The Psychiatric Team and the Social Definition of Schizophrenia: An Anthropological Study of Person and Illness / Edition 1

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This book is a study of schizophrenia in a modern psychiatric hospital, arising from an anthropological investigation of the work of clinical staff.Analyzing the language used by hospital staff in writing and talking about their patients, it traces the evolution of the concept of schizophrenia, showing how contemporary theoretical constructs are applied by clinical staff. It will reveal to mental health professionals many of the unspoken assumptions of their role, and confirms the power of the ethnographic approach in psychiatric research.

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher
"Dr. Robert J. Barrett brings to this volume an interesting blend of medical and ethnographic perspectives on the culture of psychiatric institutions...highlights of the volume are the author's masterful application of social science theories to common clinical situations...Dr. Barrett uses helpful diagrams to illustrate complex ideas, and his style of writing is engaging, with a tone that is scholarly yet not abstract...I appreciate Dr. Barrett's cultural and anthropological observations of daily experiences in the care of hospitalized psychiatric patients...I highly recommend this book to anyone who works at a public psychiatric hospital and to those who are interested in learning about the culture of institutions." Antonia S. Austria, M.D., Psychiatric Services

"I recommend the book highly to clinicians and researchers...Clinicians in training, including psychiatric registrars, would, I believe, derive great benefit and be pleasurably educated." Biological Psychiatry

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Product Details

Table of Contents

1 Schizophrenia in Context 1
Ethnography and the Interpretive Approach to Schizophrenia 4
Taken-for-Granted Ideas and Practices 10
Psychiatric Discourse and Practice 14
Person, Case, and Schizophrenia 18
Direction of the Book 19
2 Time and Space in a Progressive Psychiatric Hospital 22
Progress 22
Histories of Ridgehaven 26
Hospital Landscape 29
Integration of Time and Space 33
3 Professional Domains and the Dimensions of a Case 38
Professional Domains 40
Cutting Across Professional Domains 66
Case Time and Space 67
4 Clinical Teams and the 'Whole Person' 71
Psychiatric Hegemony 74
Two Forums: Case Record and Case Conference 86
Team Definition of the Case 91
Power of Teams to Define Cases 103
5 Documenting a Case: The Written Construction of Schizophrenia 107
Cycle of Interpretation 107
From Document to Interview 111
From Interview to Document 114
Admission Assessment: Separating Schizophrenia from the Patient 122
'Full Work-up': Reintegrating Schizophrenia and the Person 138
Contrasting Versions of Schizophrenia 141
6 Moral Trajectories: From Acute Psychosis to 'Chronic Schizophrenic' 143
Moral Trajectories and Clinical Talk 145
Normal Trajectory and Work 147
Abnormal Trajectories and Play 156
Moral Evaluation as a Reflection of Context 165
Anomaly and the 'Chronic Schizophrenic' 170
Time, Space, and Chronicity 176
7 Historical Formulations of Schizophrenia: Degeneration and Disintegration 178
The Person 179
Nineteenth Century Psychiatric Institutions and Ideas 183
Degeneration and the Split Person in Kraepelin and Bleuler 204
Current Images of Degeneration and Disintegration 211
Schizophrenia and the Person 215
8 Contemporary Formulations of Schizophrenia: Explaining the Inexplicable 217
Beyond Understanding: Biological Theories 218
Empathic Understanding: Psychosocial Theories 237
Bio-psycho-social Schizophrenia and the 'EE' Family 242
Institutions, Schizophrenia, and the Person 251
9 Schizophrenia for Practical Purposes 255
Education Programme: Structure of the Course, Its Curriculum, and Teaching Styles 256
Separating Schizophrenia from the Person 258
Reintegrating Schizophrenia with the Person 266
Taking Apart and Putting Back Together Again 268
10 The Person, the Case, and Schizophrenia 272
From Hospital Organization to Case 273
Case, Whole Person, Anyone: Categories of Person 275
Multiple Definitions of the Person and Schizophrenia 284
Schizophrenia as an Anomalous Category of Person 298
Directions 299
References 308
Index 333
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