Wadi Y M
Hist Cienc Saude Manguinhos. 1999;6(3):659-79.
The current fight to de-institutionalize madness has brought forward the issues of medical-psychiatric knowledge's legitimacy and of the limits of its power over madness. The paper reconstructs some of the movements of nascent psychiatry in Rio Grande do Sul through examination of an issue that was fiercely debated by alienists at the Hospicio Sao Pedro de Porto Alegre, that is, the question of institutional commitment of 'mad-individuals'. By focusing on this scenario during 1884-94, it becomes possible to understand how from early on the protagonists organized some of their tactical movements and sought to establish power relationships by conquering the institutional space where the insane were to be kept. As territories where medical knowledge was fighting for recognition and power, these movements were characterized by critcism, discord, and fickleness. They were part of the process by which psychiatry was constructed in Rio Grande do Sul and are prerequisite to understanding its modernity.
当前将疯狂非机构化的斗争引发了医学 - 精神病学知识的合法性问题及其对疯狂的权力限度问题。本文通过审视阿雷格里港圣佩德罗收容所的精神病医生激烈辩论的一个问题，即“疯人”的机构收容问题，重构了南里奥格兰德州新生精神病学的一些动态。通过聚焦1884 - 1894年期间的这一情景，就有可能理解早期主角们是如何组织他们的一些战术行动，并试图通过征服收容疯子的机构空间来建立权力关系的。作为医学知识争夺认可和权力的领域，这些动态的特点是批评、不和与多变。它们是南里奥格兰德州精神病学构建过程的一部分，也是理解其现代性的先决条件。
