Lamb H R
Psychiatry. 1979 Aug;42(3):201-7. doi: 10.1080/00332747.1979.11024024.
A pattern of neglect of the severely mentally ill, then outrage and movements for reform, followed again by a lapse into neglect has been characteristic of the mental health professions and society generally. This article explores the possibility that neglect of the mentally ill may be rooted in professionals' dissatisfaction with meeting chronic dependency needs, a moral disapproval of dependency and passivity, a distaste for the lower social classes, and an inclination, like that in the larger society, to exclude the mentally ill. The discussion then turns to the problem of the overselling of rehabilitation and the observation that despite the powerful dependency needs and limited tolerance for stress of the mentally disabled, when attention is finally turned to them, neglect often gives way to unrealistic expectations of rehabilitation. The paper concludes with recommendations for alleviating these problems.
严重精神疾病患者先是被忽视，接着引发愤怒和改革运动，随后又再度陷入被忽视的状态，这是精神卫生专业领域及整个社会的典型特征。本文探讨了对精神病患者的忽视可能源于专业人员对满足长期依赖需求的不满、对依赖和被动性的道德不认同、对较低社会阶层的厌恶，以及与更大社会中类似的排斥精神病患者的倾向。讨论随后转向过度宣扬康复的问题，并指出尽管精神残疾者有强烈的依赖需求且对压力的承受能力有限，但当最终关注到他们时，忽视往往会让位于对康复的不切实际期望。本文最后提出了缓解这些问题的建议。
