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1860 - 1864年英国殖民地疯人院的管理与殖民地精神病学的起源

The regulation of British colonial lunatic asylums and the origins of colonial psychiatry, 1860-1864.

作者信息

Swartz Sally

机构信息

University of Cape Town.

出版信息

Hist Psychol. 2010 May;13(2):160-77. doi: 10.1037/a0019223.

Abstract

In this paper I outline a brief period in the history of the British Empire, during which colonial lunatic asylum policy began to be formulated. I begin with a scandal that erupted in Jamaica and suggest that this set in motion processes that led to critical changes in asylum administration. The first of these processes was an audit of hospitals and asylums in the colonies. The results of the audit and the policy that emerged from it marked the beginning of systematic regulation of lunatic asylum practice across the British Empire. It revealed a formulation of policy that was intended to cut across the self-governing regimes that had up to this point been allowed to evolve. Drawing on the work of Michel Foucault and Nikolas Rose, I argue that the policy and the practices associated with it contribute to an understanding of the emergence of the psy-sciences in colonial settings. They illustrate the establishment of a panoptic gaze on previously neglected insane spaces. Systematic surveillance constituted government at a distance and made colonial lunacy administration a governable discursive space. The regulation of the medical officers, lunatic attendants, and hospital boards began the process of creating a professional psychiatric workforce. I conclude with a discussion of the implications and the mixed impact of this policy change for the mentally ill across the empire, over the ensuing decades.

摘要

在本文中,我概述了大英帝国历史上的一个短暂时期,在此期间殖民地疯人院政策开始得以制定。我从牙买加爆发的一场丑闻说起,并指出这场丑闻引发了一系列进程,这些进程导致了疯人院管理的重大变革。其中第一个进程是对殖民地的医院和疯人院进行审计。审计结果以及由此产生的政策标志着大英帝国对疯人院实践进行系统监管的开端。它揭示了一项旨在打破此前一直允许其自行发展的自治体制的政策制定。借鉴米歇尔·福柯和尼古拉斯·罗斯的研究成果,我认为该政策及其相关实践有助于理解殖民地背景下心理科学的兴起。它们体现了对先前被忽视的疯人空间建立起全景式的审视。系统性监督构成了一种远距离治理方式,并使殖民地疯人管理成为一个可治理的话语空间。对医务人员、疯人护理员和医院董事会的监管开启了创建专业精神科劳动力队伍的进程。最后,我讨论了在接下来的几十年里,这一政策变化对整个帝国精神病患者的影响及复杂作用。

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