Title: Critical psychiatry: The implications for community mental health practice
1Critical psychiatry The implications for
community mental health practice
2The origins of community care
3The origins of community care
- Dismay and disgust with the old asylum system
4The origins of community care
- Dismay and disgust with the old asylum system
- Opening the doors of the psychiatric hospital
5The origins of community care
- Dismay and disgust with the old asylum system
- Opening the doors of the psychiatric hospital
- Therapeutic milieu in hospital
6The 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)
7The 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)
- Total institution' (Erving Goffman)
8Critical psychiatry and community care
9Critical psychiatry and community care
- Thomas Scheff (1999) Being mentally ill
10Critical psychiatry and community care
- Thomas Scheff (1999) Being mentally ill
- Franco Basaglia and law 180 in Italy
11Critical psychiatry and community care
- Thomas Scheff (1999) Being mentally ill
- Franco Basaglia and law 180 in Italy
- Bracken Thomas and home treatment in Bradford
12Nature of critical psychiatry
13Nature of critical psychiatry
- Opposition to the reductionist tendency within
psychiatry
14Nature of critical psychiatry
- Opposition to the reductionist tendency within
psychiatry - More ethical foundation for practice
15Nature 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
16Nature 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 - Acknowledges the inevitable social dimension of
psychiatric practice
17Anti-psychiatry and institutionalisation
18Anti-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).
19Anti-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 (Laing 1985). - An effort to cease interference, to 'lay off'
other people and give them and oneself a chance
(David Cooper)
20Anti-psychiatry and institutionalisation
- Villa 21 in Shenley Hospital
21Anti-psychiatry and institutionalisation
- Villa 21 in Shenley Hospital
- Philadelphia Association established Kingsley
Hall in 1965
22Anti-psychiatry and institutionalisation
- Villa 21 in Shenley Hospital
- Philadelphia Association established Kingsley
Hall in 1965 - Rumpus room at Gartnavel hospital
23Anti-psychiatry and institutionalisation
- Villa 21 in Shenley Hospital
- Philadelphia Association established Kingsley
Hall in 1965 - Rumpus room at Gartnavel hospital
- Joseph Berke and Leon Redler both worked with
Maxwell Jones at Dingleton hospital before moving
to Kingsley Hall
24Critical psychiatry and other psychosocial
approaches
25Critical psychiatry and other psychosocial
approaches
- Harry Stack Sullivan and Sheppard Pratt Hospital
26Critical psychiatry and other psychosocial
approaches
- Harry Stack Sullivan and Sheppard Pratt Hospital
- Adolf Meyers Psychobiology
27Critical psychiatry and other psychosocial
approaches
- Harry Stack Sullivan and Sheppard Pratt Hospital
- Adolf Meyers Psychobiology
- Clifford Beers and mental hygiene
28Implications
29Implications
- Psychosocial perspectives have a long history in
psychiatry
30Implications
- Psychosocial perspectives have a long history in
psychiatry - Critical psychiatry has an explicitly ethical
stance
31Implications
- Psychosocial perspectives have a long history in
psychiatry - Critical psychiatry has an explicitly ethical
stance - The challenge of the user movement
32Implications
- Psychosocial perspectives have a long history in
psychiatry - Critical psychiatry has an explicitly ethical
stance - The challenge of the user movement
- Meyer diverted Beers critique into the mental
hygiene movement
33Implications
- Psychosocial perspectives have a long history in
psychiatry - Critical psychiatry has an explicitly ethical
stance - The challenge of the user movement
- Meyer diverted Beers critique into the mental
hygiene movement - Anti-psychiatry had many of the same interests as
other psychosocial perspectives