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重塑哈利:1888 - 1918年格雷厄姆斯敦疯人院“内外”一个殖民地家庭的谱系研究

Reconstructing Harry: a genealogical study of a colonial family 'inside' and 'outside' the Grahamstown Asylum, 1888-1918.

作者信息

Wilbraham Lindy

出版信息

Med Hist. 2014 Apr;58(2):166-87. doi: 10.1017/mdh.2014.9.

Abstract

Recent scholarship has explored the dynamics between families and colonial lunatic asylums in the late nineteenth century, where families actively participated in the processes of custodial care, committal, treatment and release of their relatives. This paper works in this historical field, but with some methodological and theoretical differences. The Foucauldian study is anchored to a single case and family as an illness narrative that moves cross-referentially between bureaucratic state archival material, psychiatric case records, and intergenerational family-storytelling and family photographs. Following headaches and seizures, Harry Walter Wilbraham was medically boarded from his position as Postmaster in the Cape of Good Hope Colony of South Africa with a 'permanent disease of the brain', and was committed to the Grahamstown Asylum in 1910, where he died the following year, aged 40 years. In contrast to writings about colonial asylums that usually describe several patient cases and thematic patterns in archival material over time and place, this study's genealogical lens examines one white settler male patient's experiences within mental health care in South Africa between 1908 and 1911. The construction of Harry's 'case' interweaves archival sources and reminiscences inside and outside the asylum, and places it within psychiatric discourse of the time, and family dynamics in the years that followed. Thus, this case study maps the constitution of 'patient' and 'family' in colonial life, c.1888-1918, and considers the calamity, uncertainty, stigma and silences of mental illness.

摘要

近期的学术研究探讨了19世纪末家庭与殖民地疯人院之间的动态关系,当时家庭积极参与其亲属的监护、收容、治疗和释放过程。本文在这一历史领域展开研究,但在方法和理论上存在一些差异。福柯式研究以一个单一案例和家庭为基础,作为一种疾病叙事,在官僚国家档案材料、精神病病例记录以及代际家庭故事讲述和家庭照片之间交叉参照。在经历头痛和癫痫发作后,哈利·沃尔特·威尔布拉汉姆因“脑部永久性疾病”从南非好望角殖民地邮政局长的职位上被医学收治,并于1910年被送进格雷厄姆斯敦疯人院,次年在那里去世,享年40岁。与通常描述档案材料中多个患者案例以及不同时间和地点的主题模式的关于殖民地疯人院的著作不同,本研究的谱系学视角考察了一名白人定居男性患者在1908年至1911年间在南非精神卫生保健方面的经历。哈利“病例”的构建将疯人院内外的档案资料和回忆交织在一起,并将其置于当时的精神病学话语以及随后几年的家庭动态之中。因此,本案例研究描绘了1888年至1918年左右殖民地生活中“患者”和“家庭”的构成,并考虑了精神疾病带来的灾难、不确定性、耻辱和沉默。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6453/4106003/06efee27354c/S002572731400009X_fig1.jpg

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