Schissel B
Department of Sociology, University of Saskatchewan, Saskatoon, Canada.
Soc Sci Res. 1997 Dec;26(4):399-418. doi: 10.1006/ssre.1997.0602.
Informed by the theories of political economy and professional interests, this research argues that psychiatric commitments to community care and to scientific categorization have contributed to expanding control of the mentally ill, and that these ideological commitments run parallel to and are exacerbated by state responses to macro-economic conditions. Time series analysis of the period from 1932 to 1975 is used to assess the relative impact of deinstitutionalization, medical entrenchment, and state fiscal policy on psychiatric expansionism. The findings demonstrate that a professional interests explanation (indicated by a commitment to community and to science) provides a significant contribution to a materialist-based explanation of expanding psychiatric control.
受政治经济学理论和专业利益的影响，本研究认为，精神科对社区护理和科学分类的承诺促成了对精神病患者控制的扩大，并且这些意识形态承诺与国家对宏观经济状况的反应并行且因后者而加剧。使用1932年至1975年期间的时间序列分析来评估去机构化、医学固化和国家财政政策对精神科扩张主义的相对影响。研究结果表明，一种基于专业利益的解释（以对社区和科学的承诺为标志）为基于唯物主义的精神科控制扩大的解释做出了重大贡献。
