Department of Psychiatry, University of Arizona College of Medicine, Tucson, Arizona, USA.
Department of Psychiatry, SUNY Upstate Medical University, Syracuse, New York, USA.
CNS Spectr. 2020 Oct;25(5):638-650. doi: 10.1017/S1092852920000103. Epub 2020 Mar 20.
This article traces the history of the way in which mental disorders were viewed and treated, from before the birth of Christ to the present day. Special attention is paid to the process of deinstitutionalization in the United States and the failure to create an adequately robust community mental health system to care for the people who, in a previous era, might have experienced lifelong hospitalization. As a result, far too many people with serious mental illnesses are living in jails and prisons that are ill-suited and unprepared to meet their needs.
本文追溯了从公元前到现在,精神障碍的看法和治疗方式的历史。特别关注了美国的去机构化过程,以及未能创建一个足够强大的社区心理健康系统来照顾那些在以前可能经历过终身住院治疗的人。因此,太多患有严重精神疾病的人生活在监狱中,而这些监狱并不适合也没有准备好满足他们的需求。