Moon G
Institute for the Geography of Health, University of Portsmouth, Milldam, Burnaby Road, Portsmouth PO1 3AS, UK.
Health Place. 2000 Sep;6(3):239-50. doi: 10.1016/s1353-8292(00)00026-5.
Confinement has regained respectability in the discourses of contemporary UK mental health policy. This development reflects concern about violent offences by people with mental health problems and is rooted in claims about the 'failure' of community care. Confinement is presented as a strategic response to the risks and dangers posed by particular fractions of the population of mental health service users. Using two key policy statements issued by the Department of Health and associated discussions in the health services management press, the confinement theme is explored and assessed. The paper notes its emergence as a consequence of the spatial impacts of deinstitutionalization and its specific origins in response to violent offences by people with mental health problems. The notion that the growing emphasis on confinement presages a return to the asylum is considered and rejected. Rather, the paper stresses the importance of discourses of protection, safety, risk and dangerousness in understanding the turn to confinement.
在当代英国心理健康政策的论述中，禁闭已重新获得了合理性。这一发展反映了对有心理健康问题者实施暴力犯罪的担忧，其根源在于对社区护理“失败”的种种说法。禁闭被视为对心理健康服务使用者中特定群体所构成的风险和危险的一种战略应对措施。通过利用卫生部发布的两份关键政策声明以及卫生服务管理媒体上的相关讨论，对禁闭这一主题进行了探讨和评估。本文指出，它的出现是去机构化的空间影响的结果，其特定起源是为了应对有心理健康问题者的暴力犯罪。那种认为对禁闭的日益重视预示着向收容所回归的观点得到了思考并被否定。相反，本文强调了保护、安全、风险和危险性等论述在理解转向禁闭方面的重要性。
