The Mental Hospital
This term Refers to a psychiatric facility where people with mental illness recieve treatment and care.
What is a mental hospital?
What is two biggest responsibilities of the orderlies?
Subduing a violent patient
Lifting Patients out of bed
What is Goffman's version of "Giving In"?
A combination of conversion, colonization, and loyalty to other inmates.
This term refers to being accustomed to then structure and routines of an institution to the point where it's difficult to live independently afterward.
What is institutionalization?
What is the reason that most paitents do not see the inside of the hospital?
The shift to community based care
The decline of large state mental hospitals in the mid 20th century was largely due to the introduction of these medications, which allowed many patients to live in the community.
What are psychotropic drugs?
What role does the psychiatrist play in the hospital?
They are in charge of the patients therapy and responsible for any decision made.
What are the Hidden Satisfactions that a person can gain from "Giving In"?
- Sneaking a midnight snack out of the cafeteria
- Getting in a relationship with Someone
- Aquiring a Job that get's special privledges
Institutionalized individuals may struggle to make descisions or act independendently after release because of this loss of personal autonomy.`
What is learned dependency?
What is one of the biggest problem to community care?
- Lack of Self Confidence in Building social life
- Homelessness
This sociologist described mental hospitals as total institutions places where individuals are cut off from society and controlled under a single authority.
Who is Erving Goffman?
What character from a novel whas referenced in the book as a sterotypical head nurse?
Miss Ratched from One Flew Over the Cuckoo's Nest
Name 2 of the Jobs mentioned that a patient can gain to give them advantages
- Kitchen
-Laundry Room
- Shoe Repair Shop
- Garden
In Ailon Shiloh's study about this percentage of patients were classifed as "institutionalized" and did not want to leave the hospital.
What is 40 Percent?
What are the four reasons someone faces unpleasant circumstances in life outside the hospital?
Their symptoms
Lack of Family
Friends
Income
Patients in mental hospitals often lose their precious roles and identities through this process.
What is depersonalization?
Goffman noted that these staff members, often from marginalized backgrounds, occupy the lowest rung of hospital authority but possess deep informal knowledge of patient life.
What are Orderlies?
What is the difference between private territories and a group territories?
According to Shiloh, these patients viewed hospital life as secure and comfortale preferring it to the outside world.
Who are the institutionalized patients?
These types of organizations and clubs were created to help former patients adjust to life in the community by providing peer support and a space to “talk it out.”
What are self-help organizations and support groups?
In Goffman's analysis, new inmates in a total institution go through the stage where their old self is stripped away to make them more manageble by staff.
What is the admission process?
What is the rank of the Social Structures in the Hospital (Top to Bottom) ?
Psychiatrist
Other Physicians
Psychologist (with a Ph.D.)
Registered Nurses
Auxiliary mental health worker
Practical Nurses and Nurse Aids
Orderlies and attendants
Maintenance Personnel
Patients
What are the four adjustments to Hospital Life?
Situational Withdrawals
Intransigence
Colonization
Conversion
When patients finally leave the hospital, they often face these challenges (You can give me a couple)
- Struggling with adjustment
- Can be an unhappy day
- Loss if contact/death of family
- Scared of starting life over
For patients adjusting to community life, success often depends on this key factor, having friends, family, or a social network that provides emotional and practical support.
What is a strong social support system?