Gründler Jens
Hist Hosp. 2014;29:97-127.
In this article the focus of analysis lies on power relations in everyday life in one of Glasgow's Pauper Lunatic Asylums at the turn of the twentieth century. Taking a sample of patient case files I examine the daily processes of negotiation between inmates and their relatives, physicians, attendants and nurses as well as the poor law administration. Some cases especially exemplify the complex relationships between the actors. They show which opportunities and boundaries existed for "power brokering" for the more powerless. At the same time these cases illustrate the formal and practical limits of enforcement by doctors and nursing staff. Without turning a blind eve to hierarchies and power imbalances the analysis shows that even in settings like "total institutions" power remains volatile. Even there the more powerful actors have to actualize, seize and prevail on a regular basis.
在本文中，分析的重点在于20世纪之交格拉斯哥一所贫民疯人院日常生活中的权力关系。我选取了一些患者病例档案样本，研究了住院病人与其亲属、医生、护理员和护士以及济贫法管理部门之间日常的协商过程。一些案例特别体现了各方参与者之间复杂的关系。它们展示了那些较为弱势的群体进行“权力交易”时所存在的机会和界限。与此同时，这些案例也说明了医生和护理人员在执行方面的形式上和实际中的限制。在不忽视等级制度和权力失衡的情况下，分析表明，即使在“全控机构”这样的环境中，权力仍然是不稳定的。即便在那里，更有权力的参与者也必须不断实现、抓住并占据上风。
