Thifault Marie-Claude, Kirouac Laurie
Rech Soins Infirm. 2020;139(4):99-108. doi: 10.3917/rsi.139.0099.
Introduction : This study examines the humanization movement at the Saint-Jean-de-Dieu psychiatric hospital between the 1960s and the 1990s.Context : Conducting a historiography of psychiatric deinstitutionalization in Quebec during the twentieth century shows that the institution was a place of social control and, above all else, a place where psychiatric patients were neglected and dehumanized.Objective : While the historiography since the 1960s has focused on a largely one-dimensional and critical reading of the way in which deinstitutionalization took place in Quebec, I have instead chosen to focus on the changes that took place within the Quebec hospital's walls.Method : In addition to the medical records of the patients who were interned in 1961, I conducted interviews to examine the experiences and emotions of nurses who worked in the psychiatric hospital between the 1960s and 1990s.Results : The examination of medical records revealed patients' reluctance and resistance to reintegrate into society. The interviews with nurses revealed that they often felt close to their patients.Discussion : The words and memories of nurses enrich and deepen the complexity of the history of psychiatric nursing practices, extend the existing historiography, and open new avenues for research in the field.Conclusion : The deinstitutionalization movement promoted mental health policies that transformed the old psychiatric hospital. This new analytical approach contributed to renewing the history of psychiatric nursing practices.
本研究考察了20世纪60年代至90年代圣让迪厄精神病院的人性化运动。
对20世纪魁北克精神病院非机构化的历史编纂表明,该机构是一个社会控制场所,最重要的是,是一个精神病患者被忽视和非人化的地方。
虽然自20世纪60年代以来的历史编纂主要集中在对魁北克非机构化发生方式的一维批判性解读上,但我选择关注魁北克医院内部发生的变化。
除了1961年住院患者的病历外,我还进行了访谈,以考察20世纪60年代至90年代在精神病院工作的护士的经历和情感。
对病历的检查显示患者不愿且抗拒重新融入社会。对护士的访谈表明,他们常常感觉与患者关系密切。
护士的言语和记忆丰富并加深了精神科护理实践历史的复杂性,扩展了现有的历史编纂,并为该领域的研究开辟了新途径。
非机构化运动推动了精神健康政策,这些政策改变了旧的精神病院。这种新的分析方法有助于更新精神科护理实践的历史。