Andrews Jonathan, Philo Chris
Newcastle University, UK.
University of Glasgow.
Hist Psychiatry. 2017 Mar;28(1):129-141. doi: 10.1177/0957154X16671259.
Our aim in presenting this Classic Text is to foster wider analytical attention to a fascinating commentary on insanity by a former inmate of Glasgow Royal Asylum, Gartnavel, James Frame. Despite limited coverage in existing literature, his text (and other writings) have been surprisingly neglected by modern scholars. Frame's Philosophy presents a vivid, affecting, often destigmatizing account of the insane and their institutional provision in Scotland. Derived from extensive first-hand experience, Frame's chronicle eloquently and graphically delineates his own illness and the roles and perspectives of many other actors, from clinicians and managers to patients and relations. It is also valuable as a subjective, but heavily mediated, kaleidoscopic view of old and new theories concerning mental afflictions, offering many insights about the medico-moral ethos and milieu of the mid-Victorian Scottish asylum. Alternating as consolatory and admonitory illness biography, insanity treatise, mental health self-help guide, and asylum reform and promotion manual, it demands scrutiny for both its more progressive views and its more compromised and prejudicial attitudes.
我们呈现这本经典文本的目的是促使人们更广泛地从分析角度关注格拉斯哥皇家疯人院（加特内尔）的前患者詹姆斯·弗雷姆对精神错乱的一篇引人入胜的评论。尽管现有文献对其报道有限，但他的文本（以及其他著作）却出人意料地被现代学者忽视了。弗雷姆的《哲学》生动、感人，且常常消除了对精神病患者及其在苏格兰机构照料情况的污名化描述。基于广泛的第一手经验，弗雷姆的编年史雄辩而生动地描绘了他自己的病情以及许多其他角色的作用和观点，从临床医生、管理人员到患者及其亲属。它作为对有关精神痛苦的新旧理论的一种主观但经过大量调解的万花筒式观点也很有价值，提供了许多关于维多利亚时代中期苏格兰疯人院的医学道德风气和环境的见解。它时而作为慰藉性和劝诫性的疾病传记、精神错乱论著、心理健康自助指南，时而作为疯人院改革与推广手册，因其较为进步的观点以及较为妥协和有偏见的态度都需要仔细审视。
