| Titre : | The permeable institution : An ethnographic study of three acute psychiatric wards in London. (2006) |
| Auteurs : | Alan QUIRK ; Paul LELLIOTT ; SEALE (Clive) : GBR. Human Sciences Department. Brunel. ; Royal College of Psychiatrists. College Research and Training Unit. London. GBR |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 63, n° 8, 2006) |
| Pagination : | 2105-2117 |
| Langues: | Anglais |
| Mots-clés : | Ethnologie ; Urgence psychiatrique ; Hôpital psychiatrique ; Angleterre ; Grande Bretagne ; Royaume Uni ; Europe ; Psychopathologie ; Epidémiologie ; Relation administration administré ; Evolution ; Homme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS hR0x5nyn. Diffusion soumise à autorisation]. In Asylums, Goffman [1961. Asylums. London : Penguin] identified some permeable features of the old mental hospitals but presented them as exceptions to the rule and focused on their impermeable aspects. We argue that this emphasis is no longer valid and offer an alternative ideal type that better represents the reality of everyday life in contemporary'bricks and mortar'psychiatric institutions. We call this the "permeable institution". The research involved participant observation of between 3 and 4 months and interviews with patients, patient advocates and staff on 3 psychiatric wards. Evidence for permeability includes that ward membership is temporary and changes rapidly (patients tend to have very short stays and staff turnover is high) ; patients maintain contact with the outside world during their stay ; and institutional identities are blurred to the point where visitors or new patients can easily mistake staff and patients for one another. Permeability has both positive consequences (e.g., reduced risk of institutionalism), and negative consequences (e.g., unwanted people coming into hospital to cause trouble, and illicit drug use among patients). Staff employ various methods to regulate their ward's permeability, within certain parameters. The metaphor of the total/closed institution remains valuable, but it fails to capture the highly permeable nature of the psychiatric institutions we studied. Analysts may therefore find the permeable institution a more helpful reference point or ideal type against which to examine and compare empirical cases. Perhaps most helpful is to conceptualise a continuum of institutional permeability with total and permeable institutions at each extreme. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact