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Critical psychiatry: The implications for community mental health practice D B Double.

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Presentation on theme: "Critical psychiatry: The implications for community mental health practice D B Double."— Presentation transcript:

1 Critical psychiatry: The implications for community mental health practice D B Double

2 The origins of community care

3 “Dismay and disgust with the old asylum system“

4 The origins of community care “Dismay and disgust with the old asylum system“ Opening the doors of the psychiatric hospital

5 The origins of community care “Dismay and disgust with the old asylum system“ Opening the doors of the psychiatric hospital Therapeutic milieu in hospital

6 The origins of community care “Dismay and disgust with the old asylum system“ Opening the doors of the psychiatric hospital Therapeutic milieu in hospital ‘Institutional neurosis' (Russell Barton)

7 The origins of community care “Dismay and disgust with the old asylum system“ Opening the doors of the psychiatric hospital Therapeutic milieu in hospital ‘Institutional neurosis' (Russell Barton) ‘Total institution' (Erving Goffman)

8 Critical psychiatry and community care

9 Thomas Scheff (1999) Being mentally ill

10 Critical psychiatry and community care Thomas Scheff (1999) Being mentally ill Franco Basaglia and law 180 in Italy

11 Critical psychiatry and community care Thomas Scheff (1999) Being mentally ill Franco Basaglia and law 180 in Italy Bracken & Thomas and home treatment in Bradford

12 Nature of critical psychiatry

13 Opposition to the reductionist tendency within psychiatry

14 Nature of critical psychiatry Opposition to the reductionist tendency within psychiatry More ethical foundation for practice

15 Nature of critical psychiatry Opposition to the reductionist tendency within psychiatry More ethical foundation for practice The term 'mental illness' may have meaning as a psychosocial concept

16 Nature of critical psychiatry Opposition to the reductionist tendency within psychiatry More ethical foundation for practice The term 'mental illness' may have meaning as a psychosocial concept Acknowledges the inevitable social dimension of psychiatric practice

17 Anti-psychiatry and institutionalisation

18 A whole new approach … without those features of psychiatric practice that seemed to belong to the sphere of social power and structure rather than to medical therapeutics (Laing1985).

19 Anti-psychiatry and institutionalisation A whole new approach … without those features of psychiatric practice that seemed to belong to the sphere of social power and structure rather than to medical therapeutics (Laing 1985). An effort to cease interference, to 'lay off' other people and give them and oneself a chance (David Cooper)

20 Anti-psychiatry and institutionalisation Villa 21 in Shenley Hospital

21 Anti-psychiatry and institutionalisation Villa 21 in Shenley Hospital Philadelphia Association established Kingsley Hall in 1965

22 Anti-psychiatry and institutionalisation Villa 21 in Shenley Hospital Philadelphia Association established Kingsley Hall in 1965 Rumpus room at Gartnavel hospital

23 Anti-psychiatry and institutionalisation Villa 21 in Shenley Hospital Philadelphia Association established Kingsley Hall in 1965 Rumpus room at Gartnavel hospital Joseph Berke and Leon Redler both worked with Maxwell Jones at Dingleton hospital before moving to Kingsley Hall

24 Critical psychiatry and other psychosocial approaches

25 Harry Stack Sullivan and Sheppard Pratt Hospital

26 Critical psychiatry and other psychosocial approaches Harry Stack Sullivan and Sheppard Pratt Hospital Adolf Meyer’s Psychobiology

27 Critical psychiatry and other psychosocial approaches Harry Stack Sullivan and Sheppard Pratt Hospital Adolf Meyer’s Psychobiology Clifford Beers and mental hygiene

28 Implications

29 Psychosocial perspectives have a long history in psychiatry

30 Implications Psychosocial perspectives have a long history in psychiatry Critical psychiatry has an explicitly ethical stance

31 Implications Psychosocial perspectives have a long history in psychiatry Critical psychiatry has an explicitly ethical stance The challenge of the user movement

32 Implications Psychosocial perspectives have a long history in psychiatry Critical psychiatry has an explicitly ethical stance The challenge of the user movement Meyer diverted Beer’s critique into the mental hygiene movement

33 Implications Psychosocial perspectives have a long history in psychiatry Critical psychiatry has an explicitly ethical stance The challenge of the user movement Meyer diverted Beer’s critique into the mental hygiene movement Anti-psychiatry had many of the same interests as other psychosocial perspectives


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