Baur Nicole
University of Exeter, Exeter, Devon, UK.
Endeavour. 2013 Sep;37(3):172-83. doi: 10.1016/j.endeavour.2013.06.005. Epub 2013 Jul 19.
'What is it that appears to make the mentally ill so vulnerable to therapeutic experimentation?'(1) One commentator wrote in the 1990s, regarding mental hospitals as repressive, coercive and custodial institutions where medical staff subjected patients to orgies of experimentation. A careful study of surviving documents of the Devon County Lunatic Asylum (DCLA), however, paints a different picture. Rather than medical staff, patients' relatives and the wider community exercised a considerable influence over a patient's hospital admission and discharge, rendering the therapeutic regime in the middle of the 20th century the result of intense negotiations between the hospital and third parties.
“究竟是什么使得精神病患者如此容易成为治疗性试验的对象?”(1)一位评论家在20世纪90年代写道,他将精神病院视为压抑、强制和监禁性的机构,在那里医务人员让患者遭受大量试验。然而,对德文郡疯人院(DCLA)现存文件的仔细研究描绘了一幅不同的画面。对患者的入院和出院施加相当大影响的,并非医务人员,而是患者的亲属和更广泛的社区,这使得20世纪中叶的治疗方案成为医院与第三方之间激烈谈判的结果。