University of the Free State, South Africa.
Hist Psychiatry. 2021 Jun;32(2):146-161. doi: 10.1177/0957154X21989176. Epub 2021 Feb 18.
This paper identifies some of the themes that emerge from a study of official archival records from 1918 to 1934 on the subject of mental health in colonial Lesotho. They include: difficulties experienced by colonial medical doctors in diagnosing and treating mental illnesses, given the state of medical knowledge in the nineteenth and early twentieth centuries; impact of shortage of financial and other resources on the establishment and operation of medical services, especially mental health care; convergence of social order, financial and medical concerns as influences on colonial approaches to mental health care; and the question of whether Basotho colonial society saw institutionalization of their relatives as 'hospitalization' or 'imprisonment'. Two case studies are presented as preliminary explorations of some of the themes.
本文从 1918 年至 1934 年殖民莱索托时期的官方档案记录中,确定了一些主题,包括:鉴于 19 世纪和 20 世纪初的医学知识状况,殖民医生在诊断和治疗精神疾病方面遇到的困难;财政和其他资源短缺对医疗服务,特别是精神保健服务的建立和运作的影响;社会秩序、财政和医疗方面的关注对殖民时期精神保健方法的影响;以及巴索托殖民社会是否将亲属的制度化视为“住院治疗”还是“监禁”的问题。本文提出了两个案例研究,作为对一些主题的初步探讨。