Toms Jonathan
Soc Hist Med. 2020 May;33(2):622-640. doi: 10.1093/shm/hky096. Epub 2018 Nov 17.
During the 1970s the National Association for Mental Health (NAMH) re-labelled itself MIND, becoming a rights-based organisation, critiquing psychiatry and emphasising patients' citizenship. Its transformation has been coloured by attributions of the influence of anti-psychiatry. This article argues that the relevance of anti-psychiatry has been over-simplified. It examines MIND's history as part of the psychiatric strategy known as mental hygiene. This movement's agenda can be understood as paradigmatic of much that anti-psychiatry renounced. However, building on the sociologist Nick Crossley's description of the interactional nature of Social Movement Organisations in the psychiatric field, this article shows that a 'discursive transformation' can be deduced in core elements of mental hygienist thinking. This transformation of discourse clearly important elements of anti-psychiatry, and also fed into MIND's rights approach. But it must be appreciated on its own terms. Its distinctiveness under MIND is shown in its application to people with learning disabilities.
20世纪70年代,全国心理健康协会(NAMH)将自身重新命名为“心智”(MIND),成为一个基于权利的组织,批判精神病学并强调患者的公民身份。其转变受到了反精神病学影响的归因。本文认为,反精神病学的相关性被过度简化了。它将“心智”的历史作为被称为心理卫生的精神病学策略的一部分进行考察。这场运动的议程可以被理解为反精神病学所摒弃的许多内容的典范。然而,基于社会学家尼克·克罗斯利对精神病学领域社会运动组织互动性质的描述,本文表明,在心理卫生主义者思维的核心要素中可以推断出一种“话语转变”。这种话语转变显然包含了反精神病学的重要元素,也融入了“心智”的权利方法。但必须从其自身角度来理解它。它在“心智”下的独特性体现在其对学习障碍者的应用中。