Weaver John, Wright David
McMaster University.
Health History. 2009;11(1):102-27.
This article contributes to the history of psychiatry by examining the practice of institutional and community psychiatry in early-twentieth-century Queensland. The source material for this article emerged from a larger project on the history of suicide and a review of the publications and lectures of the state's leading psychiatrist, John Bostock. The paper comes to several conclusions. First, asylums responded to the diversity of illnesses by making case-based judgments about the duration of treatment and the possibility of paroles. Many suicidal patients were not locked up for long periods if their ailments showed promise of alleviation. Second, we suggest that in the interwar period private practice was vibrant and worked interactively with traditional asylum committal. Third, even in rural areas there was awareness by the 1930s of urban-based alternatives to the asylums. Finally, we found evidence of attentive families who pursued several avenues of care for their loved-ones. Ultimately, the findings point to a complex mixed marketplace in psychiatric care during this time period.
本文通过考察20世纪初昆士兰州的机构精神病学和社区精神病学实践,为精神病学史做出了贡献。本文的源材料来自一个关于自杀史的更大项目,以及对该州首席精神病学家约翰·博斯托克的出版物和讲座的回顾。本文得出了几个结论。第一,精神病院通过对治疗时长和假释可能性进行基于病例的判断,来应对疾病的多样性。如果许多自杀患者的病情有望缓解,他们不会被长期关押。第二,我们认为在两次世界大战之间的时期,私人执业很活跃,并与传统的收容精神病院互动合作。第三,即使在农村地区,到20世纪30年代人们也已经意识到了以城市为基础的替代精神病院的机构。最后,我们发现了一些细心的家庭为他们所爱的人寻求多种护理途径的证据。最终,研究结果表明在这一时期的精神科护理领域存在一个复杂的混合市场。