6/7/2023 0 Comments Download running man 169![]() Illustrating the problematic effects of asylums, Goffman, coined the term “total institution” from a sociological perspective in his seminal work Asylums. ![]() In the 19 th and early 20 th century, asylums were the main form of care for patients with severe mental illness (SMI). All themes have some relevance for the contemporary debate on how psychiatric care should develop and on the role of institutional care in psychiatry. ![]() The concept of institutionalization in psychiatry reflects four distinct themes. Resultsįour main themes were identified in conceptualizing institutionalization: bricks and mortar of care institutions policy and legal frameworks regulating care clinical responsibility and paternalism in clinician-patient relationships and patients’ adaptive behavior to institutionalized care. Thematic analysis was used to synthesize the findings. MethodĪ conceptual review of institutionalization in psychiatry was conducted. This review aims to identify the meaning of psychiatric institutionalization since the early 1960s to present-day. Yet, there is a lack of clarity on what exactly the concept of institutionalization means in present-day psychiatry. ![]() It described the process of closure or downsizing of large psychiatric hospitals and the establishment of alternative services in the community. Since Goffman’s seminal work on psychiatric institutions, deinstitutionalization has become a leading term in the psychiatric debate.
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