The Hospital

1
The Hospital
2
History of Hospital

• The site of medicinal practice- with a cost
• Classical Greece until present day....

3
Social Development

• Hospitals as Religious practice sites
• Hospitals as poorhouses
• Hospitals as deathhouses
• Hospitals as centers of medical technology

4
Hospitals in US

• Hospital ownership classified into thee major
  types
• 1. Non profit
• 2. For profit
• 3. Government

5
The Hospital Patient Role

• Supportive notion of patient welfare, hospital
  rules and regulations.
• The feelings of depersonalization
• Being a patient as difficult or embarrassing
• Reducing patient autonomy

6
Stripping and Control

• Patients alienated from usual lives through 3
  basic mechanisms
• 1. Stripping
• 2. Control of Resources
• 3. Restriction of Mobility

7
Conforming Attitudes

• Some of quite willing to conform
• The study of hospital patients in NY
• The best attitude predictors

8
Goffmans Asylums

• Summary of Goffmans work
• At the heart of Asylums is the notion of total
  institutions.
• Definition of Asylums

9
Total Institutions

• Five types of total institutions
• 1. Persons incapable and harmless
• 2. Incapable and a threat
• 3. Capable and dangerous
• 4. Work like task orientation
• 5. Spiritual retreat
• Sharing of five similar features
• What is missing in Goffmans account of total
  institutions.

10
Foucaults Madness and Civilization

• The treatment of the insane for Foucault
• Institutions designed by the bourgeoisie for the
  madness of the proletariat.
• Prompted the Anti-Psychiatry movement
• The moral treatment of the insane and curing for
  the benefit of society.

11
Goffman Vs. Foucault

• The failure of modern day asylums and the threat
  these patients pose
• Both of their works being complementary not in
  opposition.
• Foucault- concerned with structures
• Goffman- concerned with individuals
• The issue of discourse within both bodies of
  work.