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该机构在美国密歇根州山楂树中心的儿童和青少年精神病学历史中的矛盾角色:一项案例研究

The ambivalent role of the institution in the history of child and adolescent psychiatry: a case study of the Hawthorn Centre in Michigan, USA.

作者信息

Cesaro Robert, Hirshbein Laura

机构信息

Henry Ford Health System, Detroit, USA.

University of Michigan, USA.

出版信息

Hist Psychiatry. 2020 Dec;31(4):440-454. doi: 10.1177/0957154X20940668. Epub 2020 Jul 16.

DOI:10.1177/0957154X20940668
PMID:32668976
Abstract

Historians have examined the role of psychiatric institutions in the USA and addressed whether this form of care helped or harmed patients (depending on the perspective of the time period, historical actors, and historians). But the story for children's mental institutions was different. At the time when adult institutions were in decline, children's mental hospitals were expanding. Parents and advocates clamoured for more beds and more services. The decrease in facilities for children was more due to economic factors than ideological opposition. This paper explores a case study of a hospital in Michigan as a window into the different characteristics of the discussion of psychiatric care for children.

摘要

历史学家们研究了美国精神病院的作用,并探讨了这种护理形式对患者是有帮助还是有伤害(这取决于所处的时间段、历史参与者以及历史学家的观点)。但儿童精神病院的情况有所不同。在成人精神病院衰落之际,儿童精神病院却在扩张。家长和倡导者们迫切要求增加床位和服务。儿童设施的减少更多是由于经济因素而非意识形态上的反对。本文通过对密歇根州一家医院的案例研究,来窥探儿童精神病护理讨论的不同特点。

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