Gomory Tomi
School of Social Work, Florida State University, UCC2410, Tallahassee, FL 32306-2570, USA.
Ethical Hum Sci Serv. 2002 Spring;4(1):3-16.
This article argues that Assertive Community Treatment (ACT) is fundamentally and historically based on the uncritical, but societally well-accepted view, that medically justified coercion (punishment or unwanted treatment) is therapeutic. It documents this claim by reviewing the early professional history and the resultant publications of the inventors of ACT (originally known as Training in Community Living), consisting of psychiatrists, social workers, and psychologists who trained and worked during the 1960s through the 1980s, at Mendota State Hospital (eventually renamed Mendota Mental Health Institute) in Wisconsin.
本文认为,积极社区治疗(ACT)在根本上且从历史角度来看,是基于一种虽未加批判但却为社会广泛接受的观点,即医学上合理的强制手段(惩罚或非自愿治疗)具有治疗作用。文章通过回顾ACT(最初称为社区生活培训)的发明者们的早期专业历史及由此产生的出版物来论证这一观点,这些发明者包括20世纪60年代至80年代期间在威斯康星州门多塔州立医院(最终更名为门多塔心理健康研究所)接受培训并工作的精神病医生、社会工作者和心理学家。