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Critical psychiatry: The implications for community mental health practice

Critical psychiatry: The implications for community mental health practice. D B Double. The origins of community care. The origins of community care. “Dismay and disgust with the old asylum system“. The origins of community care. “Dismay and disgust with the old asylum system“

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Critical psychiatry: The implications for community mental health practice

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  1. Critical psychiatry: The implications for community mental health practice D B Double

  2. The origins of community care

  3. The origins of community care • “Dismay and disgust with the old asylum system“

  4. The origins of community care • “Dismay and disgust with the old asylum system“ • Opening the doors of the psychiatric hospital

  5. The origins of community care • “Dismay and disgust with the old asylum system“ • Opening the doors of the psychiatric hospital • Therapeutic milieu in hospital

  6. The origins of community care • “Dismay and disgust with the old asylum system“ • Opening the doors of the psychiatric hospital • Therapeutic milieu in hospital • ‘Institutional neurosis' (Russell Barton)

  7. The origins of community care • “Dismay and disgust with the old asylum system“ • Opening the doors of the psychiatric hospital • Therapeutic milieu in hospital • ‘Institutional neurosis' (Russell Barton) • ‘Total institution' (Erving Goffman)

  8. Critical psychiatry and community care

  9. Critical psychiatry and community care • Thomas Scheff (1999) Being mentally ill

  10. Critical psychiatry and community care • Thomas Scheff (1999) Being mentally ill • Franco Basaglia and law 180 in Italy

  11. Critical psychiatry and community care • Thomas Scheff (1999) Being mentally ill • Franco Basaglia and law 180 in Italy • Bracken & Thomas and home treatment in Bradford

  12. Nature of critical psychiatry

  13. Nature of critical psychiatry • Opposition to the reductionist tendency within psychiatry

  14. Nature of critical psychiatry • Opposition to the reductionist tendency within psychiatry • More ethical foundation for practice

  15. Nature of critical psychiatry • Opposition to the reductionist tendency within psychiatry • More ethical foundation for practice • The term 'mental illness' may have meaning as a psychosocial concept

  16. Nature of critical psychiatry • Opposition to the reductionist tendency within psychiatry • More ethical foundation for practice • The term 'mental illness' may have meaning as a psychosocial concept • Acknowledges the inevitable social dimension of psychiatric practice

  17. Anti-psychiatry and institutionalisation

  18. Anti-psychiatry and institutionalisation • A whole new approach … without those features of psychiatric practice that seemed to belong to the sphere of social power and structure rather than to medical therapeutics (Laing1985).

  19. Anti-psychiatry and institutionalisation • A whole new approach … without those features of psychiatric practice that seemed to belong to the sphere of social power and structure rather than to medical therapeutics (Laing 1985). • An effort to cease interference, to 'lay off' other people and give them and oneself a chance (David Cooper)

  20. Anti-psychiatry and institutionalisation • Villa 21 in Shenley Hospital

  21. Anti-psychiatry and institutionalisation • Villa 21 in Shenley Hospital • Philadelphia Association established Kingsley Hall in 1965

  22. Anti-psychiatry and institutionalisation • Villa 21 in Shenley Hospital • Philadelphia Association established Kingsley Hall in 1965 • Rumpus room at Gartnavel hospital

  23. Anti-psychiatry and institutionalisation • Villa 21 in Shenley Hospital • Philadelphia Association established Kingsley Hall in 1965 • Rumpus room at Gartnavel hospital • Joseph Berke and Leon Redler both worked with Maxwell Jones at Dingleton hospital before moving to Kingsley Hall

  24. Critical psychiatry and other psychosocial approaches

  25. Critical psychiatry and other psychosocial approaches • Harry Stack Sullivan and Sheppard Pratt Hospital

  26. Critical psychiatry and other psychosocial approaches • Harry Stack Sullivan and Sheppard Pratt Hospital • Adolf Meyer’s Psychobiology

  27. Critical psychiatry and other psychosocial approaches • Harry Stack Sullivan and Sheppard Pratt Hospital • Adolf Meyer’s Psychobiology • Clifford Beers and mental hygiene

  28. Implications

  29. Implications • Psychosocial perspectives have a long history in psychiatry

  30. Implications • Psychosocial perspectives have a long history in psychiatry • Critical psychiatry has an explicitly ethical stance

  31. Implications • Psychosocial perspectives have a long history in psychiatry • Critical psychiatry has an explicitly ethical stance • The challenge of the user movement

  32. Implications • Psychosocial perspectives have a long history in psychiatry • Critical psychiatry has an explicitly ethical stance • The challenge of the user movement • Meyer diverted Beer’s critique into the mental hygiene movement

  33. Implications • Psychosocial perspectives have a long history in psychiatry • Critical psychiatry has an explicitly ethical stance • The challenge of the user movement • Meyer diverted Beer’s critique into the mental hygiene movement • Anti-psychiatry had many of the same interests as other psychosocial perspectives

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