Herman N J, Smith C M
Dept. of Sociology, Central Michigan University, Mt. Pleasant 48859.
Can J Psychiatry. 1989 Jun;34(5):386-91. doi: 10.1177/070674378903400505.
This paper reviews briefly the history of mental health depopulation in Canada over the past 30 years. The term "deinstitutionalization" is often used but is unsatisfactory. Using an exploratory, qualitative, methodological approach, data were collected on the problems encountered by a disproportionate, stratified random sample of 139 formerly institutionalized patients living in various geographical locales in Eastern Canada. Adopting a symbolic interactionist theoretical approach, this study, in an effort to fill a neglect in the literature, attempted to discover what the everyday world(s) of Canadian ex-mental patients was really like. Problems encountered related to stigma, poor housing, lack of back living skills, poverty, unemployment and aftercare. Quotations from patients are provided to illustrate such themes. The findings are discussed.
本文简要回顾了加拿大过去30年精神卫生领域人口减少的历史。“去机构化”一词经常被使用，但并不令人满意。采用探索性、定性的方法，对居住在加拿大东部不同地理位置的139名曾住院治疗的患者进行了不成比例的分层随机抽样，收集了他们所遇到问题的数据。本研究采用象征互动主义理论方法，试图填补文献中的空白，探寻加拿大前精神疾病患者的日常生活究竟是怎样的。所遇到的问题包括耻辱感、住房条件差、缺乏生活技能、贫困、失业以及后续护理。文中提供了患者的引述以说明这些主题，并对研究结果进行了讨论。
