of harm and sites of care. Jenkins and Csordas compellingly direct our attention to the conjunction of lived experience, institutional power, and the very possibility of having a life.
eBook
Manual of Inpatient Psychiatry
Inpatient units treat some of the most difficult psychiatric patients. This compact clinical manual is convenient for use on the ward and serves as a standard guide for treatment, addressing the common questions and issues that clinicians face in day-to-day psychiatric work with this challenging patient group. Chapters are organised around the diagnoses found on inpatient psychiatric units, with additional chapters addressing documentation and the care of young adult inpatients. Charts, tables and clinical hints amplify the text, allowing practising clinicians to find the information they need quickly and easily, and enabling students to master the field for board and end-of-clerkship exams. This practical manual is essential reading for practising psychiatrists, psychiatric residents and all psychiatric educators, as well as serving as an accessible reference for physicians in other specialties who consult on the psychiatric ward, psychiatric nurses and medical students.
eBook
The first resort : the history of social psychiatry in the United States
\"Social psychiatry was a mid-twentieth-century approach to mental health that stressed the prevention of mental illness rather than its treatment. Its proponents developed environmental explanations of mental health, arguing that socioeconomic problems such as poverty, inequality, and social isolation were the underlying causes of mental illness. The influence of social psychiatry contributed to the closure of psychiatric hospitals and the emergence of community mental health care during the 1960s. By the 1980s, however, social psychiatry was in decline, having lost ground to biological psychiatry and its emphasis on genetics, neurology, and psychopharmacology. The First Resort is a history of the rise and fall of social psychiatry that also explores the lessons this largely forgotten movement has to offer today. Matthew Smith examines four ambitious projects that investigated the relationship between socioeconomic factors and mental illness in Chicago, New Haven, New York City, and Nova Scotia. He contends that social psychiatry waned not because of flaws in its preventive approach to mental health but rather because the economic and political crises of the 1970s and the shift to the right during the 1980s foreclosed the social changes required to create a more mentally healthy society. Smith also argues that social psychiatry provides timely insights about how progressive social policies, such as a universal basic income, can help stem rising rates of mental illness in the present day\"-- Provided by publisher.
BOOK
Hysteria in performance
\"The nineteenth-century study of hysteria at the Salpêtrière hospital was a medical project, but also a theatrical one. The hysteric's public appearance was a continual ethical provocation, pointing not only to the vulnerability of her person but to the unstable position of her spectator. Hysteria in Performance sets out to uncover what kind of performance the hysterical attack is, as well as the nature of hysteria in and as performance as it occurred at Salpêtrière. The Salpêtrière documents undeniably show the gravity of the institutional violence committed against its female patients. Using the lenses of performance studies and performance theory, Jenn Cole expresses the overt and subtle damages done to hysterical women in Jean-Martin Charcot's hospital, drawing attention to the hysteric's resistance to these experiences: it is often simply by being herself that the hysteric points to the inherent weaknesses in these systemic modes of violence. In Hysteria in Performance, the hysteric becomes a figure who represents possibilities for ethical encounters within performance and everyday living. Revealing the fraught and exciting nature of theatrical representation, and continually drawing out the dilemmas and unexpected dynamics of witnessing the suffering of others, this groundbreaking study explores how Charcot's findings on hysteria produced a unique mixture of theatre and science that has unexpected things to teach.\"-- Provided by publisher.
BOOK
Aggression on the psychiatric ward: Prevalence and risk factors. A systematic review of the literature
On psychiatric wards, aggressive behaviour displayed by patients is common and problematic. Understanding factors associated with the development of aggression offers possibilities for prevention and targeted interventions. This review discusses factors that contribute to the development of aggression on psychiatric wards. In Pubmed and Embase, a search was performed aimed at: prevalence data, ward characteristics, patient and staff factors that are associated with aggressive behaviour and from this search 146 studies were included. The prevalence of aggressive behaviour on psychiatric wards varied (8-76%). Explanatory factors of aggressive behaviour were subdivided into patient, staff and ward factors. Patient risk factors were diagnosis of psychotic disorder or bipolar disorder, substance abuse, a history of aggression, younger age. Staff risk factors included male gender, unqualified or temporary staff, job strain, dissatisfaction with the job or management, burn-out and quality of the interaction between patients and staff. Staff protective factors were a good functioning team, good leadership and being involved in treatment decisions. Significant ward risk factors were a higher bed occupancy, busy places on the ward, walking rounds, an unsafe environment, a restrictive environment, lack of structure in the day, smoking and lack of privacy. Despite a lack of prospective quantitative data, results did show that aggression arises from a combination of patient factors, staff factors and ward factors. Patient factors were studied most often, however, besides treatment, offering the least possibilities in prevention of aggression development. Future studies should focus more on the earlier stages of aggression such as agitation and on factors that are better suited for preventing aggression such as ward and staff factors. Management and clinicians could adapt staffing and ward in line with these results.
Journal Article