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

Critical psychiatry: The implications for community

mental health practice

D B Double

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)





‘Institutional neurosis' (Russell Barton)

‘Total institution' (Erving Goffman)

Critical psychiatry and community care


Thomas Scheff (1999) Being mentally ill



Franco Basaglia and law 180 in Italy



Franco Basaglia and law 180 in Italy

Bracken & Thomas and home treatment in Bradford

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




The term 'mental illness' may have meaning as a psychosocial concept

Acknowledges the inevitable social dimension of psychiatric practice

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).


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)


Villa 21 in Shenley Hospital



Philadelphia Association established Kingsley Hall in 1965




Rumpus room at Gartnavel hospital




Rumpus room at Gartnavel hospital

Joseph Berke and Leon Redler both worked with Maxwell Jones at Dingleton hospital before moving to Kingsley Hall

Critical psychiatry and other psychosocial approaches


Harry Stack Sullivan and Sheppard Pratt Hospital



Adolf Meyer’s Psychobiology



Adolf Meyer’s Psychobiology

Clifford Beers and mental hygiene

Implications

ImplicationsPsychosocial 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




Meyer diverted Beer’s critique into the mental hygiene movement

Anti-psychiatry had many of the same interests as other psychosocial perspectives

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

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